Medication adherence in type 2 diabetes in remote Amazonian communities

The study employed two data collection techniques: the World Café and semi-structured interviews. The World Café is a collaborative conversation method where participants gather in small groups to discuss important issues and build collective knowledge about specific problems. In the context of this study, four World Café meetings were held: two with patients and two with Community Health Workers (CHW). The discussions addressed barriers and facilitators to medication adherence in people with Type 2 Diabetes Mellitus (T2DM). A total of 32 patients and 17 CHWs participated in the World Café sessions. Semi-structured interviews were conducted to delve deeper into the data collected from the World Café with patients who had difficulties adhering to treatment, as reported by the CHWs. A total of 15 patients participated in these interviews , which were conducted by physiotherapy and nursing students during home visits. A specific script was developed for the interviews, covering sociodemographic data and perceptions regarding barriers and facilitators to T2DM medication adherence. Both approaches aimed to understand the perceptions of patients and CHWs regarding the challenges and aids in medication adherence in Iranduba, Amazonas.本研究采用两种数据采集技术：世界咖啡（World Café）研讨法与半结构化访谈法。世界咖啡是一种协作式对话方法，参与者以小群体形式聚集，围绕核心议题展开讨论，构建针对特定问题的集体知识。本研究共开展4场世界咖啡研讨，其中2场面向患者，2场面向社区卫生工作者（Community Health Workers, CHW）。研讨聚焦2型糖尿病（Type 2 Diabetes Mellitus, T2DM）患者服药依从性的阻碍因素与促进因素，共有32名患者与17名社区卫生工作者参与本次研讨环节。 半结构化访谈则用于深入探究世界咖啡环节中，由社区卫生工作者报告的服药依从性存在困难的患者相关数据。本次访谈共招募15名患者参与，由理疗学与护理学专业学生在上门访视期间完成。研究团队为本次访谈制定了专用访谈提纲，内容涵盖社会人口学特征数据，以及关于2型糖尿病服药依从性的阻碍因素与助力因素的认知情况。两种数据采集方法均旨在了解巴西亚马逊州伊兰杜巴（Iranduba, Amazonas）地区患者与社区卫生工作者，对2型糖尿病患者服药依从性相关挑战与助力因素的认知。