title: Patients' beliefs about adherence to oral antidiabetic treatment: a qualitative study.
abstract: OBJECTIVE
  The purpose of this study was to elicit patients' beliefs about taking their oral antidiabetic drugs (OADs) as prescribed to inform the development of sound adherence-enhancing interventions.
  
  
  METHODS
  A qualitative study was performed. Adults with type 2 diabetes who had been taking an OAD for >3 months were solicited to participate in one of six focus groups. Discussions were facilitated using a structured guide designed to gather beliefs related to important constructs of the theory of planned behavior. Four coders using this theory as the theoretical framework analyzed the videotaped discussions.
  
  
  RESULTS
  Forty-five adults participated. The most frequently mentioned advantages for OAD-taking as prescribed were to avoid long-term complications and to control glycemia. Family members were perceived as positively influential. Carrying the OAD at all times, having the OAD in sight, and having a routine were important facilitating factors. Being away from home, not accepting the disease, and not having confidence in the physician's prescription were major barriers to OAD-taking.
  
  
  CONCLUSIONS
  This study elicited several beliefs regarding OAD-taking behavior. Awareness of these beliefs may help clinicians adjust their interventions in view of their patients' beliefs. Moreover, this knowledge is crucial to the planning, development, and evaluation of interventions that aim to improve medication adherence.
authors: Faculty of Pharmacy, Laval University, Quebec City, QC, Canada ; Chair on Adherence to Treatments, Laval University, Quebec City, QC, Canada ; CHU de Québec Research Center, Population Health and Optimal Practices Research Unit, Quebec City, QC, Canada.
authors: Line
authors: L
authors: Guénette
authors: Faculty of Pharmacy, Laval University, Quebec City, QC, Canada ; Chair on Adherence to Treatments, Laval University, Quebec City, QC, Canada ; CHU de Québec Research Center, Population Health and Optimal Practices Research Unit, Quebec City, QC, Canada.
authors: Sophie
authors: S
authors: Lauzier
authors: Chair on Adherence to Treatments, Laval University, Quebec City, QC, Canada ; CHU de Québec Research Center, Population Health and Optimal Practices Research Unit, Quebec City, QC, Canada ; Faculty of Nursing, Laval University, Quebec City, QC, Canada.
authors: Laurence
authors: L
authors: Guillaumie
authors: Faculty of Pharmacy, Laval University, Quebec City, QC, Canada.
authors: Gabriel
authors: G
authors: Giguère
authors: Faculty of Pharmacy, Laval University, Quebec City, QC, Canada ; Chair on Adherence to Treatments, Laval University, Quebec City, QC, Canada ; CHU de Québec Research Center, Population Health and Optimal Practices Research Unit, Quebec City, QC, Canada.
authors: Jean-Pierre
authors: JP
authors: Grégoire
authors: Faculty of Pharmacy, Laval University, Quebec City, QC, Canada ; Chair on Adherence to Treatments, Laval University, Quebec City, QC, Canada ; CHU de Québec Research Center, Population Health and Optimal Practices Research Unit, Quebec City, QC, Canada.
authors: Jocelyne
authors: J
authors: Moisan
keywords: focus groups; medication adherence; theory of planned behavior; type 2 diabetes