Illness Perception and Medication Adherence Among Patients with Primary Hypothyroidism in Al Qassim, Saudi Arabia
Received 10 April 2020
Accepted for publication 17 June 2020
Published 6 July 2020 Volume 2020:14 Pages 1111—1117
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Omar Buraykan Alluhayyan,1 Rakan Jaser Alsahly,2 Abdulrahman Abbas Aldawsari,2 Khaled Abdulrahman Alghabawy,1 Rifal Saleh Alqaan,1 Abeer Fahad Almutairi,1 Saleh Ali Alharbi3
1College of Medicine, Qassim University, Al Qassim, Saudi Arabia; 2College of Medicine, Majmaah University, Majmaah, Saudi Arabia; 3Department of Family and Community Medicine, King Saud Hospital, Al Qassim, Saudi Arabia
Correspondence: Omar Buraykan Alluhayyan
Qassim University, Al Qassim, Saudi Arabia
Tel +966 594474177
Purpose: Poor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious health outcomes. This study aimed to investigate the correlation between illness perception and medication adherence among primary hypothyroidism patients.
Patients and Methods: We conducted a cross-sectional survey among primary hypothyroidism patients who met the inclusion criteria in the Qassim region of Saudi Arabia using a questionnaire with demographic characteristics, clinical factors, the 12-Item Medication Adherence Scale, and the Brief Illness Perception Questionnaire (BIPQ). We included 400 patients in the analysis.
Results: We found a significant positive correlation between BIPQ subscales – personal control, treatment control, and understanding – with all domains of the 12-Item Medication Adherence Scale. The other dimensions of BIPQ subscales did not significantly correlate with medication adherence. However, a high BIPQ overall score was significantly correlated with poor medication adherence.
Conclusion: This study found a significant correlation between a high BIPQ overall score and poor medication adherence. This finding suggests the need to consider the emotional and cognitive representation of hypothyroidism in hypothyroid patients to improve their treatment adherence.
Keywords: hypothyroidism, levothyroxine, medication adherence, illness perception
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]