{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T20:11:04Z","timestamp":1778184664954,"version":"3.51.4"},"reference-count":0,"publisher":"Universidad de Santander - UDES","issue":"1","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["udes.edu.co"],"crossmark-restriction":true},"short-container-title":["Rev Cuid"],"published-print":{"date-parts":[[2026,4,21]]},"abstract":"<jats:p>Type 2 diabetes Mellitus (T2DM) is a prevalent chronic condition   with   global   impact.   Medication   adherence   is   essential   for  disease  control,  but  it  remains  a  challenge  in  socially  vulnerable  contexts such as the Brazilian Amazon. Objective: To identify barriers and facilitators of medication adherence in the management of T2DM in  the  Amazon  population.  Materials  and  Methods:  A  qualitative,  descriptive  study  was  conducted  in  Iranduba  (Amazonas)  involving  individuals  with  T2DM  and  community  health  workers  (CHWs).    The  World  Caf\u00e9  method  and  semi-structured  interviews  were  used.  Data  were analyzed with the support of ATLAS.ti software, using Thematic Network  Analysis.  Results:  A  total  of  64  participants  were  included  (47 individuals with T2DM and 17 CHWs).  Reported barriers included difficulty    remembering    medication    schedules,    adverse    effects,    limited  financial  resources,  lack  of  medication  availability  in  primary  care,  and  insufficient  professional  support.  Facilitators  included  self-management   strategies,   commitment   to   treatment,   purchasing   power,  family  support,  and  CHWs'  actions.  Discussion:  Medication  adherence  in  Diabetes  is  shaped  by  barriers  such  as  forgetfulness,  adverse   effects,   and   limited   access   to   medications,   while   family   support,   professional   guidance,   and   personal   strategies   facilitate   treatment.  These  factors  interact  and  affect  self-care.  Conclusion:Medication adherence among individuals with T2DM in the Amazon is shaped by intrapersonal, interpersonal, and environmental factors. Culturally adapted strategies, greater professional support, and public policies  ensuring  medication  availability  are  essential  to  improving  care and preventing complications.<\/jats:p>","DOI":"10.15649\/cuidarte.5207","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T18:47:47Z","timestamp":1776797267000},"update-policy":"https:\/\/doi.org\/10.15649\/cuidarte.crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Barriers  and  facilitators  of  medication  adherence  in  the  management  of  Diabetes  among  the  Brazilian  Amazon population"],"prefix":"10.15649","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7460-2408","authenticated-orcid":false,"given":"Raquel","family":"Coelho de Andrade","sequence":"first","affiliation":[{"name":"Faculdade    de    Educa\u00e7\u00e3o    F\u00edsica    e    Fisioterapia,    Universidade Federal do Amazonas, Manaus, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3991-7022","authenticated-orcid":false,"given":"Thalyta Mariany","family":"R\u00eago Lopes Ueno","sequence":"additional","affiliation":[{"name":"Programa    de    P\u00f3s-gradua\u00e7\u00e3o    em    Enfermagem    em  Sa\u00fade  P\u00fablica,  Escola  de  Ci\u00eancias  da  Sa\u00fade,  Universidade  do  Estado  do  Amazonas,  Manaus,  Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6269-834X","authenticated-orcid":false,"given":"Tiago","family":"Assun\u00e7\u00e3o dos Santos Farias","sequence":"additional","affiliation":[{"name":"Programa    de    P\u00f3s-gradua\u00e7\u00e3o    em    Ci\u00eancias    do    Movimento Humano, Faculdade de Educa\u00e7\u00e3o F\u00edsica e  Fisioterapia,  Universidade  Federal  do  Amazonas,  Manaus, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3303-3031","authenticated-orcid":false,"given":"Wagner","family":"Ferreira Monteiro","sequence":"additional","affiliation":[{"name":"Programa    de    P\u00f3s-gradua\u00e7\u00e3o    em    Enfermagem    em  Sa\u00fade  P\u00fablica,  Escola  de  Ci\u00eancias  da  Sa\u00fade,  Universidade  do  Estado  do  Amazonas,  Manaus,  Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6919-8161","authenticated-orcid":false,"given":"H\u00e9rcules L\u00e1zaro","family":"Morais Campos","sequence":"additional","affiliation":[{"name":"Instituto  de  Sa\u00fade  e  Biotecnologia,  Universidade  Federal  do  Amazonas,  Coari,  Brazil;  Programa  de  P\u00f3s-Gradua\u00e7\u00e3o  Interdisciplinar  em  Estudos  Rurais,  Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2559-6897","authenticated-orcid":false,"given":"Elisa","family":"Brosina De Leon","sequence":"additional","affiliation":[{"name":"Programa    de    P\u00f3s-gradua\u00e7\u00e3o    em    Ci\u00eancias    do    Movimento Humano, Faculdade de Educa\u00e7\u00e3o F\u00edsica e  Fisioterapia,  Universidade  Federal  do  Amazonas,  Manaus, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6285","published-online":{"date-parts":[[2026,4,21]]},"container-title":["Revista Cuidarte"],"original-title":["Barreras y facilitadores de la adherencia a la medicaci\u00f3n en el manejo de la Diabetes entre la poblaci\u00f3n de la Amazon\u00eda Brasile\u00f1a"],"link":[{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5207\/3815","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5207\/3821","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5207\/3821","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T19:43:57Z","timestamp":1778183037000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/view\/5207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,21]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,4,21]]},"published-print":{"date-parts":[[2026,4,21]]}},"URL":"https:\/\/doi.org\/10.15649\/cuidarte.5207","relation":{},"ISSN":["2216-0973","2346-3414"],"issn-type":[{"value":"2216-0973","type":"print"},{"value":"2346-3414","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,21]]}}}