Int J Med Inform - SMS reminders improve adherence to oral medication in type 2 diabetes patients who are real time electronically monitored.

Tópicos

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Resumo

CKGROUND: Poor adherence to oral antidiabetics has a negative influence on glycaemic control in type 2 diabetes patients. Real Time Medication Monitoring (RTMM) combines real time monitoring of patients' medication use with SMS reminders sent only if patients forget their medication, aiming to improve adherence. This study aimed to investigate the effect of these SMS reminders on adherence to oral antidiabetics in patients using RTMM and investigate patients' experiences with RTMM.METHODS: Data were collected in a RCT involving 104 type 2 diabetes patients with suboptimal adherence to oral antidiabetics. Fifty-six patients were randomised to receive SMS reminders if they forgot their medication, 48 patients received no reminders. Primary outcome measure was adherence to oral antidiabetics registered with RTMM, measured as: (1) days without dosing; (2) missed doses; (3) doses taken within predefined standardized time windows. Patients' experiences were assessed with written questionnaires.RESULTS: Over the six-month study period, patients receiving SMS reminders took significantly more doses within predefined time windows than patients receiving no reminders: 50% vs. 39% within a 1-h window (p=0.003) up to 81% vs. 70% within a 4-h window (p=0.007). Reminded patients tended to miss doses less frequently than patients not reminded (15% vs. 19%, p=0.065). Days without dosing were not significantly different between the groups. The majority of patients reported positive experiences with RTMM and SMS reminders.CONCLUSION: RTMM with SMS reminders improves adherence of type 2 diabetes patients, especially the precision with which patients follow their prescribed regimen, and is well accepted by patients.TRIAL REGISTRATION: Netherlands Trial Register NTR1882.

Resumo Limpo

ckground poor adher oral antidiabet negat influenc glycaem control type diabet patient real time medic monitor rtmm combin real time monitor patient medic use sms remind sent patient forget medic aim improv adher studi aim investig effect sms remind adher oral antidiabet patient use rtmm investig patient experi rtmmmethod data collect rct involv type diabet patient suboptim adher oral antidiabet fiftysix patient randomis receiv sms remind forgot medic patient receiv remind primari outcom measur adher oral antidiabet regist rtmm measur day without dose miss dose dose taken within predefin standard time window patient experi assess written questionnairesresult sixmonth studi period patient receiv sms remind took signific dose within predefin time window patient receiv remind vs within h window p vs within h window p remind patient tend miss dose less frequent patient remind vs p day without dose signific differ group major patient report posit experi rtmm sms remindersconclus rtmm sms remind improv adher type diabet patient especi precis patient follow prescrib regimen well accept patientstri registr netherland trial regist ntr

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