Evidence map›Paper›PMID 27480530›Full record

ArticlePatient education and counseling2017

Patient adoption of an internet based diabetes medication tool to improve adherence: A pilot study.

Scott A Davis, Delesha Carpenter, Doyle M Cummings, Charles Lee, Susan J Blalock, Jennifer Elissa Scott, Lisa Rodebaugh, Stefanie P Ferreri, Betsy Sleath

Abstract read
In one paragraph

Article in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Scott A DavisDivision of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA. Electronic address: sdavis81@email.unc.edu.
Delesha CarpenterDivision of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA.
Doyle M CummingsDepartment of Family Medicine and Public Health, Brody School of Medicine, East Carolina University, Greenville, USA.
Charles LeePolyglot Systems, Inc., Morrisville, USA.
Susan J BlalockDivision of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA.
Jennifer Elissa ScottConsortium for Implementation Science, Department of Health Policy & Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Lisa RodebaughDepartment of Family Medicine and Public Health, Brody School of Medicine, East Carolina University, Greenville, USA.
Stefanie P FerreriDivision of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, Chapel Hill, USA.
Betsy SleathDivision of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, USA.

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
UNC Center for Diabetes Translation Research to Reduce Health DisparitiesP30DK093002 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVIS, RICHARD M, PIGNONE, MICHAEL P · 2011 to 2015
$3.0M
NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR002489NIDDK NIH HHS P30 DK093002
6 · The paper itself

Abstract

objectiveTo investigate the effect of a video intervention, Managing Your Diabetes Medicines, on patient self-efficacy, problems with using medication, and medication adherence in a rural, mostly African American population.

methodsPatients selected their problem areas in medication use and watched one of nine 2-min videos with a research assistant at a clinic or pharmacy and were given an access code to watch all the videos at their convenience. Outcomes were measured at baseline and 3-month follow-up.

resultsFifty-one patients were enrolled; 84% were African American and 80% were female (mean age: 54 years). Seventy-three percent watched at least one module after the initial visit. Improved self-efficacy was associated with a decrease in concerns about medications (r=-0.64). Low literate patients experienced greater improvement in self-efficacy than more literate patients (t=2.54, p=0.02). Patients' mean number of problems declined from 6.14 to 5.03. The number of patients with high or medium adherence rose from 33% at baseline to 43% at 3-month follow-up.

conclusionsA practical, customized video intervention may help improve patient self-efficacy, reduce problems with medication use, and improve medication adherence in diabetes patients. PRACTICE IMPLICATIONS: Providers should consider implementing technology-based interventions in the clinic to address common problems that patients have with self-management.

Indexed as

Health LiteracyMotivationSelf EfficacyAdultBlack or African AmericanDiabetes MellitusFemaleHumansHypoglycemic AgentsInternetMaleMedication AdherenceMiddle AgedNorth CarolinaOutcome Assessment, Health CarePatient Education as TopicHypoglycemic AgentsAfrican AmericanEducational videoHealth literacyInformation-Motivation-Behavioral Skills ModelMedication problemsSelf-efficacySelf-management

Identifiers

PMID27480530
PMCPMC9295002

What OpenQuestion holds

Textmetadata
LicenceTDM
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.