IMPLEMENTATION OF FAMILY EDUCATION TO IMPROVE MEDICATION ADHERENCE AMONG CLIENTS WITH TYPE 2 DIABETES MELLITUS IN THE SRONDOL HEALTH CENTER AREA

Abstract

Type 2 diabetes mellitus is a chronic condition requiring long-term therapy, which often leads to medication non-adherence. This situation highlights the need for family involvement, particularly through structured educational support, to enhance treatment management. Family education aims to provide essential information, shape adaptive attitudes, and promote the use of appropriate learning strategies. This study aimed to implement family education to improve medication adherence among clients with type 2 diabetes mellitus in the Srondol Health Centre area. This case study employed a descriptive approach and involved two subjects who met the inclusion criteria: receiving treatment at the primary health centre for ≥1 year, aged 18–75 years, willing to participate, living with family, able to communicate effectively, having low medication adherence (MMAS-8 score 0–5), and low family knowledge levels (DKQ-24 score <55). The instruments used were the Morisky Medication Adherence Scale (MMAS-8) and the Diabetes Knowledge Questionnaire (DKQ-24). The intervention was conducted over six days, with each session lasting 60 minutes. The results showed that after the implementation of family education, Subject I’s medication adherence improved from a score of 3 (low) to 7 (moderate), while family knowledge increased from 54 (poor) to 83 (good). Subject II’s medication adherence improved from a score of 4 (low) to 7 (moderate), and family knowledge increased from 45 (poor) to 74 (adequate). In conclusion, the application of family education effectively improved medication adherence among clients and enhanced family knowledge. Therefore, integrating family education into routine services at primary health centre is strongly recommended.