scholarly journals Medication belief as correlate of medication adherence among patients with diabetes in Edo State, Nigeria

Nursing Open ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 197-202 ◽  
Author(s):  
Olaolorunpo Olorunfemi ◽  
Foluso Ojewole
Keyword(s):  
Medication Adherence ◽  
Patients With Diabetes ◽  
Edo State ◽  
Medication Belief

scholarly journals Electronic Health Record–Based Strategy to Promote Medication Adherence Among Patients With Diabetes: Longitudinal Observational Study

10.2196/13499 ◽  
2019 ◽  
Vol 21 (10) ◽  
pp. e13499 ◽  
Author(s):  
Stacy Cooper Bailey ◽  
Amisha Wallia ◽  
Sarah Wright ◽  
Guisselle A Wismer ◽  
Alexandra C Infanzon ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Electronic Health Record ◽  
Low Cost ◽  
Clinical Decision ◽  
Health Record ◽  
Low Literacy ◽  
Minimal Impact ◽  
Patients With Diabetes ◽  
Electronic Health

Background Poor medication adherence is common; however, few mechanisms exist in clinical practice to monitor how patients take medications in outpatient settings. Objective This study aimed to pilot test the Electronic Medication Complete Communication (EMC2) strategy, a low-cost, sustainable approach that uses functionalities within the electronic health record to promote outpatient medication adherence and safety. Methods The EMC2 strategy was implemented in 2 academic practices for 14 higher-risk diabetes medications. The strategy included: (1) clinical decision support alerts to prompt provider counseling on medication risks, (2) low-literacy medication summaries for patients, (3) a portal-based questionnaire to monitor outpatient medication use, and (4) clinical outreach for identified concerns. We recruited adult patients with diabetes who were prescribed a higher-risk diabetes medication. Participants completed baseline and 2-week interviews to assess receipt of, and satisfaction with, intervention components. Results A total of 100 patients were enrolled; 90 completed the 2-week interview. Patients were racially diverse, 30.0% (30/100) had a high school education or less, and 40.0% (40/100) had limited literacy skills. About a quarter (28/100) did not have a portal account; socioeconomic disparities were noted in account ownership by income and education. Among patients with a portal account, 58% (42/72) completed the questionnaire; 21 of the 42 patients reported concerns warranting clinical follow-up. Of these, 17 were contacted by the clinic or had their issue resolved within 24 hours. Most patients (33/38, 89%) who completed the portal questionnaire and follow-up interview reported high levels of satisfaction (score of 8 or greater on a scale of 1-10). Conclusions Findings suggest that the EMC2 strategy can be reliably implemented and delivered to patients, with high levels of satisfaction. Disparities in portal use may restrict intervention reach. Although the EMC2 strategy can be implemented with minimal impact on clinic workflow, future trials are needed to evaluate its effectiveness to promote adherence and safety.

scholarly journals Impact of a Pharmacist-Led Diabetes Management Intervention to Improve Health Equity

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 238-238
Author(s):  
Renae Smith-Ray ◽  
Tanya Singh ◽  
Evie Makris ◽  
Jaime Horan ◽  
Michael Taitel
Keyword(s):  
Medication Adherence ◽  
Health Equity ◽  
Diabetes Management ◽  
Multiple Chronic Conditions ◽  
Intervention Period ◽  
Management Intervention ◽  
Patients With Diabetes ◽  
Hispanic Patients ◽  
Block Level ◽  
Post Test

Abstract The COVID-19 pandemic and Black Lives Matter movement brought increased recognition to the need for health equity. Diabetes, the 7th leading cause of death, is one of many conditions where health inequities are evident. A higher percentage of Black (11.7%) and Hispanic (12.5%) U.S. adults are diagnosed with diabetes compared to non-Hispanic Whites (7.5%). To address this health inequity, a nationwide pharmacy chain implemented telephonic ‘Advanced Care’ (AC) outreach for patients with diabetes. During the AC call, pharmacists used motivational interviewing techniques to counsel patients on the importance of closing gaps in care and reducing barriers to medication adherence. Gaps included timely A1C testing, exams (eye, foot, kidney), immunizations (influenza, pneumonia, Hepatitis B), and recommendation of additional therapies for patients with multiple chronic conditions (ACE/ARB, statins). Medication fill gaps were compared between the Intervention period (8/1/20-1/31/-21) and a pre-intervention period (2/1/20-7/31/20). The AC pilot occurred in 8 Chicago Walgreens locations that primarily serve Black and Hispanic patients. Eight control stores were matched on census block-level household income and race/ethnicity, patient volume, and insurance mix. A pre/post-test vs. control difference-in-difference (DID) analysis was conducted to compare on-time refill rates. Of the 1,009 older patients (age≥50) called, 59.9% were reached. The DID analysis showed that patients in pilot stores had improved pre-post on-time refill rates compared to controls (p<0.0001). Diabetes self-management is key to reducing diabetes-related complications. Early findings from this pilot demonstrate that the Walgreens AC intervention improves medication adherence - an important step toward improving health equity.

Impact of Medication Adherence and Glycemic Control on the Risk of Micro/Macrovascular Diseases in Patients with Diabetes

2021 ◽  
Author(s):  
Yuta Yaguchi ◽  
Kazuya Fujihara ◽  
Mayuko Harada Yamada ◽  
Yasuhiro Matsubayashi ◽  
Takaho Yamada ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Glycemic Control ◽  
Patients With Diabetes

480-P: Impact of Medication Adherence and Glycemic Control on the Risk of Micro/Macrovascular Diseases in Patients with Diabetes

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 480-P
Author(s):  
YUTA YAGUCHI ◽  
KAZUYA FUJIHARA ◽  
MAYUKO H. YAMADA ◽  
YASUHIRO MATSUBAYASHI ◽  
TAKAHO YAMADA ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Glycemic Control ◽  
Patients With Diabetes
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