Effect of Medication Related Educational Interventions on Improving Medication Adherence in Patients With Type 2 Diabetes Mellitus

Abstract

Objectives: To assess the patient medication adherence using 8 item morisky medication adherence scale (MMAS). To categorize patients based on their adherence to antidiabetic medications into low, medium, and high adherent. To provide educational interventions such as patient counseling using teach-back method, patient medication information leaflet, and audio-visual aids and thus to improve the patient medication adherence. Methods:After obtaining informed consent from the patients, data of the patients were recorded in data collection forms. Their adherence to antidiabetic medication was evaluated using 8 item MMAS and patients were categorized into low, medium, and high adherence groups based on the score. Counseling was done based on the categorization (high, medium, and low). During review, again adherence was rechecked using 8 item MMAS.Results: Medication adherence was measured using 8 item MMAS on review and adherence was found to be improved using different patient counseling methods according to their adherence category. Improvement in score within low adherence group was found to be 83.87%; improvement of the low adherence group to medium adherence group was 16.12%. Improvement within the medium adherence group was 82.14% and from medium adherence to high adherence group was 17.85%. Conclusion:Patient counseling can improve adherence in type 2 diabetes mellitus patients, which in turn help patients in achieving optimal glycemic control.

Type 2 Diabetes Mellitus and Sarcopenia as Comorbid Chronic Diseases in Older Adults: Established and Emerging Treatments and Therapies

“…Teach-back is effective across a wide range of settings, populations, and outcome measures, including patients with T2DM [ 256 ]. Clinical trials have reported significant improvements in medication adherence, diet changes, and foot self-care in populations with T2DM after implementation of the ‘teach-back method’ compared with usual care control groups [ 257 - 259 ]. More recent RCTs assessing HL-based counselling and/or behavior change interventions have shown positive results for patient activation (an individual’s knowledge, skills, and confidence for managing their health) [ 260 ], diabetes self-management behaviors [ 260 , 261 ], and self-efficacy [ 261 , 262 ].…”