Skip to main content
Article
Beneath the surface: discovering the unvoiced concerns of older adults with type 2 diabetes mellitus
Open Access Articles
  • Jennifer Tjia, University of Massachusetts Medical School
  • Jane L. Givens, University of Pennsylvania
  • Jason H. Karlawish, University of Pennsylvania
  • A. Okoli-Umeweni, University of Medicine and Dentistry of New Jersey
  • Frances K. Barg, University of Pennsylvania
UMMS Affiliation
Department of Medicine
Date
2-3-2007
Document Type
Article
Subjects
Age Factors; Aged; Diabetes Mellitus, Type 2; Drug Interactions; Female; Humans; Interviews as Topic; Male; *Patient Compliance; *Patient Participation; Physician-Patient Relations; Polypharmacy
Abstract
Emerging clinical guidelines recommend shared decision making to individualize drug regimens for older adults with Type 2 diabetes mellitus. While the current health education campaign for diabetes in the United States recommends physician-initiated medication-related discussions about adherence and side effects, little emphasis is placed on soliciting patient concerns. This study's aim was to explore the concerns of older adults with diabetes about the complexity of their drug regimens and to determine whether they discussed medication-related concerns with their physician. Twenty-two patients with Type 2 diabetes age 65 years and older who used five or more medications were selected from an urban academic geriatric medicine practice in the United States. In-depth semi-structured interviews were conducted to uncover participants' perceptions of multiple medication use and related discussions with providers. The predominant theme that emerged was the variability in medication-related topics that patients perceived they could discuss with their physician. While most participants described physician-initiated discussions about adherence and side effects, many did not bring up concerns about medication cost or their desire to reduce medication burden. In order to encourage greater patient involvement in medication decision making for diabetes treatment, educational messages promoting patient-physician dialogue need to take more account of patient concerns.
Rights and Permissions
Citation: Health Educ Res. 2008 Feb;23(1):40-52. Epub 2007 Jan 31. Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
17272292
Citation Information
Jennifer Tjia, Jane L. Givens, Jason H. Karlawish, A. Okoli-Umeweni, et al.. "Beneath the surface: discovering the unvoiced concerns of older adults with type 2 diabetes mellitus" Vol. 23 Iss. 1 (2007) ISSN: 0268-1153 (Print)
Available at: http://works.bepress.com/jason_karlawish/4/