Nonadherence in type 2 diabetes: practical considerations for interpreting the literature

Abstract

David F Blackburn,1 Jaris Swidrovich,2 Mark Lemstra1 1College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Saskatchewan, 2Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada Abstract: The rising prevalence of type 2 diabetes poses a serious threat to human health and the viability of many health care systems around the world. Although several prescription medications can play a vital role in controlling symptoms and preventing complications, non-adherence to these therapies is highly prevalent and has been linked to increases in morbidity, mortality, and health care costs. Although a vast array of significant adherence predictors has been identified, the ability to explain or predict non-adherence with known risk-factors remains poor. Further, the definitions, outcomes, and various measures used in the non-adherence literature can be misleading for the unfamiliar reviewer. In this narrative review, a practical overview of important considerations for interpreting adherence endpoints and measures is discussed. Also, an organizational framework is proposed to consider published adherence interventions. This framework may allow for a unique appreciation into areas of limited knowledge and thus highlights targets for future research. Keywords: medication adherence, compliance, type 2 diabetes, adherence interventions