Evidence map›Paper›PMID 25565088›Full record

ArticleJournal of diabetes2015

Determinants of adherence to diabetes treatment.

Amy T Larkin, Christina Hoffman, Adrienne Stevens, Andrew Douglas, Zachary Bloomgarden

Abstract read
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In one paragraph

Article in Journal of diabetes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Potential ofNutrients · 2020
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Amy T LarkinMedscape Education, New York, New York, USA.
Christina HoffmanMedscape Education, New York, New York, USA.
Adrienne StevensTeachers College, Columbia University, WebMD, Mount Sinai School of Medicine, New York, New York, USA.
Andrew DouglasTeachers College, Columbia University, WebMD, Mount Sinai School of Medicine, New York, New York, USA.
Zachary BloomgardenTeachers College, Columbia University, WebMD, Mount Sinai School of Medicine, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding and improving medication adherence is crucial in diabetes management. Adherence to a diabetes regimen can improve glucose control and limit the development of complications. The aim of the present study was to evaluate the extent to which a variety of factors influence diabetes medication adherence.

methodsA medication adherence survey was made available on WebMD, a medical information website for patients and/or consumers. Respondents were residents of the US, ≥18 years old, and diagnosed with either type 1 or type 2 diabetes mellitus (self-reported).

resultsBehavioral adherence (self-reported doses missed per week) correlated with perceived adherence (patients' self-report of their overall impression of medication adherence, ranked 0-5; P < 0.001). Adherent patients (very few [0%-10%] issues with adherence) were more likely to report having received information from their physician. Mostly adherent patients (few [11%-26%] issues with adherence) were less likely to obtain information from their physician, but reported more medication self-titration. Somewhat non-adherent patients (some [27%-46%] adherence issues) reported more "self-consciousness factors" and hypoglycemia. Non-adherent patients (many [47%-88%] adherence issues) were more likely to report worries about medication side effects.

conclusionsReceiving information from a healthcare provider is associated with greater diabetes medication adherence, suggesting the importance of clinicians making time to provide patient education.

Indexed as

Medication AdherenceBiomarkersBlood GlucoseCommunicationDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansHypoglycemic AgentsMaleMiddle AgedPatient Education as TopicPerceptionPhysician-Patient RelationsBiomarkersBlood GlucoseHypoglycemic Agentsdiabetesdisease managementeducationmedication adherencepatient关键词：糖尿病，疾病管理，教育，用药依从性，患者

Identifiers

PMID25565088

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.