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03-08-2016 | Brief Report | Uitgave 6/2016

The MEssaging for Diabetes (MED) intervention improves short-term medication adherence among low-income adults with type 2 diabetes

Tijdschrift:: Journal of Behavioral Medicine > Uitgave 6/2016

Auteurs:: Lyndsay A. Nelson, Shelagh A. Mulvaney, Tebeb Gebretsadik, Kevin B. Johnson, Chandra Y. Osborn

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Abstract

Adults with type 2 diabetes (T2DM) and low socioeconomic status (SES) have high rates of medication nonadherence, and, in turn, suboptimal glycemic control (hemoglobin A1c [HbA1c]). We tested the initial efficacy of a short message service (SMS) text messaging and interactive voice response (IVR) intervention to promote adherence among this high-risk group. Eighty low SES, diverse adults with T2DM used the MEssaging for Diabetes (MED) SMS/IVR intervention for 3 months. We used a pre-post single group design to explore adherence changes over 3 months, and a quasi-experimental design to test the impact of MED on HbA1c among the intervention group relative to a matched, archival control group. Compared to baseline, adherence improved at one (AOR 3.88, 95 % CI 1.79, 10.86) and at 2 months (AOR 3.76, 95 % CI 1.75, 17.44), but not at 3 months. HbA1c remained stable, with no differences at 3 months between the intervention group and the control group. MED had a positive, short-term impact on adherence, which did not translate to improvements in HbA1c. Future research should explore the longer-term impact of SMS/IVR interventions on the medication adherence of high risk adults with T2DM.

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Titel: The MEssaging for Diabetes (MED) intervention improves short-term medication adherence among low-income adults with type 2 diabetes
Auteurs:: Lyndsay A. Nelson
Shelagh A. Mulvaney
Tebeb Gebretsadik
Kevin B. Johnson
Chandra Y. Osborn
Publicatiedatum: 03-08-2016
DOI: https://doi.org/10.1007/s10865-016-9774-2
Uitgeverij: Springer US
Tijdschrift: Journal of Behavioral Medicine
Uitgave 6/2016
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521

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