Evidence map›Paper›PMID 39835570›Full record

Trial reportEndocrine, metabolic & immune disorders drug targets2026

Effect of a Medication Adherence Education Intervention on Clinical Outcomes in Adults with Type 2 Diabetes Mellitus: A Randomized Controlled Trial Study.

Ali Tarighat Esfanjani, Maryam Zare, Afrouz Mardi, Arezoo Haghighian Roudsari, Maryam Rafraf, Manouchehr Iranparvar-Alamdari, Daniel Hackett, Abdolreza Shaghaghi, Mohammad Asghari Jafarabadi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Endocrine, metabolic & immune disorders drug targets, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ali Tarighat EsfanjaniNutrition Research Center, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0003-0481-3685
Maryam ZareDepartment of Nutrition, Khalkhal University of Medical Sciences, Khalkhal, Iran.ORCID 0000-0001-6627-8564
Afrouz MardiSchool of Health, Ardabil University of Medical Sciences, Ardebil, Iran.ORCID 0000-0001-6503-1332
Arezoo Haghighian RoudsariDepartment of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, National Nutrition and FoodTechnology Research Institute; Shahid Behshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-7908-6991
Maryam RafrafNutrition Research Center; Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0002-2593-1253
Manouchehr Iranparvar-AlamdariDepartment of Internal Medicine, Faculty of Medicine, Ardabil University of Medical Science, Ardabil, Iran.ORCID 0000-0002-3595-9428
Daniel HackettPhysical Activity, Lifestyle, Ageing and Wellbeing Faculty Research Group, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Lidcombe, NSW, Australia.ORCID 0000-0002-2504-3942
Abdolreza ShaghaghiDepartment of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0002-3884-1847
Mohammad Asghari JafarabadiCabrini Research, Cabrini Health, VIC 3144, Malvern, Australia; School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, VIC 3800, Melbourne, Australia.ORCID 0000-0003-3284-9749

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow adherence to Oral Antidiabetic Drugs (OADs) in adults with Type 2 Diabetes Mellitus (T2DM) leads to complications, death, and increased healthcare costs.

objectiveThis study aimed to evaluate the effectiveness of medication adherence education interventions for the clinical outcomes of adults with T2DM. MATERIALS AND

methodsSeventy adults with T2DM from an outpatient clinic in the City of Ardabil, Iran, participated in this study. The participants were randomized into an intervention group (n=35) or a non-interventional group (n=35). The intervention group underwent four educational sessions focused on adherence to OADs. Content within classes was influenced by a participant's Stage of Change (SOC) result, which was related to behavior change modeling. Participants in the non-interventional group were placed on a waiting list to receive educational content after the follow- up. Assessments were conducted at baseline, four weeks, and six months.

resultsSignificant improvements in Fasting Plasma Glucose (FPG) (P = 0.018) and 2-hour Plasma Glucose (2-hPG) (P < 0.001) levels were found in the intervention group compared to the noninterventional group post-intervention. Additionally, HbA1C was significantly lower at follow-up in the intervention group than in the non-intervention group (P < 0.001). The Homeostasis Model of Insulin Resistance Assessment (HOMA-IR) revealed a significant increase in target cell sensitivity to insulin in the intervention group compared to that in the non-interventional during the follow- up period (P = 0.009). The SOC for adherence to OADs was significantly improved in the intervention group compared to that in the non-intervention group at the follow-up timepoint (P< 0.001).

conclusionMedication adherence education interventions may improve the clinical outcomes of adults with T2DM. CLINICAL TRIAL REGISTRATION NUMBER: IRCT201701165670N23.

Indexed as

Diabetes Mellitus, Type 2Hypoglycemic AgentsMedication AdherencePatient Education as TopicAdherence InterventionsAdultAgedBlood GlucoseFemaleGlycated HemoglobinHumansIranMaleMiddle AgedTreatment OutcomeBlood GlucoseGlycated HemoglobinHypoglycemic Agentsanti-diabetic drugsDiabetes mellitusglycemic controlHbA1Cmedication adherencetranstheoretical model

Identifiers

PMID39835570
PMCPMC13584076

What OpenQuestion holds

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Registered trials

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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.