Characteristics of diabetes medication-taking in people with mild to moderate intellectual disability compared to those without: a mixed-methods study

Ruth Paterson , Laurence Taggart, Loiuse Hoyle, Michael Brown

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
87 Downloads (Pure)

Abstract

Aim: To compare the frequency and factors associated with diabetes medication-taking (depression, perceived side effects, self-efficacy and social support) in people with mild to moderate intellectual disability and those without intellectual disability. Methods: In stage 1 of this study, we collated information on diabetes medication-taking and associated factors in 111 people with diabetes: 33 adults with mild to moderate intellectual disability and 78 adults without intellectual disability. Validated instruments measuring medicine-taking, self efficacy, depressive symptoms, perceived level of social support and perceived side effects were administered in both groups. In stage 2, we used an abductive qualitative approach to triangulate stage 1 findings with carers responses (n = 12). Results: The instruments showed good internal reliability (Cronbach’s α = 0.7–0.9). Comparisons between people with intellectual disabilities and those without revealed similar frequency of medication-taking (70% vs 62%; P = 0.41). People with intellectual disabilities and diabetes had significantly higher depressive symptoms, as measured by the Glasgow Depression Scale for people with a Learning Disability (P = 0.04), higher levels of perceived side effects (P = 0.01), and lower confidence levels, as measured by the Perceived Confidence Scale (P = 0.01). The results of stage 2 showed how carers of people with intellectual disabilities and diabetes optimized medication-taking yet infrequently discussed the side effects of medicines. Conclusions: Further investigation of medication-taking and side effects may result in the development of an evidence-informed intervention to improve medicines safety in people with intellectual disabilities.

Original languageEnglish
Pages (from-to)2035-2043
Number of pages9
JournalDiabetic medicine
Volume37
Issue number12
Early online date16 Aug 2020
DOIs
Publication statusPublished (in print/issue) - 31 Dec 2020

Bibliographical note

Publisher Copyright:
© 2020 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK

Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.

Fingerprint

Dive into the research topics of 'Characteristics of diabetes medication-taking in people with mild to moderate intellectual disability compared to those without: a mixed-methods study'. Together they form a unique fingerprint.

Cite this