Patient adoption of an internet based diabetes medication tool to improve adherence: A pilot study
| Autor: | Lisa B Rodebaugh, Scott A. Davis, Jennifer E. Scott, Charles Lee, Delesha M. Carpenter, Stefanie P. Ferreri, Doyle M. Cummings, Susan J. Blalock, Betsy Sleath |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Psychological intervention Health literacy Pharmacy Pilot Projects White People Article Medication Adherence 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Internet based Diabetes mellitus Outcome Assessment Health Care medicine Diabetes Mellitus North Carolina Humans Hypoglycemic Agents 030212 general & internal medicine Self-efficacy African american Internet Motivation 030505 public health Self-management business.industry General Medicine Middle Aged medicine.disease Self Efficacy Health Literacy Black or African American Self Care Family medicine Female 0305 other medical science business Clinical psychology Program Evaluation |
| Zdroj: | Patient Educ Couns |
| ISSN: | 1873-5134 |
| Popis: | Objective To investigate the effect of a video intervention, Managing Your Diabetes Medicines, on patient self-efficacy, problems with using medication, and medication adherence in a rural, mostly African American population. Methods Patients selected their problem areas in medication use and watched one of nine 2-min videos with a research assistant at a clinic or pharmacy and were given an access code to watch all the videos at their convenience. Outcomes were measured at baseline and 3-month follow-up. Results Fifty-one patients were enrolled; 84% were African American and 80% were female (mean age: 54 years). Seventy-three percent watched at least one module after the initial visit. Improved self-efficacy was associated with a decrease in concerns about medications ( r = −0.64). Low literate patients experienced greater improvement in self-efficacy than more literate patients ( t = 2.54, p = 0.02). Patients’ mean number of problems declined from 6.14 to 5.03. The number of patients with high or medium adherence rose from 33% at baseline to 43% at 3-month follow-up. Conclusions A practical, customized video intervention may help improve patient self-efficacy, reduce problems with medication use, and improve medication adherence in diabetes patients. Practice implications Providers should consider implementing technology-based interventions in the clinic to address common problems that patients have with self-management. |
| Databáze: | OpenAIRE |
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