During this segment, Maria Lopes, MD, MS, explains that cost is not the only factor that is associated with treatment nonadherence in patients with diabetes and obesity. Dr Lopes notes that cost is usually number 3 on the list of reasons why patients do not take medicine as prescribed.

Dr Lopes explains that nonadherence is multifactorial; other factors that contribute to nonadherence include the development of troublesome side effects, denial of the disease diagnosis, healthcare disparities, and psychosocial issues including depression. She notes the importance of individualized treatment.

Yehuda Handelsman, MD, FACP, FACE, FNLA, discusses the relationship between adherence and overall outcomes. He explains that poor adherence rates have been associated with poor outcomes for patients in several disease categories including diabetes.

Dr Handelsman emphasizes the need to improve patient adherence and highlights the results of a published study that determined that 33% of patients never visit the pharmacy to fill a prescription.

To address patient nonadherence issues, Dr Lopes believes that regardless of treatment response or the success rates of pharmacotherapy options, patients need to receive continued support from healthcare professionals.

Kari Uusinarkaus, MD, FAAFP, FNLA, further explains how health literacy is related to adherence, and suggests that physicians need to speak to patients on a level that patients can understand.

Episode 5 - Recognizing and Addressing Factors Related to Nonadherence

Peter Salgo, MD; Yehuda Handelsman, MD, FACP, FACE, FNLA; Maria Lopes, MD, MS; and Kari Uusinarkaus, MD, FAAFP, FNLA, explore factors that often contribute to treatment nonadherence and discuss strategies to help improve adherence to weight loss interventions.
Published Online: May 28, 2014
During this segment, Maria Lopes, MD, MS, explains that cost is not the only factor that is associated with treatment nonadherence in patients with diabetes and obesity. Dr Lopes notes that cost is usually number 3 on the list of reasons why patients do not take medicine as prescribed.

Dr Lopes explains that nonadherence is multifactorial; other factors that contribute to nonadherence include the development of troublesome side effects, denial of the disease diagnosis, healthcare disparities, and psychosocial issues including depression. She notes the importance of individualized treatment.

Yehuda Handelsman, MD, FACP, FACE, FNLA, discusses the relationship between adherence and overall outcomes. He explains that poor adherence rates have been associated with poor outcomes for patients in several disease categories including diabetes.

Dr Handelsman emphasizes the need to improve patient adherence and highlights the results of a published study that determined that 33% of patients never visit the pharmacy to fill a prescription.

To address patient nonadherence issues, Dr Lopes believes that regardless of treatment response or the success rates of pharmacotherapy options, patients need to receive continued support from healthcare professionals.

Kari Uusinarkaus, MD, FAAFP, FNLA, further explains how health literacy is related to adherence, and suggests that physicians need to speak to patients on a level that patients can understand.

View More From This Discussion
Episode 1 Episode 1 - Prevalence of Diabetes and Obesity in the United States
Episode 2 Episode 2 - Lifestyle Modification Programs-Do They Work?
Episode 3 Episode 3 - Barriers in the Treatment of Obesity
Episode 4 Episode 4 - Role of Pharmacotherapy in the Treatment of Obesity
Episode 5 Episode 5 - Recognizing and Addressing Factors Related to Nonadherence
Episode 6 Episode 6 - Pharmacotherapy Versus Bariatric Surgery
Episode 7 Episode 7 - Barriers When Managing Diabetes
Episode 8 Episode 8 - Changing the T2DM Treatment Paradigm
Episode 9 Episode 9 - Sodium Glucose Cotransporter 2 Inhibitors and Type 2 Diabetes Mellitus
Episode 10 Episode 10 - Additional Sodium Glucose Cotransporter 2 Inhibitors in the Pipeline
Episode 11 Episode 11 - Optimizing Outcomes in Type 2 Diabetes Mellitus
Episode 12 Episode 12 - Support for Patients With Diabetes
Episode 13 Episode 13 - Recognizing and Resolving Clinical Inertia
Episode 14 Episode 14 - Value-Based Care-Can It Work?
Episode 15 Episode 15 - Approaches to Managing the Diabetes Epidemic
Episode 16 Episode 16 - Closing Remarks
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