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Development of Diabetes Mellitus Medication Compliance Instrument Faza Khilwan Amna; Irwan Budiono; Eko Farida
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6438

Abstract

Medication adherence is an important factor in the management of type 2 DM. Non-adherence in taking medication can worsen the patient's health condition, increase glycated hemoglobin (HbA1c) levels , and increase the risk of complications such as neuropathy, nephropathy, and cardiovascular disease. Research shows that only about 50-60% of patients comply with prescribed medication.The aim of this research is to develop a research instrument on medication adherence in Diabetes Mellitus patients. The type of research used is Research and Development . To produce a research instrument product on compliance with taking diabetes mellitus medication and to test its effectiveness, the research process is carried out through two main stages, namely the content validity stage and the validity and reliability test stage. Content validity is evaluated by 10 expect panels. While the validity and reliability tests were carried out on 30 respondents, namely Type 2 Diabetes Mellitus patients aged 19-40 years who are outpatients in Mardhatillah Hospital Pemalang, Central Java. Validity test analysis using Pearson Product Moment correlation (r) by looking at the output results of Corrected Item Total Correlation , while the Reliability Test is measured by the Cronbach Alpha statistical test. The results of this study indicate that all items in the diabetes mellitus medication adherence instrument meet the content validity criteria based on the assessment. for expert (I-CVI ≥ 0.75). Furthermore, based on the validity test of 15 question items, it is known that for statements 1 to 15, the lowest calculated r is 0.436 and the highest calculated r is 0.779, so that the 15 statements of the DM medication adherence questionnaire are valid. Meanwhile, the results of the reliability test on the 15 items of this research questionnaire have a total Cronbach's Alpha value per variable > 0.60, so that the research questionnaire is reliable (consistent). The research instrument in the form of a questionnaire on adherence to taking DM medication consisting of 15 questions was declared to meet the criteria of content validity , validity and reliability , so it can be used as a research instrument. With valid and reliable instruments, health workers can monitor patient compliance more effectively, support the success of therapy and improve the quality of life of patients with diabetes mellitus.
Determinant Factors of Medication Compliance in DM2 Patients: A Systematic Review Faza Khilwan Amna; Chatila Maharani; Ari Yuniastuti; Sri Ratna Rahayu; Evi Widowati
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6587

Abstract

Type 2 Diabetes Mellitus (DM2) is a chronic disease that requires high compliance in treatment to prevent complications. However, many DM2 patients are not compliant in undergoing drug therapy, which can hinder the effectiveness of treatment. Various factors have been identified as determinants of patient compliance, including demographic factors, knowledge, social support, and technology utilization.This study aims to analyze factors that influence medication adherence in DM2 patients based on a systematic review of several studies that have been conducted. The method used in writing this article is a literature review study with a systematic review method. The articles reviewed were obtained through searches on Google Scholar, Pubmed, Proquest, and ScienceDirect in the period 2015-2025 with the search keywords being Type 2 Diabetes Mellitus, Medication Compliance, Compliance Factors, Medication Supervisors . By using PRISMA, from 10,697 articles found, 10 journal articles were obtained to be reviewed. Based on the analysis of several studies, factors that have a significant influence on patient compliance in taking medication are the level of knowledge (p = 0.002), family support (p = 0.000; PR = 8.17 ) , and support from health workers (p = 0.000; PR = 6.10). Social Marketing, Frailty Syndrome and Age were also found to have a relationship with DM medication compliance. In addition, the use of technology such as medication reminder applications (PMO) has been shown to help improve patient compliance in undergoing DM2 therapy. Compliance of DM2 patients in undergoing drug therapy is influenced by various factors, including level of knowledge, social support, social marketing, age , frailty syndrome, and use of technology. Therefore, strategies to improve compliance must involve an educational approach, strengthening the role of families and health workers, and utilizing digital-based technology to increase the effectiveness of DM2 therapy.