Scott A Davis1, Delesha Carpenter2, Doyle M Cummings3, Charles Lee4, Susan J Blalock2, Jennifer Elissa Scott5, Lisa Rodebaugh3, Stefanie P Ferreri6, Betsy Sleath7. 1. Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA. Electronic address: sdavis81@email.unc.edu. 2. Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA. 3. Department of Family Medicine and Public Health, Brody School of Medicine, East Carolina University, Greenville, USA. 4. Polyglot Systems, Inc., Morrisville, USA. 5. Consortium for Implementation Science, Department of Health Policy & Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA. 6. Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, Chapel Hill, USA. 7. Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, USA.
Abstract
OBJECTIVE: 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. METHODS: Patients selected their problem areas in medication use and watched one of nine 2-min 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. RESULTS: 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. CONCLUSIONS: A practical, customized video intervention may help improve patient self-efficacy, reduce problems with medication use, and improve medication adherence in diabetes patients. PRACTICE IMPLICATIONS: Providers should consider implementing technology-based interventions in the clinic to address common problems that patients have with self-management.
OBJECTIVE: 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. METHODS: Patients selected their problem areas in medication use and watched one of nine 2-min 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. RESULTS: 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. CONCLUSIONS: A practical, customized video intervention may help improve patient self-efficacy, reduce problems with medication use, and improve medication adherence in diabetes patients. PRACTICE IMPLICATIONS: Providers should consider implementing technology-based interventions in the clinic to address common problems that patients have with self-management.
Authors: Chandra Y Osborn; Kerri Cavanaugh; Kenneth A Wallston; Sunil Kripalani; Tom A Elasy; Russell L Rothman; Richard O White Journal: J Health Commun Date: 2011
Authors: Darren A Dewalt; Nancy D Berkman; Stacey Sheridan; Kathleen N Lohr; Michael P Pignone Journal: J Gen Intern Med Date: 2004-12 Impact factor: 5.128
Authors: Hilary K Seligman; Frances F Wang; Jorge L Palacios; Clifford C Wilson; Carolyn Daher; John D Piette; Dean Schillinger Journal: J Gen Intern Med Date: 2005-11 Impact factor: 5.128
Authors: S C Kalichman; D Rompa; K DiFonzo; D Simpson; J Austin; W Luke; F Kyomugisha; J Buckles Journal: J Assoc Nurses AIDS Care Date: 2001 Jul-Aug Impact factor: 1.354
Authors: David P Nau; Douglas T Steinke; L Keoki Williams; Roger Austin; Jennifer Elston Lafata; George Divine; Manel Pladevall Journal: Ann Pharmacother Date: 2007-10-09 Impact factor: 3.154
Authors: Kristie B Hadden; Connie L Arnold; Laura M Curtis; Jennifer M Gan; Scott I Hur; Mary J Kwasny; Jean C McSweeney; Latrina Y Prince; Michael S Wolf; Terry C Davis Journal: Contemp Clin Trials Date: 2018-09-20 Impact factor: 2.226
Authors: Gerda Bernhard; Cornelia Mahler; Hanna Marita Seidling; Marion Stützle; Dominik Ose; Ines Baudendistel; Michel Wensing; Joachim Szecsenyi Journal: J Med Internet Res Date: 2018-03-27 Impact factor: 5.428