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In this study, we used four adherence indexes to assess dietary quality.
Up to date, several Mediterranean adherence indexes have been proposed in the literature with all of these indexes originating from European countries, and none from the Eastern Mediterranean region.
Adherence to the WHO-based Healthy Diet Indicator (HDI), the American Heart Association 2006 Diet and Lifestyle Recommendations, the Dietary Approaches to Stop Hypertension (DASH) diet, and Mediterranean-style diet was assessed using four adherence indexes (HDI score, AI-84 score, DASH score and MED score).
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Second, if all GADs were assessed as positive (e.g., adherent), BC treatment of one patient was preliminarily considered to be guideline adherent by the summarizing overall adherence index.
Patients were defined as adherent if they scored ≥13/15 points on the adherence index (Table 1).
Details of the respondents background characteristics are summarized in Table 1.> Of the 521 participants, 433 (83.3%) were adherent to anti-diabetic medications based on an adherence index of 80% from self reports [ 12, 23, 27].
The fact that the proportion of patients classified as non-adherent increased from 11% to 38% depending on the type of adherence measure used (i.e. dose adherence versus adherence index) indicates that patients often are classified as being adherent when only the number of missed pills during the last few days are assessed.
About four in every five respondents adhered well to their diabetic medication based on self reports at an adherence index of 80% [ 12, 23, 27].
Assessment by adherence index revealed an index level of 91.7±6.7.
Diet quality was assessed using the Dietary Guidelines Adherence Index.
Further, an adherence index was utilized to explore adherence more thoroughly.Patient-reported adherence and pharmacy review showed adherence levels of 98.9±4.4% and 97.7±4.7%, respectively.
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