PHD-Department of Community Health

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Browsing PHD-Department of Community Health by Subject "Enhance Treatment Compliance"

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    Utilization of Mobile Phone Platform to Enhance Treatment Compliance among Type-2 Diabetes Outpatients in Thika Level 5 Hospital, Kiambu County, Kenya
    (Kenyatta University, 2021) Kithuka, Beatrice A.N.; Margaret Keraka; Anthony Wanyoro
    Type 2 diabetes results from body‟s ineffective use of insulin. Non-compliance to treatment makes metabolic control of type 2 diabetes mellitus impossible. There is need to educate, remind and empower patients with T2DM with knowledge about their condition. The use of SMS for reminders and health education is an innovation to improve patients‟ knowledge and perceptions on their condition with the resultant effect of enhanced treatment compliance among the patients. The main objective was to explore the utilization of mobile phone platform to enhance treatment compliance among type 2 diabetes patients in Thika level 5 Hospital, Kiambu County, Kenya. A randomized control trial was used with a sample size of 534 respondents evenly distributed into control and intervention arms. Selection of the study participants was by systematic sampling technique. Data was collected using quantitative and qualitative approaches. Descriptive statistical analysis was employed to describe participant‟s demographics characteristics. Bivariate analysis was applied on all categorical variables using chi-square and Fisher exact test. Factors that were found to be associated with the outcome at p<0.05 were considered for multivariate analysis, where binary logistic regression was applied. Treatment compliance level increased from 58.4% at baseline to 79.2% at endline in the intervention arm. Multivariate analysis using the logistic regression model showed monthly income to be a predictor of treatment compliance (P=0.0001). Respondents who earned more than or equal to Ksh 7,000 were 4.2 times more likely to comply with treatment compliance as compared to those who earned less than Ksh 7,000. Overweight/ obese as a risk factor for type 2 diabetes was a predictor of treatment compliance (P=0.0001). Respondents who knew that being overweight/obese is a risk factor for T2DM were 2.880 times more likely to comply to treatment as compared to those who did not know. Smoking as a risk factor for T2DM was a predictor for treatment compliance (P=0.012). Respondents who knew that smoking is a risk factor for T2DM were 1.9 times more likely to comply to treatment as compared to those who did not know. Knowledge that hypertension is a condition which may be complication for T2DM was a predictor of treatment compliance (P=0.02). Respondents who knew that hypertension is a complication for type 2 diabetes were 2.86 times more likely to comply to treatment as compared to those who did not know. Perception that patients are the most important persons in the management of diabetes was a predictor of treatment compliance (P=0.037). Respondents who perceived that patients are the most important persons in the management of diabetes were 2.166 times more likely to comply to treatment as compared to those who did not. Perception that untreated diabetes increases blood sugar levels was a predictor of treatment compliance (P=0.015). Respondents who perceived that untreated diabetes increases blood sugar level were 5.95 times more likely to comply to treatment as compared to those who did not. In conclusion, the use of mobile platform increased treatment compliance level by 20.8%. This study recommends introduction of mobile phone based continuous health education using mobile phone platform in creating awareness among type 2 diabetes mellitus patients at Thika level-5 Hospital thus assisting Kiambu County in allocating limited resources in high impact intervention.