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Table 3 Themes and subthemes of IDI analysis following the WHO framework for medication adherence

From: Exploring perceptions, attitudes and beliefs of Thai patients with type 2 diabetes mellitus as they relate to medication adherence at an out-patient primary care clinic in Chiang Mai, Thailand

Themes

Sub-themes

(1) Attitudes toward disease

Symptoms at diagnosis and concerns

• Neurological symptoms: headache, dizziness, stroke

• General symptoms: fatigue, thirsty, frequent urinate

• Asymptomatic with incidental DM diagnosis

Effect to ADLs/Non effect to ADLs

Health belief related to disease causation

 - Irreversible condition (risk form older, genetic disease)

 - Behavior (lack of exercise, poor diet control, obesity)

 - Cause from hypertension and dyslipidemia 

 - Unknown

(2) Attitudes toward treatment

Daily medication prescription

 - Afraid of adverse effects from medications, especially renal side effects

 - Understand and accept medical treatment

Adverse effect associated with treatment

 - Has experienced

 - Has experienced but corrected by health care team

Number of medications taken perceived as:

 - Too many

 - Appropriate

(3) Attitudes toward family support

 - No family involvement or reminders to take medication

 - Family support in various ways

(4) Attitudes toward health care team

Providing treatment and advice

 - Fear of diabetic complications

 - Trust doctor’s advice

Doctor-patient relationship

 - Doctor demonstrated compassion and understanding