A study to evaluate compliance in patients of diabetes mellitus in a North-Indian tertiary care hospital

Prashant Shukla, Shikha Palta, Anita Gupta, Vijay K. Sehgal


Background: The objective of the study was to determine level of adherence and recognize various causative factors which can affect the compliance in the diabetic patients.

Methods: This was an observational study. The study was conducted by enrolling patients of the outpatient department of Medicine of Rajindra Hospital, Government Medical College, Patiala, Punjab. To assess adherence, a questionnaire was administered to the patients - Morisky Medication Adherence Scale (MMAS) -8 item questionnaire. The various factors affecting compliance was determined by a researcher made questionnaire.

Results: Out of a total of 100 subjects, age range extended from 18 years to 80 years. The mean age was 57.52±12.33years. 51% of patients were females and 49% was males. Analysis of MMAS- 8 item scores of patients showed that 52% of patients had low adherence, 29% had medium while 19% had high adherence to the treatment. Only 30% patients were compliant i.e. with HbA1C value of 7 or less while 70% patients were non-compliant i.e. with HbA1C value of more than 7.

Conclusions: Compliance to medical treatment is influenced by a myriad of factors. In order to promote compliance, it is necessary to increase awareness about the disease, possible complications and treatment guidelines among patients as well as their family members. 


Diabetes mellitus, Medication adherence, Medication compliance, Morisky Medication Adherence Scale (MMAS) -8 item questionnaire

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