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 .
Self-efficacy, outcome expectations and self-care behaviour in people with type 2 diabetes in Taiwan.
AIMS To explore differences in self-care behaviour according to demographic and illness characteristics ; and relationships among self-care behaviour and demographic and illness characteristics , efficacy expectations and outcome expectations of people with type 2 diabetes in Taiwan . BACKGROUND Most people with diabetes do not control their disease appropriately in Taiwan . Enhanced self-efficacy towards managing diseases can be an effective way of improving disease control as proposed by the self-efficacy model which provides a useful framework for underst and ing adherence to self-care behaviours . DESIGN AND METHODS The sample comprised 145 patients with type 2 diabetes aged 30 years or more from diabetes outpatient clinics in Taipei . Data were collected using a self-administered question naire for this study . One-way anova , t-tests , Pearson product moment correlation and hierarchical regression were analysed for the study . RESULTS Significant differences were found : between self-care behaviour and complications ( t = -2.52 , p < 0.01 ) and patient education ( t = -1.96 , p < 0.05 ) . Self-care behaviour was significantly and positively correlated with duration of diabetes ( r = 0.36 , p < 0.01 ) , efficacy expectations ( r = 0.54 , p < 0.01 ) and outcome expectations ( r = 0.44 , p < 0.01 ) . A total of 39.1 % of variance in self-care behaviour can be explained by duration of diabetes , efficacy expectations and outcome expectations . CONCLUSIONS Findings support the use of the self-efficacy model as a framework for underst and ing adherence to self-care behaviour . RELEVANCE TO CLINICAL PRACTICE Using self-efficacy theory when design ing patient education interventions for people with type 2 diabetes will enhance self-management routines and assist in reducing major complications in the future
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 .