Paper Title
Factors Influencing Patientsí Adherence To Treatment Regime For Type 2 Diabetes Mellitus In Saudi Arabia

Abstract
Self-management has emerged as an approach to enhance quality of care for patients suffering from long term conditions, and to control costs of health services. So far, however, the effects of this approach remain unclear. The objective of this research is to present a framework for applicable evaluation of diabetes self-management programmes in Saudi Arabia. This research has been conducted between May 2009 and June 2011. A cross sectional survey was conducted using a self-administered questionnaire for data collection. The research model was developed after conducting a systematic review of the literature to be tested using different statistical techniques. Data for this research were collected from diabetes centres and clinics in the main five regions in Saudi Arabia during February to August 2010. The model shows the outcomes of self-management in terms of its effect on clinical outcome, on quality of life, and on utilization of health services. Analysis of data revealed that behavioural theories support the core assumptions of self-management. In general high R2 values indicated that the effect sizes were substantial, implying that the observed data were an overall good fit to the model. The evaluation model is valid to evaluate diabetes self-management programmes and can be used as a decision-making supporting tool. It could also be used to evaluate other chronic conditions where the role of patients is significant.