The review found that multifaceted interventions , addressing several non-adherence factors , were comparatively more effective in improving medication adherence and glycaemic target in patients with T2D than single strategies .
However , interventions with similar components and those addressing similar non-adherence factors demonstrated mixed results , making it difficult to conclude on effective intervention strategies to promote adherence .
Educational strategies have remained the most popular intervention strategy , followed by behavioural , with affective components becoming more common in recent years .
There is a noticeable shift in the literature from using single to multifaceted intervention strategies addressing a range of factors impacting adherence to medications .
BACKGROUND Poor adherence to anti-diabetic medications contributes to suboptimal glycaemic control in patients with type 2 diabetes ( T2D ) .
A range of interventions have been developed to promote anti-diabetic medication adherence .
However , there has been very little focus on the characteristics of these interventions and how effectively they address factors that predict non-adherence .
In this systematic review we assessed the characteristics of interventions that aim ed to promote adherence to anti-diabetic medications .
Reach and effectiveness of DVD and in-person diabetes self-management education
Objectives : To evaluate the reach and effectiveness of a  diabetes self-management DVD compared to classroom-based instruction . Methods : A hybrid preference/r and omized design was used with participants assigned to Choice v. R and omized and DVD v. Class conditions . One hundred and eighty-nine adults with type 2 diabetes participated . Key outcomes included self-management behaviours , process measures including DVD implementation and hypothesized mediators and clinical risk factors . Results : In the Choice condition , four times as many participants chose the mailed DVD  as selected Class-based instruction ( 38.8 v. 9.4 % , p<0.001 ) . At the 6-month follow-up , the DVD produced results generally not significantly different than classroom-based instruction , but a combined Class plus DVD condition did not improve outcomes beyond those produced by the classes alone . Discussion : The DVD appears to have merit as an efficient and appealing alternative to brief classroom-based diabetes education , and the hybrid design is recommended to provide estimates of programme reach
The review found that multifaceted interventions , addressing several non-adherence factors , were comparatively more effective in improving medication adherence and glycaemic target in patients with T2D than single strategies .
However , interventions with similar components and those addressing similar non-adherence factors demonstrated mixed results , making it difficult to conclude on effective intervention strategies to promote adherence .
Educational strategies have remained the most popular intervention strategy , followed by behavioural , with affective components becoming more common in recent years .
There is a noticeable shift in the literature from using single to multifaceted intervention strategies addressing a range of factors impacting adherence to medications .
BACKGROUND Poor adherence to anti-diabetic medications contributes to suboptimal glycaemic control in patients with type 2 diabetes ( T2D ) .
A range of interventions have been developed to promote anti-diabetic medication adherence .
However , there has been very little focus on the characteristics of these interventions and how effectively they address factors that predict non-adherence .
In this systematic review we assessed the characteristics of interventions that aim ed to promote adherence to anti-diabetic medications .