Table 1.
Comparisons of survey responses for primary nonadherent and adherent patients newly prescribed insulin*
| Nonadherent | Adherent | |
|---|---|---|
| Stated moderate/extreme concerns (versus not at all or a little concerned) regarding: | ||
| The cost of insulin shots | 12/51 (24) | 22/82 (27) |
| How insulin shots might restrict your activities or “hold back” your lifestyle | 20/54 (37) | 20/82 (24) |
| The additional burden associated with home monitoring of blood sugar | 15/59 (25) | 19/82 (23) |
| Difficulty giving insulin due to things like poor eyesight, shakiness, or arthritis | 23/55 (42) | 24/81 (30) |
| Your ability to make dose adjustments† | 22/54 (41) | 10/82 (12) |
| How insulin shots may negatively impact your social life† | 21/56 (38) | 15/82 (18) |
| A negative impact on your job (if you work outside the home)† | 15/45 (33) | 6/72 (8) |
| The insulin shots being painful† | 17/56 (30) | 12/82 (15) |
| Possible side effects of giving yourself shots† | 24/55 (44) | 10/81 (12) |
| Insulin shots causing you to have low blood glucose† | 22/51 (43) | 13/81 (16) |
| Patient-provider interactions and communication | ||
| Never or only sometimes (versus usually or always) felt confidence or trust in personal physician that manages diabetes | 11/68 (16) | 11/97 (11) |
| Moderately or extremely difficult (versus not at all difficult or a little difficult) to talk with doctor about concerns about diabetes medication or insulin | 9/66 (14) | 10/100 (10) |
| Risks and benefits were not very well or not well at all (versus somewhat well or very well) explained† | 37/67 (55) | 37/96 (39) |
| Inadequate health literacy: sometimes, often, or always (versus never or rarely); have problems learning about medical condition because of difficulty understanding written information (not including problems due to poor vision)† | 35/69 (51) | 30/99 (30) |
| How was the insulin self-management training provided | ||
| Doctor trained† | 1/66 (2) | 13/77 (17) |
| Insulin self-management class† | 5/66 (8) | 31/77 (40) |
| Nurse trained† | 4/66 (6) | 33/77 (43) |
Data are n/N (%).
*N takes into account missing responses.
†Significant contrasts (P < 0.05).