Patient adoption of an internet based diabetes medication tool to improve adherence: A pilot study.
Patient adoption of an internet based diabetes medication tool to improve adherence: A pilot study.
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DOI：
10.1016/j.pec.2016.07.024
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发表时间：
2017-01
影响因子：
3.5
通讯作者：
Sleath, Betsy
中科院分区：
文献类型：
--
作者：
Davis, Scott A.;Carpenter, Delesha;Cummings, Doyle M.;Lee, Charles;Blalock, Susan J.;Scott, Jennifer Elissa;Rodebaugh, Lisa;Ferreri, Stefanie P.;Sleath, Betsy
关键词：
在农村，主要是非洲裔美国人人群中，调查视频干预对患者自我效能、使用药物问题和药物依从性的影响。患者选择他们在药物使用中的问题区域，并在诊所或药房与研究助理一起观看9个2分钟视频中的一个，并获得访问代码以在方便时观看所有视频。在基线和3个月随访时测量结果。入组了51例患者; 84%为非洲裔美国人，80%为女性（平均年龄：54岁）。73%的人在初次访问后至少观看了一个模块。自我效能的提高与对药物的担忧减少有关（r=-0.64）。识字率低的患者比识字率高的患者在自我效能方面有更大的改善（t=2.54，p=0.02）。患者的平均问题数量从6.14下降到5.03。高或中等依从性的患者数量从基线时的33%上升到3个月随访时的43%。一个实用的，定制的视频干预可能有助于提高患者的自我效能，减少药物使用的问题，并提高糖尿病患者的药物依从性。提供者应考虑在诊所实施基于技术的干预措施，以解决患者自我管理的常见问题。
To investigate the effect of a video intervention, MANAGING YOUR DIABETES MEDICINES, on patient self-efficacy, problems with using medication, and medication adherence in a rural, mostly African American population. Patients selected their problem areas in medication use and watched one of nine 2-minute videos with a research assistant at a clinic or pharmacy and were given an access code to watch all the videos at their convenience. Outcomes were measured at baseline and 3-month follow-up. Fifty-one patients were enrolled; 84% were African American and 80% were female (mean age: 54 years). Seventy-three percent watched at least one module after the initial visit. Improved self-efficacy was associated with a decrease in concerns about medications (r=−0.64). Low literate patients experienced greater improvement in self-efficacy than more literate patients (t=2.54, p=0.02). Patients’ mean number of problems declined from 6.14 to 5.03. The number of patients with high or medium adherence rose from 33% at baseline to 43% at 3-month follow-up. A practical, customized video intervention may help improve patient self-efficacy, reduce problems with medication use, and improve medication adherence in diabetes patients. Providers should consider implementing technology-based interventions in the clinic to address common problems that patients have with self-management.
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影响因子：
3.1
作者：
Mayberry, Lindsay Satterwhite;Egede, Leonard E.;Osborn, Chandra Y.
通讯作者：
Osborn, Chandra Y.
影响因子：
16.2
作者：
Mann, Devin M.;Ponieman, Diego;Halm, Ethan A.
通讯作者：
Halm, Ethan A.
影响因子：
4.7
作者：
Horne, R;Weinman, J
通讯作者：
Weinman, J
影响因子：
4.4
作者：
Osborn CY;Cavanaugh K;Wallston KA;Kripalani S;Elasy TA;Rothman RL;White RO
通讯作者：
White RO
DOI：
10.1016/s1055-3290(06)60217-3
发表时间：
2001-07-01
期刊：
The Journal of the Association of Nurses in AIDS Care : JANAC
影响因子：
--
作者：
Kalichman, S C;Rompa, D;Buckles, J
通讯作者：
Buckles, J