Rationale and design of the regimen education and messaging in diabetes (REMinD) trial
| Autor: | Alastair J. J. Wood, Rachel O'Conor, Guisselle Wismer, Marina Arvanitis, Darren Kaiser, Michael S. Wolf, Angela Sanchez Munoz, Alex D. Federman, Joseph L. Kannry, Ruth M. Parker, Lauren Opsasnick, Jenny J. Lin, Mary J. Kwasny, Stephen D. Persell |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Short Message Service Medication adherence Health literacy Primary care Type 2 diabetes Article Medication Adherence Interviews as Topic 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Diabetes mellitus medicine Electronic Health Records Humans Hypoglycemic Agents Multicenter Studies as Topic Pharmacology (medical) 030212 general & internal medicine Intensive care medicine Randomized Controlled Trials as Topic Text Messaging 030505 public health Primary Health Care business.industry General Medicine medicine.disease Test (assessment) Regimen Diabetes Mellitus Type 2 Female 0305 other medical science business |
| Zdroj: | Contemp Clin Trials |
| ISSN: | 1559-2030 |
| Popis: | Background Individuals with type 2 diabetes manage complex multi-drug regimens, but nearly half of all patients do not consistently take the dose prescribed for them, and therefore may not receive the full potential therapeutic benefit. Both patient and health system factors contribute to achieving and maintaining medication adherence. To determine if patients with type 2 diabetes who are concurrently managing other chronic conditions could improve their adherence, we devised and are testing a multifaceted, primary care-based strategy to provide health literacy-appropriate and language concordant regimen information, guidance and reminders. Objective We are testing the effectiveness of an electronic health record (EHR) based strategy and short message service (SMS) text reminders to help patients with type 2 diabetes adhere to their medications. Methods We are conducting a 3-arm, multi-site trial to test and compare the effectiveness of the EHR, and EHR + SMS text reminder strategies compared to usual care on medication adherence. Our goal is to enroll a total of 900 English or Spanish-speaking patients with type 2 diabetes and hemoglobin A1C value ≥7.5%. Enrolled participants will complete interviews at baseline and 3 and 6 months following their baseline interview. Conclusions Our trial is evaluating practical, clinic-based, scalable, evidence-based solutions for patients with type 2 diabetes managing complex medication regimens. Our findings will evaluate strategies that can be implemented broadly in primary care practices, and programmed as defaults within EHRs to support appropriate medication adherence to allow the widespread implementation of those strategies. |
| Databáze: | OpenAIRE |
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