Effect of telephone follow‐up on adherence to a diabetes therapeutic regimen
Abstract
Aim: To determine whether a nurse telephone follow‐up service could improve the level of adherence to a diabetes therapeutic regimen for patients with type 2 diabetes. Methods: A total of 61 patients attended a 3 day diabetes self‐care program at the Iranian Diabetes Society. They were randomly assigned to one of the experimental or control groups. A telephone follow‐up program was applied to the experimental group for 3 months, twice per week for the first month and weekly for the second and third months. The data‐collection instruments included a data sheet to record the glycosylated hemoglobin (HbA1c) level and a questionnaire. The data were collected at baseline and after 12 weeks. Results: There were significant differences between the control and the experimental groups in their adherence to a diabetic diet, exercise, foot care, blood glucose monitoring, and medication‐taking. Also, the HbA1c levels differed significantly between the two groups after 3 months. Conclusion: A nurse‐led telephone follow‐up was effective in enhancing the level of adherence to a diabetes therapeutic regimen, such that the HbA1c level decreased.
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Three studies reporting medication adherence found significant between-group differences.
“Three studies found significant differences between groups,15 21 27”
From Effectiveness of synchronous teleconsultation for patients with type 2 diabetes mellitus: a systematic review and meta-analysis (2023) · cites this paper as [21]
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“Regular follow-ups from healthcare professionals also increased adherence to exercise in a type 2 diabetes mellitus population.(67) This supports the notion that support from a healthcare professional, or perhaps from anyone perceived as knowledgeable and able to offer guidance, feedback, and motivation, such as the l…”
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“Using literature review (21-26) and an experts panel, an item pool was developed.”
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“The content included the principles of diabetes self‐care (nutrition, physical activity, medication, foot care, and blood sugar control) presented in three 2‐h sessions.[21] At the end of the education course, the participants were randomly assigned to intervention (n = 40) and control (n = 40) groups using the comput…”
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“Regarding the effect of telephone calls that combined lifestyle advice and treatment modi fi cation, Nesari et al. 48 developed an RCT that showed a bene fi t of this association in HbA1c ( − 0.9, 95% CI, − 1.69 to − 0.11) compared to usual care.”
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“…that combined life-style improvement recommendation and therapeutic mod-i fi cation showed a clear bene fi t of this association, decreasing HbA1c by 0.9% (CI 95% − 1.69 to − 0.11), compared to usual care, reinforcing the importance of this limitation in our study design (and Brazilian context) [47].”
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“diğer gruba göre anlamlı olarak daha iyi bulunduğu rapor edildi.(32) Diyabet kontrolü yetersiz olan Tip 2 diyabet hastaları ile yapılan çalışmada, 35 birey telefon görüşmesi yoluyla eğitim programına alındığı; eğitimin sonunda hastaların diyete uyma durumlarında anlamlı bir iyileşme olduğu bildirildi.”
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Adherence of Patients with Insulin Dependent Diabetes to Therapeutic Regimen
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“While follow-up is effective however it is carried out, should choose an easier and less costly of follow-up methods (22).”
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Validez y confiabilidad del instrumento Adopción del rol de cuidador con uso de medicamentos
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Personalized follow-up strategies with learning effects for disease monitoring
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Quality Improvement in Cardiovascular Disease Care
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“I 10 Nesari et al., 2010 The objective of this study was to evaluate whether “a nurse telephone follow-up service” could improve the level of adherence to a diabetes therapeutic regimen in patients with type 2 diabetes.”
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“et al (17), where telephone calls were made to assess glycemic control and dietary adherence, results at follow up reported a significant reduction of mean HbA1c (1.”
BackgroundThe Effects of Nurse‐Led Coaching on Discordant Home Hemodialysis Patients
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- Authors
- NESARI, M., ZAKERIMOGHADAM, M., RAJAB, A., BASSAMPOUR, S., & FAGHIHZADEH, S.
- Affiliations
- AmirAlam Hospital (IR)
- University of Tehran (IR)
- Tarbiat Modares University (IR)
- Venue
- Japan Journal of Nursing Science
- Publisher
- Wiley
- Published
- 2010-11-23
- Volume
- 7
- Issue
- 2
- Pages
- 121-128
- ISSN
- 1742-7924 (ISSN-L)
- 1742-7932
- OpenAlex
- W1549241738
- Cited by
- 104
- References
- 26
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 10 · 2022: 8 · 2021: 9 · 2020: 9 · 2019: 5 · 2018: 6 · 2017: 12 · 2016: 7 · 2015: 8 · 2014: 10 · 2013: 6 · 2012: 3
- FWCI
- 2.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Japan Journal of Nursing Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- telephone follow-up, nurse-led telephone follow-up, type 2 diabetes, medication adherence, diabetes self-care, HbA1c, dietary adherence, exercise adherence, foot care, blood glucose monitoring
- MeSH terms
- Adult, Aftercare, Blood Glucose, Chromatography, High Pressure Liquid, Diabetes Mellitus, Type 2, Diet, Diabetic, Female, Glycated Hemoglobin, Humans, Hypoglycemic Agents, Iran, Male, Middle Aged, Patient Compliance, Telephone, Exercise
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