Secondary prevention by enhancing adherence in diabetic patients

Objectives: Adherence to prescribed medications is a key dimen-sion of healthcare quality. Poor medication adherence might be a significant barrier to achievement of positive clinical outcomes. This study aimed to compare the adherence to oral hypoglycemic agents in patients with type 2 diabetes by...

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Main Authors: Habibeh Ahmadipour, Ziba Farajzadegan, Ali Kachoei, Azar Pirdehghan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2010;volume=1;issue=1;spage=50;epage=55;aulast=Ahmadipour
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author Habibeh Ahmadipour
Ziba Farajzadegan
Ali Kachoei
Azar Pirdehghan
author_facet Habibeh Ahmadipour
Ziba Farajzadegan
Ali Kachoei
Azar Pirdehghan
author_sort Habibeh Ahmadipour
collection DOAJ
description Objectives: Adherence to prescribed medications is a key dimen-sion of healthcare quality. Poor medication adherence might be a significant barrier to achievement of positive clinical outcomes. This study aimed to compare the adherence to oral hypoglycemic agents in patients with type 2 diabetes by using two methods of completing diary checklist and collecting drug shells. Methods: This randomized clinical trial was conducted in Isfahan Diabetes Institute. A number of 100 type 2-diabetic patients were selected through systematic sampling method and then were ran-domly allocated to two groups of equal number. Each group was invited to attend our 12-week educational program. We asked one group to complete diary checklist about how they took their drugs during the study period. The other group was asked to col-lect the shells of oral hypoglycemic agents after taking in a pocket. Medication adherence ratio was calculated for both groups. Results: Overall, 87 patients completed the study, of which 30 cases (34.5%) were in the check list group and 57 (65.5%) in the reference group. In the check list group, the adherence ratio was good in 96.7% and moderate in 3.3%, with no case of poor adherence. In the reference group, the corresponding figures were 55.2%, %6.9 and 37.9%, respectively (p<0.05 between groups). Conclusions: Although the adherence ratio was greater than 80% in both groups, it was significantly higher in the check list group. Therefore, we suggest that by increasing adherence to prescribed medications, diary checklist can be an effective method of secon-dary prevention of chronic diseases, as diabetes mellitus.
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spelling doaj.art-9359530175624e308a051a85e1809fa62022-12-22T03:09:28ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132010-01-01115055Secondary prevention by enhancing adherence in diabetic patientsHabibeh AhmadipourZiba FarajzadeganAli KachoeiAzar PirdehghanObjectives: Adherence to prescribed medications is a key dimen-sion of healthcare quality. Poor medication adherence might be a significant barrier to achievement of positive clinical outcomes. This study aimed to compare the adherence to oral hypoglycemic agents in patients with type 2 diabetes by using two methods of completing diary checklist and collecting drug shells. Methods: This randomized clinical trial was conducted in Isfahan Diabetes Institute. A number of 100 type 2-diabetic patients were selected through systematic sampling method and then were ran-domly allocated to two groups of equal number. Each group was invited to attend our 12-week educational program. We asked one group to complete diary checklist about how they took their drugs during the study period. The other group was asked to col-lect the shells of oral hypoglycemic agents after taking in a pocket. Medication adherence ratio was calculated for both groups. Results: Overall, 87 patients completed the study, of which 30 cases (34.5%) were in the check list group and 57 (65.5%) in the reference group. In the check list group, the adherence ratio was good in 96.7% and moderate in 3.3%, with no case of poor adherence. In the reference group, the corresponding figures were 55.2%, %6.9 and 37.9%, respectively (p<0.05 between groups). Conclusions: Although the adherence ratio was greater than 80% in both groups, it was significantly higher in the check list group. Therefore, we suggest that by increasing adherence to prescribed medications, diary checklist can be an effective method of secon-dary prevention of chronic diseases, as diabetes mellitus.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2010;volume=1;issue=1;spage=50;epage=55;aulast=AhmadipourDiabetes; Adherence; Prevention; Complication
spellingShingle Habibeh Ahmadipour
Ziba Farajzadegan
Ali Kachoei
Azar Pirdehghan
Secondary prevention by enhancing adherence in diabetic patients
International Journal of Preventive Medicine
Diabetes; Adherence; Prevention; Complication
title Secondary prevention by enhancing adherence in diabetic patients
title_full Secondary prevention by enhancing adherence in diabetic patients
title_fullStr Secondary prevention by enhancing adherence in diabetic patients
title_full_unstemmed Secondary prevention by enhancing adherence in diabetic patients
title_short Secondary prevention by enhancing adherence in diabetic patients
title_sort secondary prevention by enhancing adherence in diabetic patients
topic Diabetes; Adherence; Prevention; Complication
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2010;volume=1;issue=1;spage=50;epage=55;aulast=Ahmadipour
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