Patient adoption of an internet based diabetes medication tool to improve adherence: A pilot study.
Scott A Davis, Delesha Carpenter, Doyle M Cummings and 6 others
PMID 27480530WHAT IT FOUND
In 51 adults with type 2 diabetes, internet videos did not significantly improve medication self-efficacy, reduce medication problems, or change adherence at 3 months.
Key findings
01Mean diabetes medication self-efficacy was 46.6 at baseline and 48.0 at 3-month follow-up among 34 patients, without a statistically significant change.
02Patients reported a mean of 6.14 medication problems at baseline and 5.03 at 3-month follow-up, without a statistically significant change.
03Morisky medication adherence did not change significantly between baseline and 3-month follow-up.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
This was a small pilot with one group followed before and after the intervention, not a controlled trial. Thirty-five of 51 patients completed follow-up, and only 34 had both self-efficacy scores. About 30% of patients were lost to follow-up. All outcomes were self-reported, including adherence. Participants who refused could not be characterized, so they may have differed from those enrolled. Most patients were female, so findings may not generalize to male patients.
The easy way to misread this
Do not conclude the internet video tool improved medication adherence. The primary outcomes of self-efficacy, reported medication problems, and Morisky adherence were not statistically significant, and it was a single-group pilot. The higher self-efficacy in patients with lower health literacy is a secondary finding.