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Why Adults With Diabetes Find It Hard to Take Their Medicines

Studies what makes taking medicines as prescribed difficult for adults with diabetes.

Plain-language title generated from the registry record
Registry title: Multilevel Ecological and COM-B Determinants of Medication Adherence in Adults With Diabetes

Key facts

Where
Ambāla, IndiaSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 70 years old?

Source: NCT07420634, who can take part

Where in India

  • MM Superspeciality Hospital, Maharishi Markandeshwar (Deemed to be University)Ambāla, IndiaTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
Print a page for my doctor

Trial details

Who runs it
University of Malaya
Trial code
NCT07420634
Record updated
19 February 2026
Original description
This observational study aims to understand why some adults with diabetes find it difficult to take their medicines as prescribed. Medication adherence is essential for controlling blood sugar levels and preventing complications, yet many patients face challenges that go beyond personal motivation.Read full original descriptionShow less

Multilevel Ecological Determinants of Medication Adherence Among Diabetes Patients: A Health Ecology-COM-B Framework Analysis

This observational study aims to understand why some adults with diabetes find it difficult to take their medicines as prescribed. Medication adherence is essential for controlling blood sugar levels and preventing complications, yet many patients face challenges that go beyond personal motivation.

The study will examine multiple factors that may influence medication-taking behavior, including patients' understanding of their medicines, beliefs about treatment, family and social support, communication with healthcare providers, and practical issues such as medicine cost, availability, and distance to care. These factors will be analyzed using a structured behavioral framework to better understand how capability, opportunity, and motivation contribute to adherence.

By identifying the most important barriers and supports across different levels, this research aims to provide evidence that can guide patient-centered care strategies and improve medication adherence in diabetes management.

Inclusion: Adults aged 18 years or older; Diagnosed with at least one chronic disease (e.g., diabetes mellitus, hypertension, cardiovascular disease, chronic respiratory disease, chronic kidney disease) for a minimum duration of six months; Prescribed long-term medication therapy; Able to understand and respond to the study questionnaire; Willing to provide written informed consent.

Exclusion: Patients with acute medical conditions requiring immediate care; Individuals with severe cognitive impairment or psychiatric illness that would preclude reliable participation; Patients who are terminally ill; Patients unwilling to participate or provide consent.

ClinicalTrials.gov NCT07420634