Beliefs about medicine among sample of Iraqi Type 2 Diabetic Patients in Karbala. Iraq: Across sectional study

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Sammar Jassim Mahan
Mohammed Mahmood Mahammad


Specific concern, Beliefs about medicine, Specific necessity, T2DM



Back ground: Diabetes mellitus (DM) is one of the fastest-growing diseases in the world, it is a big threat to global health. The number of people with diabetes mellitus is rising quickly at alarming rate, it has been called an epidemic disease of the 21st century, affecting millions of people all over the world. Achieving ideal glycemic control can lower DM-related morbidity and mortality , As a result, adherence to medication is a critical factor in determining the efficacy of diabetes therapy. Medication adherence is influenced by the patient's medication beliefs, particularly the Patient's concern about drugs, which obstructs adherence to treatment. Therefore, especially in diabetic patients, it is significant to consider the Patient's medication beliefs . For that reason, this study aimed to investigate and evaluate beliefs about medications in patients with T2DM and assess the probable relation between this belief and glycemic control and some patient-particular factors.

Subjects and Methods: The present study is cross sectional study included 200 Iraqi patients with type 2 diabetes mellitus who visited the Endocrinology Center/Al-Huja Hospital in Karbala between November 2020 and December 2021. Belief about medeciations was measured using the Arabic version of the BMQ Questionnaire.

Results: The mean age of the patients was (51.46±9.05) years. The patients had a stronger agreement with the mean necessity scale (18.07) approximately the same as the mean total score for BMQ mean concern scale (17.79). About half of patients (45%) have great opinion for needing to anti-diabetic therapies to maintain the glucose level normal, but with great worry concerned (38.5%) to side effects of these medications. And 16.5% of patients had specific-necessity score equal to specific-concern. Conclusions: These findings lead to conclude That patient's belief about medicine was found to be poor predictor of good glycemic control.Nearly half of study individuals were appeared having a high believe for needing to anti-diabetic therapy to control the disease despite the presence of a significant concern regarding the long-term effects of drug use.


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In other study, researchers reported
that the LDL-c levels were lower and HDL-c levels were higher in patients with positive heath
beliefs (24).
Nearly 45% of T2DM were having a significant believe for anti-diabetic therapy to control their illness despite the presence of a significant
11. Konstantina T, Markos G , Nikolaos G, et al. Beliefs about Medicines Questionnaire (BMQ) for inflammatory bowel disease patients in Greece. Ιs it useful? European Journal for Person Centered Healthcare. 2016; 4 (1) :187- 195.
general harm score of BMQ
regarding specific concern,
The researcher would like to express her thanks and gratitude to her kind son Mustafa Ehsan, for obtaining a classy average in this year ministerial exams.
have significant
correlation with
Alhalaiqa F, Deh RM, Batiha AM. Validity of Arabic version ofbeliefs about medication questionnaire. Clin Nurs Res. 2015; 24(5): 539–
Gatt I, West LM, Calleja N, Briffa C, Cordina M. Psychometric properties of the Belief about Medicines Questionnaire (BMQ) in the Maltese language. Pharm Pract (Granada). 2017 Jan-
Mar; 15(1): 886.
Foot H, La Caze A, Gujral G, Cottrell N. The necessity-concerns framework predicts adherence to medication in multiple illness
conditions: A meta-analysis. Patient Educ
Couns. 2016 May; 99(5): 706-17.
Jamous RM, Sweileh WM, Taha AS. Beliefs about medicines and self-reported adherence among patients with chronic illness: a study in Palestine. Journal of Family Medicine and
Primary Care. 2014 Jul; 3(3): 224.
Raza S, Iqbal Q, Haider S, Khalid A, Hassali MA, Saleem F. Beliefs about medicines among type 2 diabetes mellitus patients in Quetta city,
Papatheodorou K, Banach M, Bekiari E, Rizzo M, Edmonds M. Complications of diabetes 2017. Journal of diabetes research. 2018 Mar 11;
other previous study, authors
Yun JS, Ko SH. Current trends in epidemiology of cardiovascular disease and cardiovascular risk management in type 2 diabetes.
Metabolism. 2021 Oct 1; 123: 154838.
Zou Q, Qu K, Luo Y, Yin D, Ju Y, Tang H. Predicting diabetes mellitus with machine learning techniques. Frontiers in genetics. 2018
Nov 6; 9: 515.
Kumari G, Singh V, Chhajer B, Jhingan AK. Effect of lifestyle intervention holistic approach on blood glucose levels, health-related quality of life and medical treatment cost in type 2 diabetes mellitus patients. Acta Scientiarum. Health
Sciences. 2021 Mar 8; 43: e53729