Similarities among these interventions were provision of information on oral hypoglycaemic medication and the need for regular education sessions .
Implication s for practice Increased knowledge of oral hypoglycaemic issues and reinforcement of the importance of medication adherence were useful in promoting adherence .
Regular education sessions allow individuals to reinforce information and educators to identify barriers to medication adherence .
Educational interventions focusing on self-management strategies appear more likely to achieve positive outcomes .
EXECUTIVE SUMMARY Background As a chronic condition , the prevalence of Type 2 diabetes is increasing worldwide and adherence to oral medications , an essential component of self-management , has been shown to improve glycaemic control .
However compliance with oral medication adherence remains poor .
Educating people with Type 2 diabetes is an important strategy to enhance self-management ability , including medication-taking behaviour .
Objectives The overall objective of the review was to determine the effectiveness of educational interventions to promote oral hypoglycaemic adherence in adults with Type 2 diabetes .
Aglycated haemoglobin ( HbA1c ) concentration of less than 7.0 % , is important in order to delay or prevent diabetes-related complications .
A randomized controlled trial of a nurse short-message service by cellular phone for people with diabetes.
BACKGROUND Nurse 's education using telemedicine results in a decrease in blood glucose levels in patients with type 2 diabetes . OBJECTIVE To investigate the effectiveness of an educational intervention that used both the cellular phone and the Internet to provide a short-messaging service ( SMS ) relating to plasma glucose levels . METHODS Twenty-five patients were r and omly assigned to an intervention group and 26 to a control group . The intervention was applied for 12 weeks . The goal of the intervention was to keep blood glucose concentrations close to the normal range . Patients in the intervention group were asked to access a website by using a cellular phone or to wiring the Internet and input their blood glucose levels every day . Participants were sent the optimal recommendations by both cellular phone and the Internet weekly . RESULTS Patients in the intervention group had a mean decrease in glycosylated haemoglobin ( HbA(1)c ) levels of 1.15 % and those in the control group had a mean increase of HbA(1)c levels of 0.07 % ( p=0.005 ) . There was a significant mean change in the 2hrs post-meal glucose ( 2HPMG ) level for the intervention group ( p<0.05 ) , with a mean change of -4.7mmol/l . The mean change in the control group was not significant . CONCLUSION This educational intervention using the Internet and an SMS by cellular phone improved levels of HbA(1)c and 2HPMG
Similarities among these interventions were provision of information on oral hypoglycaemic medication and the need for regular education sessions .
Implication s for practice Increased knowledge of oral hypoglycaemic issues and reinforcement of the importance of medication adherence were useful in promoting adherence .
Regular education sessions allow individuals to reinforce information and educators to identify barriers to medication adherence .
Educational interventions focusing on self-management strategies appear more likely to achieve positive outcomes .
EXECUTIVE SUMMARY Background As a chronic condition , the prevalence of Type 2 diabetes is increasing worldwide and adherence to oral medications , an essential component of self-management , has been shown to improve glycaemic control .
However compliance with oral medication adherence remains poor .
Educating people with Type 2 diabetes is an important strategy to enhance self-management ability , including medication-taking behaviour .
Objectives The overall objective of the review was to determine the effectiveness of educational interventions to promote oral hypoglycaemic adherence in adults with Type 2 diabetes .
Aglycated haemoglobin ( HbA1c ) concentration of less than 7.0 % , is important in order to delay or prevent diabetes-related complications .