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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 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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Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients?
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“Similar conclusions have been drawn indicating that incorporating multiple telehealth options can improve glycemic control.(24)”
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Can follow‐up phone calls improve patients self‐monitoring of blood glucose?
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“27,28 Lastly, including individualized targets and personalized education ensures that interventions are tailored to meet each individual’s specific needs, thereby maximizing the potential for improved outcomes.”
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“Nesari et al ., [43] 2010 Determining whether a nurse telephone follow‑up service can improve adherence to a diabetes treatment regimen in patients with type 2 diabetes.”
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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…”
BackgroundMethodMoreira, A. M., Marobin, R., Escott, G. M., Rados, D. R. V., & Silveiro, S. P. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x221102257 · Cited by 5
“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.”
InfluentialMoreira, A. M., Rados, D. R. V., de Farias, C. B., Coelli, S., Faller, L. D. A., dos Santos, L. F., Matzenbacher, A. M. F., Katz, N., Harzheim, E., & Silveiro, S. P. (2024) · Endocrine · doi:10.1007/s12020-024-04095-6 · Cited by 7
“…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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Telehealth Management in Movement Disorder: A Retrospective Study
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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.”
Ahmad, B., Zain, A. Z. M., & Fatt, Q. K. (2017) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2017.07.013 · Cited by 3
Mahdi, S. S., Fatemeh, G., Davood, T. S., & Tayyebi, A. (2013) · Journal of Critical Care Nursing · Cited by 3
Quality Improvement in Cardiovascular Disease Care
Lee, E. S., Vedanthan, R., Jeemon, P., Kamano, J. H., Kudesia, P., Rajan, V., Engelgau, M. M., & Moran, A. E. (2017) · doi:10.1596/978-1-4648-0518-9/ch18 · Cited by 3
Adherence of Patients with Insulin Dependent Diabetes to Therapeutic Regimen
Aal, H. E. A. A. E., Mohamed, M. A., & Saad, A. Y. (2019) · The Egyptian Journal of Hospital Medicine · doi:10.21608/ejhm.2019.63576 · Cited by 3
Tabas, E. E., Sarani, H., Faghihi, H., & Nezamjoo, Z. (2020) · Medical - Surgical Nursing Journal · doi:10.5812/msnj.102328 · Cited by 3
“While follow-up is effective however it is carried out, should choose an easier and less costly of follow-up methods (22).”
BackgroundFujii, K., & Stolt, M. (2020) · BMC Research Notes · doi:10.1186/s13104-020-05263-3 · Cited by 3
Validez y confiabilidad del instrumento Adopción del rol de cuidador con uso de medicamentos
Marín, M. Z. R., Chaparro-Díaz, L., & Carreño-Moreno, S. (2023) · Avances en Enfermería · doi:10.15446/av.enferm.v41n2.104854 · Cited by 2
“…contribuyen a generar mejores resultados del régimen terapéutico, brindan educación a las personas sobre la patología, hábitos de vida saludables (32), manejo de emociones, habilidades de cuidado, factores de riesgo y signos de alarma para un mejor control de la enfermedad (33-36), con lo que se…”
Personalized follow-up strategies with learning effects for disease monitoring
Li, M., Liu, Z., Li, X., & Song, G. (2024) · Computers & Industrial Engineering · doi:10.1016/j.cie.2024.110820 · Cited by 2
Quality Improvement in Cardiovascular Disease Care
Lee, E. S., Vedanthan, R., Jeemon, P., Kamano, J. H., Kudesia, P., Rajan, V., Engelgau, M. M., & Moran, A. E. (2017) · World Bank, Washington, DC eBooks · doi:10.1596/978-1-4648-0518-9_ch18 · Cited by 2
Saidi, S. B. (2015) · Research Explorer (The University of Manchester) · Cited by 3
Prajapati, D., Bhandari, N., Gautam, P., Dhital, R., & Shrestha, A. (2022) · Kathmandu University Medical Journal · doi:10.3126/kumj.v20i4.54291 · Cited by 1
Hickson, S. V., Farrell, K., Orr, P. M., & Davenport, D. (2014) · OALib · doi:10.4236/oalib.1100560 · Cited by 1
“(2010) [16] focused on the impact of telephone follow-up interventions on the HbgA1c in patients with type 2 diabetes.”
BackgroundDevelopment and Effectiveness of a Dietary Education Program for Patients with Crohn's Disease
Nunotani, M., Kamakura, Y., Fukada, J., & Kumazawa, Y. (2012) · Journal of Japan Academy of Nursing Science · doi:10.5630/jans.32.3_74 · Cited by 1
Siddiqi, F. A., Saeed, B., Hussain, M., Anwar, W., Riaz, S., & Abbas, N. (2023) · Journal of Rawalpindi Medical College · doi:10.37939/jrmc.v27i2.2249 · Cited by 1
Taheri, R., Âlamdari, A., Far, A. A., & Rastian, M. (2021) · Journal of clinical care and skills · doi:10.52547/jccs.2.3.121 · Cited by 2
Rush, T. E. (2013) · The Scholarship East Carolina University's Institutional Repository (East Carolina University) · Cited by 1
Sarala, A. (2014) · LSHTM Research Online (London School of Hygiene and Tropical Medicine) · doi:10.17037/pubs.02021055 · Cited by 1
Niemczewski, J. B., Polivka, B. J., & Clark, P. (2016) · Journal of Doctoral Nursing Practice · doi:10.1891/2380-9418.9.2.199
“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.”
BackgroundAli, G. B., Ali, S. A., Ghulamhussain, N., Ilyas, M. H., Khan, H., Azam, S. I., Khoja, S., Akhtar, J., & Iqbal, R. (2019) · doi:10.21203/rs.2.11378/v1
“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
Sánchez-Escuredo, A., Yeung, K., Arustei, D., D’Gama, C., Faratro, R., Magtoto, E., Renganathan, K., & Chan, C. T. (2025) · Hemodialysis International · doi:10.1111/hdi.13259
Metadata
- 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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