Nurse-led Reminder Program for Therapy Adherence, Clinical Outcomes and Trust in Nurses in Diabetic Patients

Study Overview
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Brief Summary
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A number of strategies have been evaluated to improve clinical outcomes in diabetics patients, however no studies explored the efficacy of a nurse-led reminder program through email (NRP-e) to improve medication adherence, even if it is fundamental in the management of diabetics. The study aims at evaluating for the first time the efficacy of a nurse-led reminder program through email (NRP-e) to improve medication adherence in diabetic patients.

Official Title
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The Efficacy of a Nurse-led Reminder Program on Therapy Adherence, Clinical Outcomes and Trust in Nurses in Diabetic Patients.

Conditions
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Diabetes Mellitus, Non-Insulin-Dependent

Intervention / Treatment
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* Behavioral: Nurse-led reminder program through email


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be elegible, all subjects had to be diabetics (Diabetes Mellitus, Non-Insulin-Dependent) Speaking and reading italian Having an active phone number and an email address Providing a signed a informed consent Exclusion Criteria: Mental illness Hospitalized patients and who refused to partecipate

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Nurse-led email program through email<br>In addition to usual care and educational program, the intervention group will also receive email alerts and phone calls from the nurse care manager (NCM). | Behavioral: Nurse-led reminder program through email<br>* Both groups will receive an educational program and usual care. The educational program will consist of: - 1-hour session, during which the NCM give advices and enphasize the importance of the correct procedure of glycemic control, report non-pharmacological strategies for a healty lifestyle and instruction on how to fill a self assessment form.<br>|
| No Intervention: Management of diabetic patients<br>Usual care, educational program and usual management of Diabetic patients | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Medication adherence | The main outcome of the study was the improvement of medication adherence in diabetic patients between baseline and the end of follow-up. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Trust in nurses | Mean differences between groups in the average scores of trust in nurses perceived by patients between baseline and the end of follow-up. | 6 months | 
| Lifestyle | Mean differences between groups in the average reduction in smoking and alcohol consumption, BMI and in the average increase of consumption of a healthy diet in diabetic patients between baseline and the end of follow-up. | 6 months | 
| Contacts with health services | Mean differences between groups in the reduction of the number of contact sand admissions of diabetic patients at health care services, between baseline and the end of follow-up. | 6 months |