[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100625284":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":21,"centralContacts":26,"locations":34,"responsibleParty":62,"collaborators":65,"id":68,"slug":69,"hasResults":70,"nctId":71,"briefTitle":72,"officialTitle":73,"acronym":74,"eligibilityCriteria":75,"healthyVolunteers":70,"sex":76,"minAge":77,"maxAge":78,"enrollmentInfo":79,"targetDuration":82,"studyType":83,"phases":10,"briefSummary":84,"conditions":85,"keywords":89,"overallStatus":37,"whyStopped":10,"lastUpdateSubmitDate":95,"lastUpdatePostDateStruct":96,"startDateStruct":99,"completionDateStruct":101,"leadSponsor":103,"locationsCount":104},{"fullName":5,"class":6},"University of Malaya","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Adults With Diabetes Receiving Long-Term Pharmacotherapy",null,"This group includes adult outpatients with diagnosed diabetes who are receiving long-term pharmacotherapy and attending routine follow-up care at a tertiary-care teaching hospital. Participants will complete structured questionnaires assessing medication adherence and multilevel determinants mapped to capability, opportunity, and motivation domains. Prescription records will be reviewed to assess regimen complexity. No intervention will be delivered, and no follow-up assessments will occur.",[13],"Other: Multilevel Ecological Determinants of Medication Adherence",[15],{"type":6,"name":16,"description":17,"armGroupLabels":18,"otherNames":19},"Multilevel Ecological Determinants of Medication Adherence","Assessment of contextual and behavioral determinants associated with medication adherence among adults with diabetes receiving routine clinical care. Determinants include individual-level factors (medication literacy, beliefs about medicines), interpersonal factors (family involvement, social support), healthcare interaction factors (communication quality, regimen complexity), and structural\u002Faccess-related factors (availability, affordability, distance). These exposures are measured through validated questionnaires and prescription review during a single outpatient encounter. No intervention is assigned as part of the study.",[9],[20],"Health Ecology-COM-B Determinants Framework",[22],{"name":23,"affiliation":24,"role":25},"Rajat Rana, PhD","Universiti Malaya","PRINCIPAL_INVESTIGATOR",[27,31],{"name":23,"role":28,"phone":29,"phoneExt":10,"email":30},"CONTACT","+91-9876543210","rajatrana91@gmail.com",{"name":32,"role":28,"phone":29,"phoneExt":10,"email":33},"Jyoti Jain, Pharm.D","jyotijj182@gmail.com",[35],{"facility":36,"status":37,"city":38,"state":39,"zip":10,"country":40,"countryCode":41,"cosmosGeoPoint":42,"geoPoint":47,"contacts":48},"MM Superspeciality Hospital, Maharishi Markandeshwar (Deemed to be University)","RECRUITING","Ambāla","Haryana","India","IN",{"type":43,"coordinates":44},"Point",[45,46],76.79782,30.36099,{"lat":46,"lon":45},[49,53,55,57,60,61],{"name":50,"role":28,"phone":51,"phoneExt":10,"email":52},"Kanika Dr","01731 304 100","rajat.rana@um.edu.my",{"name":54,"role":28,"phone":10,"phoneExt":10,"email":10},"Ananya Dr",{"name":56,"role":25,"phone":10,"phoneExt":10,"email":10},"Rajat Rana",{"name":58,"role":59,"phone":10,"phoneExt":10,"email":10},"Jyoti Jain","SUB_INVESTIGATOR",{"name":50,"role":59,"phone":10,"phoneExt":10,"email":10},{"name":54,"role":59,"phone":10,"phoneExt":10,"email":10},{"type":25,"investigatorFullName":63,"investigatorTitle":64,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"Dr. Rajat Rana","Researcher",[66],{"name":67,"class":6},"Maharishi Markendeswar University (Deemed to be University)","100625284","multilevel-ecological-and-com-b-determinants-of-medication-adherence-in-adults-with-diabetes-100625284",false,"NCT07420634","Multilevel Ecological and COM-B Determinants of Medication Adherence in Adults With Diabetes","Multilevel Ecological Determinants of Medication Adherence Among Diabetes Patients: A Health Ecology-COM-B Framework Analysis","ADHECOM","Inclusion Criteria:\n\n* Adults aged 18 years or older\n* 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\n* Prescribed long-term medication therapy\n* Able to understand and respond to the study questionnaire\n* Willing to provide written informed consent\n\nExclusion Criteria:\n\n* Patients with acute medical conditions requiring immediate care\n* Individuals with severe cognitive impairment or psychiatric illness that would preclude reliable participation\n* Patients who are terminally ill\n* Patients unwilling to participate or provide consent","ALL","18 Years","70 Years",{"count":80,"type":81},220,"ESTIMATED","1 Day","OBSERVATIONAL","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.\n\nThe 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.\n\nBy 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.",[86,87,88],"Diabetes Mellitus","Diabetes Mellitus Type 2","Medication Adherence",[90,91,88,86,92,93,94],"Health Ecology Model","COM-B Model","Capability Opportunity Motivation","Behavioral Determinants","Medication Literacy","2026-02-12",{"date":97,"type":98},"2026-02-19","ACTUAL",{"date":100,"type":98},"2025-12-15",{"date":102,"type":81},"2026-08-30",{"name":5,"class":6},1]