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Association between diabetes knowledge and medication adherence among people with type 2 diabetes mellitus of Gokarneshwor municipality

A community-based cross-sectional study

Bibliographic Data

ID19592139
AuthorsAshna Parajuli (0009-0001-4441-9263, B.P. Koirala Institute of Health Sciences, corresponding author), Paras Kumar Pokharel (0000-0002-7168-5014, B.P. Koirala Institute of Health Sciences, corresponding author), Ram Bilakshan Sah (0009-0007-3548-3187, B.P. Koirala Institute of Health Sciences, corresponding author), Rajendra Karkee (0000-0003-1510-5457, B.P. Koirala Institute of Health Sciences, corresponding author), Prajjwal Pyakurel (0000-0001-5860-9482, B.P. Koirala Institute of Health Sciences, corresponding author)
EditorsNancy Angeline Gnanaselvam (0000-0001-7293-4839)
Year2025
Volume5
Issue12
Pagese0005635
Publication date2025-12-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0005635
PMID41401146
OpenAlexW4417401701
LanguageEN
References cited24

Successful management of diabetes requires adequate knowledge of diabetes and changes in lifestyle which is considered a key component of diabetes management. This study explored the association between diabetes knowledge and medication adherence of the people living with type 2 diabetes mellitus living in Gokarneshwor municipality. A community-based cross-sectional study was conducted in the wards of Gokarneshwor municipality. The study included a total of 310 participants and was conducted over a period of 1 year. Diabetes Knowledge was measured using Diabetes Knowledge Questionnaire (DKQ) and Medication Adherence was measured using Morisky’s Medication Adherence Scale (MMAS). Analysis was done using SPSS version 11.5. The study found the mean diabetes knowledge score to be 13.18 ± 3.73. Diabetes knowledge did not show any significant association with medication adherence. More than half of the participants (63.2%) had perfect medication adherence. After adjusting for confounding variables in logistic regression, only employment status emerged as a statistically significant predictor of perfect adherence (AOR = 0.492; p-value = 0.006), with employed patients demonstrating lower adherence compared to unemployed patients. The findings suggested that individuals with limited diabetes knowledge can still exhibit high levels of medication adherence, underscoring the complexity of adherence behaviors. The study did not find significant association between diabetes knowledge and medication adherence. Overall the study indicates that factors beyond diabetes knowledge influence medication adherence among people with type 2 diabetes

Confounding · Diabetes management · Diabetes mellitus · Logistic regression · Medication adherence · Type 2 diabetes · Diabetes Management and Education · Medication Adherence and Compliance · Mobile Health and mHealth Applications

  • Self-Management Education for Adults With Type 2 Diabetes

    Susan L Norris, Joseph Lau et al.•Diabetes Care•2002

  • Influence of patients’ disease knowledge and beliefs about medicines on medication adherence

    Open Access•Waleed M Sweileh, Waleed Sweileh et al.•BMC Public Health•2014

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