Understanding Medication Adherence in Bhutanese Refugees With Diabetes in a Midwestern City

Introduction: Bhutanese refugees have a higher prevalence of type 2 diabetes but are less likely to achieve medication adherence and glycemic control. The purpose of this project was to understand factors affecting diabetes medication adherence in this population. Methodology: This was a qualitative...

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Bibliographic Details
Published in:Journal of transcultural nursing 2022-05, Vol.33 (3), p.324-333
Main Authors: Timsina, Muna K., Peltzer, Jill N., Pokharel, Yashashwi, Peterson, JoAnn M., Schwartz, Lori J., LeMaster, Joseph W.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Bhutan
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - drug therapy
Disease management
Drug administration
Focus Groups
Humans
Medication Adherence
Patient compliance
Patient-centered care
Qualitative research
Refugees
Transcultural nursing
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Summary:Introduction: Bhutanese refugees have a higher prevalence of type 2 diabetes but are less likely to achieve medication adherence and glycemic control. The purpose of this project was to understand factors affecting diabetes medication adherence in this population. Methodology: This was a qualitative project using focus groups of adult Bhutanese refugees with type 2 diabetes ≥18 years old and hemoglobin A1C ≥8% and their caregivers from a family medicine clinic at the University of Kansas. Data were analyzed using content analysis. Results: A total of 23 individuals participated. Three themes emerged from data analysis: desire to engage in care but face multiple barriers, family and community support invaluable for health, and considerations for culturally contextual person-centered care. Participants provided specific recommendations to address the barriers, with emphasis on improving health literacy. Discussion: Integrating the identified factors can foster person-centered, culturally congruent care to improve diabetes medication adherence in Bhutanese refugees.
ISSN:1043-6596
1552-7832
DOI:10.1177/10436596221077671