Impact of written information on control and adherence in type 2 diabetes

Rosendo, Inês; Santiago, Luíz Miguel; Marques, Margarida

doi:10.1590/1806-9282.64.02.140

Cited by 19 publications

(11 citation statements)

References 63 publications

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“…Studies also show that people with low-income and DM have less control of the disease and more comorbidities (18)(19)(20) . Regarding education, the results were similar to a study carried out in Portugal, in which most patients had less than eight years of studying, and there were also illiterate patients, claiming that having more education facilitates treatment (21) .…”

Section: Discussionsupporting

confidence: 82%

“…The sociodemographic and clinical variables in this study did not influence insulin therapy, however there was a significant difference in insulin therapy in the groups aged 50 years or older, female, married, in an occupational situation with no income, with family income equal to or greater than one minimum salary, using above three drugs and no comorbidities, which was done in a more inadequate way. In spite of this, greater education and the number of people in the household were associated with more correct insulin therapy in other studies (16,21) . On the other hand, despite a higher level of education, some patients are unable to understand and follow the treatment measures.…”

Section: Discussionmentioning

confidence: 71%

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Prática insulinoterápica realizada por pessoas com diabetes na Atenção Primária em Saúde

Cunha

Fontenele

Siqueira

et al. 2020

Rev. esc. enferm. USP

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RESUMO Objetivo Analisar a insulinoterapia realizada por pessoas com diabetes na Atenção Primária em Saúde. Método Estudo transversal, descritivo e quantitativo. A coleta de dados foi realizada por meio de entrevista, utilizando-se formulário com variáveis sociodemográficas, clínicas e etapas da insulinoterapia. Foram calculadas frequências absoluta e relativa, razão de prevalência e foi usado o teste de qui-quadrado, sendo significante o p < 0,05. Resultados A amostra foi composta de 150 pacientes. A maioria era do sexo feminino (66,7%), faixa etária de 50-85 anos (79,3%) e havia analfabetos (16,7%). Destacou-se o diabetes tipo 2 (62,0%) com complicações (42,7%), em uso de hipoglicemiantes orais e insulina. Seringas/agulhas (83,1%), lancetas (85,5%), fitas reagentes (91,0%) e frascos de insulina (93,8%) foram armazenados incorretamente pela maioria. No preparo, aplicação e transporte predominou a forma correta. Resíduos foram descartados incorretamente. Na análise geral das etapas da insulinoterapia, a maioria a realizava de forma inadequada (93,3%). Variáveis sociodemográficas e clínicas não influenciaram na prática insulinoterápica, mas na análise intragrupo houve diferença significante para realização incorreta em alguns grupos. Conclusão A insulinoterapia foi realizada de forma inadequada na maioria dos casos.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 71%

Prática insulinoterápica realizada por pessoas com diabetes na Atenção Primária em Saúde

Cunha

Fontenele

Siqueira

et al. 2020

Rev. esc. enferm. USP

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“…Most of the interventions aimed at promoting PA are focused on educational, informative, and directed aspects of nursing but do not consider aspects such as self-determination, motivation and social support that have been determined by the correct adherence to a new lifestyle [ 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators for Physical Activity in Adults with Type 2 Diabetes Mellitus: A Scoping Review

Cartagena

Tort‐Nasarre

Rubinat

2021

IJERPH

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The treatment of Type 2 Diabetes Mellitus (DM2) comprises physical activity (PA), diet, and medication. PA provides important benefits for people with diabetes. However, the majority of patients with DM2 do not attain the recommended levels of PA. Despite the evidence of the benefits to health of engaging in PA, the recommendations have not been fully translated into clinical improvements. Using a scoping review, this study aimed to identify the factors that influence levels of physical activity in adults with DM2. Eighteen studies published from 2009–2020 were identified by a search of relevant systematic databases between March 2019 and December 2020. The scoping review was carried out in accordance with the model defined by Arksey and O’Malley. The synthesis revelated sociodemographic characteristics, and six components—personal, motivation, social, mental, clinical, and self-efficacy—were identified as factors. Those that were most frequently identified were motivation and social support. In conclusion, these results should be considered to implement strategies to encourage people with DM2 to engage in physical exercise and thus improve the management of their condition.

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“… 23 24 26 27 29 32 35–37 40–49 52 Of these, most (n=18) received an average score between 3 and 4, demonstrating a slightly more pragmatic intention on the PRECIS-2 continuum. Two of the studies scored ≥4, 29 45 demonstrating a greater degree of pragmatism. The majority of these studies scored poorly (score of 1) in relation to pragmatism of the primary outcome as, based on the guidance by Loudon et al , 18 medication adherence was not considered of obvious importance from the patients’ perspective and was typically assessed by methods not used routinely in primary care.…”

Section: Resultsmentioning

confidence: 94%

Effect of pragmatic versus explanatory interventions on medication adherence in people with cardiometabolic conditions: a systematic review and meta-analysis

et al. 2020

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ObjectiveTo synthesise findings from randomised controlled trials (RCTs) of interventions aimed at increasing medication adherence in individuals with type 2 diabetes (T2DM) and/or cardiovascular disease (CVD). And, in a novel approach, to compare the intervention effect of studies which were categorised as being more pragmatic or more explanatory using the Pragmatic-Explanatory Continuum Indicator Summary-2 (PRECIS-2) tool, to identify whether study design affects outcomes. As explanatory trials are typically held under controlled conditions, findings from such trials may not be relatable to real-world clinical practice. In comparison, pragmatic trials are designed to replicate real-world conditions and therefore findings are more likely to represent those found if the intervention were to be implemented in routine care.DesignSystematic review and meta-analysis.Data sourcesOvid Medline, Ovid Embase, Web of Science and CINAHL from 1 January 2013 to 31 December 2018.Eligibility criteria for selecting studiesRCTs lasting ≥3 months (90 days), involving ≥200 patients in the analysis, with either established CVD and/or T2DM and which measured medication adherence. From 4403 citations, 103 proceeded to full text review. Studies published in any language other than English and conference abstracts were excluded.Main outcome measureChange in medication adherence.ResultsOf 4403 records identified, 34 studies were considered eligible, of which 28, including 30 861 participants, contained comparable outcome data for inclusion in the meta-analysis. Overall interventions were associated with an increase in medication adherence (OR 1.57 (95% CI: 1.33 to 1.84), p<0.001; standardised mean difference 0.24 (95% CI: −0.10 to 0.59) p=0.101). The effectiveness of interventions did not differ significantly between studies considered pragmatic versus explanatory (p=0.598), but did differ by intervention type, with studies that included a multifaceted rather than a single-faceted intervention having a more significant effect (p=0.010). The analysis used random effect models and used the revised Cochrane Risk of Bias Tool to assess study quality.ConclusionsIn this meta-analysis, interventions were associated with a significant increase in medication adherence. Overall multifaceted interventions which included an element of education alongside regular patient contact or follow-up showed the most promise. Effectiveness of interventions between pragmatic and explanatory trials was comparable, suggesting that findings can be transferred from idealised to real-word conditions.PROSPERO registration numberCRD42017059460.

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Impact of written information on control and adherence in type 2 diabetes

Abstract: Interventions with leaflets handed in primary healthcare to people with diabetes type 2 can bring benefits in what concerns adherence to therapeutics, namely in younger people with a less studies.

Cited by 19 publications

References 63 publications

Prática insulinoterápica realizada por pessoas com diabetes na Atenção Primária em Saúde

Prática insulinoterápica realizada por pessoas com diabetes na Atenção Primária em Saúde

Barriers and Facilitators for Physical Activity in Adults with Type 2 Diabetes Mellitus: A Scoping Review

Effect of pragmatic versus explanatory interventions on medication adherence in people with cardiometabolic conditions: a systematic review and meta-analysis

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