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

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

PLOS Global Public Health, 2023, vol. 3, issue 1, 1-18

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 (

Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pgph00:0001407

DOI: 10.1371/journal.pgph.0001407

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