scholarly journals Use of Brief Messages Based on Behavior Change Techniques to Encourage Medication Adherence in People With Type 2 Diabetes: Developmental Studies

10.2196/15989 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e15989
Author(s):  
Yvonne Kiera Bartlett ◽  
Andrew Farmer ◽  
Rustam Rea ◽  
David P French
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Behavior Change ◽  
Health Care Professionals ◽  
Text Messages ◽  
Test Theory ◽  
Behavior Change Techniques ◽  
Adherence To Medication ◽  
Adherence Support

Background Brief messages are a promising way to improve adherence to medication for people with type 2 diabetes. However, it is often unclear how messages have been developed and their precise content, making it difficult to ascertain why certain messages are successful and some are not. Objective The goal of the research was to develop messages that have proven fidelity to specified evidence-derived behavior change techniques (BCTs) and are acceptable to people with type 2 diabetes. Methods Four studies were conducted: (1) a workshop (n=21) where behavioral change researchers and health care professionals developed messages based on specific BCTs or beliefs or concerns related to taking medication, (2) a focus group study with people with type 2 diabetes (n=23) to assess acceptability of the approach, (3) a survey to ascertain the acceptability of a subset of messages to people with type 2 diabetes (n=61) and, (4) a survey with behavior change researchers to assess the fidelity of a subset of messages to their intended BCT (n=18). Results In study 1, 371 messages based on 38 BCTs and beliefs/concerns were developed. Workshop participants rated BCTs to be relevant to medication adherence (mean 7.12/10 [SD 1.55]) and messages to have good fidelity (mean 7.42/10 [SD 1.19]). In study 2, the approach of providing medication adherence support through text messages was found to be acceptable. In study 3, mean acceptability of all BCTs was found to be above the midpoint (mean 3.49/5 [SD 0.26]). In study 4, mean fidelity for all BCTs was found to be above the midpoint (mean 7.61/10 [SD 1.38]). Conclusions A library of brief messages acceptable to people with type 2 diabetes and representative of specific evidence-derived BCTs was developed. This approach allowed brief messages to be developed with known content that can be used to test theory.

scholarly journals Use of Brief Messages Based on Behavior Change Techniques to Encourage Medication Adherence in People With Type 2 Diabetes: Developmental Studies (Preprint)

2019 ◽  
Author(s):  
Yvonne Kiera Bartlett ◽  
Andrew Farmer ◽  
Rustam Rea ◽  
David P French
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Behavior Change ◽  
Health Care Professionals ◽  
Text Messages ◽  
Test Theory ◽  
Behavior Change Techniques ◽  
Adherence To Medication ◽  
Adherence Support

BACKGROUND Brief messages are a promising way to improve adherence to medication for people with type 2 diabetes. However, it is often unclear how messages have been developed and their precise content, making it difficult to ascertain why certain messages are successful and some are not. OBJECTIVE The goal of the research was to develop messages that have proven fidelity to specified evidence-derived behavior change techniques (BCTs) and are acceptable to people with type 2 diabetes. METHODS Four studies were conducted: (1) a workshop (n=21) where behavioral change researchers and health care professionals developed messages based on specific BCTs or beliefs or concerns related to taking medication, (2) a focus group study with people with type 2 diabetes (n=23) to assess acceptability of the approach, (3) a survey to ascertain the acceptability of a subset of messages to people with type 2 diabetes (n=61) and, (4) a survey with behavior change researchers to assess the fidelity of a subset of messages to their intended BCT (n=18). RESULTS In study 1, 371 messages based on 38 BCTs and beliefs/concerns were developed. Workshop participants rated BCTs to be relevant to medication adherence (mean 7.12/10 [SD 1.55]) and messages to have good fidelity (mean 7.42/10 [SD 1.19]). In study 2, the approach of providing medication adherence support through text messages was found to be acceptable. In study 3, mean acceptability of all BCTs was found to be above the midpoint (mean 3.49/5 [SD 0.26]). In study 4, mean fidelity for all BCTs was found to be above the midpoint (mean 7.61/10 [SD 1.38]). CONCLUSIONS A library of brief messages acceptable to people with type 2 diabetes and representative of specific evidence-derived BCTs was developed. This approach allowed brief messages to be developed with known content that can be used to test theory.

scholarly journals Diet Behavior Change Techniques in Type 2 Diabetes: A Systematic Review and Meta-analysis

Diabetes Care ◽  
2017 ◽  
Vol 40 (12) ◽  
pp. 1800-1810 ◽  
Author(s):  
Kevin A. Cradock ◽  
Gearóid ÓLaighin ◽  
Francis M. Finucane ◽  
Rhyann McKay ◽  
Leo R. Quinlan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Type 2 Diabetes ◽  
Behavior Change ◽  
Meta Analysis ◽  
Behavior Change Techniques ◽  
Diet Behavior

scholarly journals Assessment of medication adherence and quality of life among patients with type 2 diabetes mellitus in a tertiary hospital in Kelantan, Malaysia

2021 ◽  
Vol 1 (2) ◽  
pp. 79-86
Author(s):  
Nazmi Liana Azmi ◽  
Nurul Aida Md Rosly ◽  
Hock Chun Tang ◽  
Anis Fariha Che Darof ◽  
Nor Dini Zuki
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Life Questionnaire ◽  
Adherence To Medication ◽  
The Mean

Introduction: Previous studies have reported the relationship between medication adherence and quality of life are interrelated. However, many of the results were found to be conflicting. This study aimed to assess the level and association of medication adherence and quality of life among type 2 diabetes mellitus patients in Raja Perempuan Zainab II Hospital, Kelantan, Malaysia. Materials and methods: A cross-sectional survey was conducted among adult type 2 diabetes mellitus patients on treatment for over 1 year using convenience sampling at outpatient.  Medication Compliance Questionnaire (MCQ) and revised Diabetes Quality of Life Questionnaire (DQOL) instrument were self-administered to eligible subjects. Data were analysed using GNU PSPP version 0.8.5 and reported for descriptive statistics as well as correlation of both parameters. Results: A total of 200 patients were recruited and they were mostly at the age of 40 to 60 years old. The mean (SD) score for MCQ was 26.0 (1.6) with the majority of them were non-adherent (55.0%, n=110). The mean (SD) score for overall revised DQOL instrument was 25.5 (8.9) while each domain of “satisfaction”, “impact” and “worry” had mean (SD) scores of 12.0 (5.0), 7.7 (3.4) and 5.9 (2.7), respectively. The scores obtained were only approximately half of the possible range of scores for QoL. There was no significant correlation between total score of medication adherence and quality of life when tested using Pearson’s correlation (r=-0.083, p=0.240). Independent t-test also demonstrated no significant relationship between medication adherence status and quality of life (p=0.883). Conclusion: Type 2 diabetes mellitus patients in our setting had unsatisfactory adherence but exhibited acceptable quality of life. We observed that both variables were not associated with one another. Further research is warranted to identify potential factors affecting non-adherence to medication.

scholarly journals Evaluation of Adherence to Oral Hypoglycemic Agent Prescription in Patients with Type 2 Diabetes

2020 ◽  
Vol 16 (1) ◽  
pp. 41-45
Author(s):  
Mahtab Irani ◽  
Mohammad Sarafraz Yazdi ◽  
Meisam Irani ◽  
Sina Naghibi Sistani ◽  
Sahar Ghareh
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Hemoglobin A1c ◽  
Statistical Tests ◽  
Personal Characteristics ◽  
Adherence To Treatment ◽  
Adherence To Medication ◽  
Treatment Of Diabetes ◽  
Global Health Problem

BACKGROUND: Diabetes is a global health problem that has affected more than 400 million people worldwide. Adherence to treatment is considered to be one of the most impor tant and deterministic factors in the treatment of diabetes. This study investigates medication adherence and factors af fecting it in patients with type 2 diabetes. METHODS: This crosssectional study investigated 136 patients with type 2 diabetes in 2018-2019. Data collection was done using a checklist that included information on personal characteristics, medication, and healthcare. The collected data were analyzed by statistical tests in SPSS 25 software. RESULTS: 79.4% of the patients adhered to prescribed medication. Medication adherence had no significant relationship with taking other dr ugs, fasting blood sugar (FBS), and the daily number of hypoglycemic tablets (p > 0.05). However, adherence to medication was significantly associated with age, gender, income, hemoglobin A1c, medication period, and hypoglycemia (p < 0.05). CONCLUSIONS: Higher levels of adherence werè obser ved among females aged below 60 years, with higher income, a hemoglobin A1c level below 7%, a medication period of less than 10 years, and among patients without hypoglycemia. Regarding drug type, adherence levels were lower in people taking glibenclamide.

scholarly journals Spoken Animated Self-Management Video Messages Aimed at Improving Physical Activity in People With Type 2 Diabetes: Development and Interview Study

10.2196/15397 ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. e15397
Author(s):  
Colette van het Schip ◽  
Kei Long Cheung ◽  
Stan Vluggen ◽  
Ciska Hoving ◽  
Nicolaas C Schaper ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Behavior Change ◽  
Positive Reinforcement ◽  
Qualitative Content Analysis ◽  
Activity Level ◽  
Self Management ◽  
Behavior Change Techniques ◽  
Physically Active

Background Web-based tailored interventions are a promising approach to help people with type 2 diabetes successfully adopt regular physical activity. Spoken animation seems to be effective regardless of the characteristics of the user and may be a relevant strategy to communicate complex health information Objective The objectives of our study were to evaluate (1) pretesting communication elements and user appreciation, and (2) the applied behavior change techniques of the previously designed spoken animated video messages in a tailored self-management program for people with type 2 diabetes. Methods We conducted semistructured interviews with patients with type 2 diabetes recruited from general practices located in different socioeconomic status urban neighborhoods. Based on the pretesting key communication elements of Salazar’s model, we asked participants about the spoken animated video messages’ attractiveness, comprehensibility, acceptance, believability, involvement, and relevance and to what extent the video messages motivated them to become more physically active. We also assessed participants’ intention to use the spoken animated video messages and to recommend them to others. To evaluate participants’ appreciation of the different applied behavior change techniques, we conducted a post hoc analysis of the qualitative data using the MAXQDA program. Transcripts were coded by 2 coders using iterative qualitative content analysis methods to uncover key health communication issues. Results Of 23 patients who expressed an interest in participating, 17 met the inclusion criteria and 15 took part in the interviews. The positive appreciation of the comprehensibility, believability, and personalization was supported by participants’ statements on behavior change techniques and other communication elements. Reinforcement of and feedback on participants’ answers were positively evaluated as was the simplicity and concreteness of the spoken animated video messages. Most participants indicated reasons for not feeling motivated to increase their physical activity level, including being already sufficiently physically active and the presence of other impeding health factors. Conclusions Spoken animated video messages should be simple, short, concrete, and without the use of medical terminology. Providing positive reinforcement, feedback on participants’ answers, examples that match user characteristics, and the possibility to identify with the animation figures will enhance involvement in the health message. To connect more with patients’ needs and thereby increase the perceived relevance of and motivation to use an animated video program, we suggest offering the program soon after diabetes mellitus is diagnosed. We recommend piloting behavior change techniques to identify potential resistance.

scholarly journals Combining Wireless technology and Behavioral Economics to Engage Patients with cardiometabolic disease (WiBEEP): A Pilot Study (Preprint)

2017 ◽  
Author(s):  
Edith Angellotti ◽  
John Wong ◽  
Ayal Pierce ◽  
Benjamin Hescott ◽  
Anastassios Pittas
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Pilot Study ◽  
Behavioral Economics ◽  
Text Messages ◽  
Cardiometabolic Disease ◽  
Wireless Technology ◽  
Cardiometabolic Diseases

BACKGROUND The long-term management of cardiometabolic diseases, such as type 2 diabetes and hypertension, is complex and can be facilitated by supporting patient-directed behavioral changes. The concurrent application of wireless technology and personalized text messages (PTMs) based on behavioral economics in managing cardiometabolic diseases although promising, has not been studied. OBJECTIVE The aim of this pilot study was to evaluate the feasibility and acceptability of the concurrent application of wireless home blood pressure (BP) monitoring (as an example of “automatic hovering”) and PTMs (as an example of “nudging”) targeting pharmacotherapy and lifestyle habits in patients with type 2 diabetes and/or hypertension. METHODS The Wireless technology and Behavioral Economics to Engage Patients with cardiometabolic disease (WiBEEP) study was a single-arm, open-label, 7-week long pilot study in 12 patients (age 58.5 y) with access to a mobile phone. The study took place at Tufts Medical Center (Boston, MA) between March and September 2017. All patients received PTMs; nine patients received wireless home BP monitoring. At baseline, patients completed questionnaires to learn about their health goals and to assess medication adherence; at the end of week 7, all participants completed questionnaires to evaluate the feasibility and acceptability of the intervention and assess for medication adherence. Hemoglobin A1c was ascertained from data collected during routine clinical care in 7 patients. RESULTS The majority of patients reported the texts messages to be easy to understand (88%), appropriate in frequency (71%) and language (88%). All patients reported BP monitoring to be useful. Mean arterial pressure was lower at the end-of-study compared to baseline (-3.4 mmHg [95% CI, -5 to -1.8]. Mean change in HbA1c was -0.31% [95% CI, -0.56 to -0.06]. CONCLUSIONS Among patients with type 2 diabetes and/or hypertension the combination of wireless BP monitoring and lifestyle-focused text messaging was feasible and acceptable. Larger studies will determine the long-term effectiveness of such an approach.

scholarly journals Pendidikan Kesehatan Tentang Kepatuhan Minum Obat Pada Pasien Diabetes Melitus Tipe 2 Di Rumah Sakit TK II Putri Hijau Medan

2021 ◽  
Vol 1 (3) ◽  
pp. 252-263
Author(s):  
Nurul Fadhilah ◽  
Khairunnisa Batubara
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Health Education ◽  
Scientific Paper ◽  
Peripheral Tissues ◽  
Adherence To Medication ◽  
Diabetes Melitus

 ABSTRACT: HEALTH EDUCATION ON MEDICINE COMPLIANCE IN TYPE 2 DIABETES MELLITUS PATIENTS IN TK II PUTRI GREEN HOSPITAL, MEDAN Introduction: Type 2 diabetes mellitus is a hyperglycemic condition that occurs even though endogenous insulin is available where the insulin levels produced are damaged by insulin resistance in peripheral tissues. Actions that can be given to clients with type 2 diabetes mellitus that can be chosen to overcome the problem of knowledge about medication adherence are by providing health education. Health education is an activity that educates the public about health by presenting the information.Purpose: The purpose of this scientific paper is to carry out education about medication adherence in patients with Type 2 Diabetes Mellitus at the Tk II Putri Hijau Hospital, Medan.Methods: This research method is a descriptive study with a health education study design regarding medication adherence in patients with type 2 diabetes mellitus using a process approach. This study was conducted on two patients with the same diagnosis of type 2 diabetes mellitus in recurrent patients who do not adhere to medication.Results: The results of the health education research given about medication adherence can increase changes in a healthy life.Conclusion: For further researchers to explore more about medication adherence Keywords: Health education, adherence to medication, Type 2 diabetes  INTISARI: PENDIDIKAN KESEHATAN TENTANG KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELITUS TIPE 2 DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN  Pendahuluan: Diabetes Melitus tipe 2 adalah suatu kondisi hiperglikemia yang terjadi meski tersedia insulin endogen dimana kadar insulin yang dihasilkan dirusak oleh resistensi insulin dijaringan perifer. Tindakan keperawatan yang bisa diberikan kepada klien dengan Diabetes mellitus tipe 2 yang dapat dipilih untuk mengatasi masalah kurang pengetahuan tentang kepatuhan minum obat adalah dengan memberikan pendidikan kesehatan. Pendidikan kesehatan adalah suatu kegiatan yang mendidik masyarakat tentang kesehatan dengan pemaparan informasi.Tujuan: Tujuan dari Karya Tulis Ilmiah ini untuk melaksanakan pendidikan kesehatan tentang kepatuhan minum obat pada pasien Diabetes Melitus Tipe 2 Di Rumah Sakit Tk II Putri Hijau Medan.Metode: Metode penelitian ini adalah penelitian deskriptif dengan rancangan studi pendidikan kesehatan tentang kepatuhan minum obat pada pasien diabetes mellitus tipe 2 menggunakan pendekatan proses keperawatan. Penelitian ini dilakukan pada dua orang pasien dengan diagnosa yang sama dengan masalah penyakit diabetes mellitus tipe 2 pada pasien berulang yang tidak patuh minum obat.Hasil: Hasil penelitian diperoleh pendidikan kesehatan yang diberikan tentang kepatuhan minum obat dapat meningkatkan perubahan hidup sehat.Kesimpulan: Untuk peneliti selanjutnya hendaknya mendalami lagi tentang kepatuhan minum obat Kata kunci : Pendidikan kesehatan, Kepatuhan minum obat,  DM Tipe 2 

scholarly journals Mapping behavior change techniques to characterize a social cognitive theory informed physical activity intervention for adults at risk of type 2 diabetes mellitus

2019 ◽  
Vol 10 (3) ◽  
pp. 705-715 ◽  
Author(s):  
Jessica E Bourne ◽  
Elena Ivanova ◽  
Heather L Gainforth ◽  
Mary E Jung
Keyword(s):  
Type 2 Diabetes ◽  
At Risk ◽  
Behavior Change ◽  
Social Cognitive Theory ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Mechanisms Of Action ◽  
Behavior Change Techniques ◽  
Intervention Content

Abstract Behavior change techniques (BCTs) are used to target theoretical mechanisms of action predicted to bring about behavior change. Reporting BCTs and connecting them to mechanisms of action is critical to understanding intervention processes of change. This article identifies the BCTs associated with an exercise intervention for individuals at risk of type 2 diabetes and determines the extent to which these BCTs target associated mechanisms of action. BCTs were mapped onto social cognitive theory (SCT) and the theoretical domains framework (TDF) using published literature identifying links between BCTs and SCT/TDF and expert consensus. Two coders then used the 93-item BCT taxonomy (BCTTv1) to independently code BCTs within the intervention. The BCTs used in the current intervention enabled identification of the theoretical mechanisms of action targeted in the intervention. More than 70% of the intervention content incorporated at least one BCT. More than 50% of the BCTs used targeted SCT constructs and more than 70% of BCTs used targeted at least one of the 14 TDF domains. Five BCTs did not map onto either SCT or TDF. This research provides a systematic method of linking BCTs to mechanisms of action. This process increases the transparency of intervention content and identification of the mechanisms of action targeted in the current intervention. Reporting interventions in this manner will enable the most potent mechanisms of actions associated with long-term behavior change to be identified and utilized in future work. Trial Registration: ClinicalTrials.gov # NCT02164474. Registered on June 12, 2014.

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