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Background <p>Medication adherence among geriatric diabetic patients is influenced by various factors, including diabetes knowledge and treatment satisfaction. Understanding these relationships is crucial for improving adherence and health outcomes. </p> Methods <p>A cross-sectional study was conducted among 300 diabetic patients aged 60 and above at outpatient clinics of a Malaysian teaching hospital. Interviews were conducted for each participant using a set of questionnaires that included a sociodemographic form, 20 questions from the simplified Diabetes Knowledge Test (DKT), 11 questions from the Treatment Satisfaction Questionnaire for Medication (TSQM-II), and 12 questions from the Malaysia Medication Adherence Assessment Tool (MyMAAT).</p> Results <p>Participants demonstrated moderate diabetes knowledge [median = 6.67(6.00–7.78)] and high medication adherence [73%]. Diabetes knowledge was significantly associated with age [70–79&#xa0;years: p = 0.012, above 80: <i>p</i> = 0.007], educational status [high school: <i>p</i> = 0.007, college/university: <i>p</i> &lt; 0.001], and medication type [the presence of insulin in the regimen: <i>p</i> = 0.009]. A significant relationship was found between diabetes knowledge and treatment satisfaction [<i>p</i> &lt; .001] and medication adherence [<i>p</i> = 0.004]. Each one-unit increase in diabetes knowledge was associated with a 34.2% decrease in the odds of nonadherence (OR = 0.658, 95% CI: 0.494–0.876, <i>p</i> = 0.004). Factors like gender [female: <i>p</i> = 0.014], occupational status [retired/ unemployed: <i>p</i> = 0.022], and type of diabetes medications [<i>p</i> &lt; .001] influenced treatment satisfaction, while education [high school: <i>p</i> = 0.004] and global satisfaction [<i>p</i> = 0.009] affected adherence.</p> Conclusions <p>Geriatric diabetic patients demonstrated inadequate knowledge about diabetes, and this limited knowledge was significantly associated with lower treatment satisfaction and poorer medication adherence.</p>

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The association between diabetes knowledge, treatment satisfaction and medication adherence among Malaysian geriatric patients

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  • 发表日期：

    2025年11月25日

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  • Nur Syaqirah Natasha Mohamad Yusaini,
  • Muhammad Eid Akkawi

摘要

Background

Medication adherence among geriatric diabetic patients is influenced by various factors, including diabetes knowledge and treatment satisfaction. Understanding these relationships is crucial for improving adherence and health outcomes.

Methods

A cross-sectional study was conducted among 300 diabetic patients aged 60 and above at outpatient clinics of a Malaysian teaching hospital. Interviews were conducted for each participant using a set of questionnaires that included a sociodemographic form, 20 questions from the simplified Diabetes Knowledge Test (DKT), 11 questions from the Treatment Satisfaction Questionnaire for Medication (TSQM-II), and 12 questions from the Malaysia Medication Adherence Assessment Tool (MyMAAT).

Results

Participants demonstrated moderate diabetes knowledge [median = 6.67(6.00–7.78)] and high medication adherence [73%]. Diabetes knowledge was significantly associated with age [70–79 years: p = 0.012, above 80: p = 0.007], educational status [high school: p = 0.007, college/university: p < 0.001], and medication type [the presence of insulin in the regimen: p = 0.009]. A significant relationship was found between diabetes knowledge and treatment satisfaction [p < .001] and medication adherence [p = 0.004]. Each one-unit increase in diabetes knowledge was associated with a 34.2% decrease in the odds of nonadherence (OR = 0.658, 95% CI: 0.494–0.876, p = 0.004). Factors like gender [female: p = 0.014], occupational status [retired/ unemployed: p = 0.022], and type of diabetes medications [p < .001] influenced treatment satisfaction, while education [high school: p = 0.004] and global satisfaction [p = 0.009] affected adherence.

Conclusions

Geriatric diabetic patients demonstrated inadequate knowledge about diabetes, and this limited knowledge was significantly associated with lower treatment satisfaction and poorer medication adherence.