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Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire

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Listed:
  • Hillary Koros
  • Ellen Nolte
  • Jemima Kamano
  • Richard Mugo
  • Adrianna Murphy
  • Violet Naanyu
  • Ruth Willis
  • Triantafyllos Pliakas
  • David T Eton
  • Edwine Barasa
  • Pablo Perel

Abstract

In Kenya, non-communicable diseases (NCDs) are an increasingly important cause of morbidity and mortality, requiring both better access to health care services and self-care support. Evidence suggests that treatment burdens can negatively affect adherence to treatment and quality of life. In this study, we explored the treatment and self-management burden among people with NCDs in in two counties in Western Kenya. We conducted a cross-sectional survey of people newly diagnosed with diabetes and/or hypertension, using the Patient Experience with Treatment and Self-Management (PETS) instrument. A total of 301 people with diabetes and/or hypertension completed the survey (63% female, mean age = 57 years). They reported the highest treatment burdens in the domains of medical and health care expenses, monitoring health, exhaustion related to self-management, diet and exercise/physical therapy. Treatment burden scores differed by county, age, gender, education, income and number of chronic conditions. Younger respondents (

Suggested Citation

  • Hillary Koros & Ellen Nolte & Jemima Kamano & Richard Mugo & Adrianna Murphy & Violet Naanyu & Ruth Willis & Triantafyllos Pliakas & David T Eton & Edwine Barasa & Pablo Perel, 2023. "Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire," PLOS Global Public Health, Public Library of Science, vol. 3(1), pages 1-18, January.
  • Handle: RePEc:plo:pgph00:0001407
    DOI: 10.1371/journal.pgph.0001407
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    References listed on IDEAS

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    1. Sujha Subramanian & Robai Gakunga & Joseph Kibachio & Gladwell Gathecha & Patrick Edwards & Elijah Ogola & Gerald Yonga & Naftali Busakhala & Esther Munyoro & Jeremiah Chakaya & Nancy Ngugi & Nyawira , 2018. "Cost and affordability of non-communicable disease screening, diagnosis and treatment in Kenya: Patient payments in the private and public sectors," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-16, January.
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