Telephone intervention doesn't aid diabetes meds adherence

Telephone intervention doesn't aid diabetes meds adherence

(HealthDay)—Telephone outreach does not improve medication adherence or metabolic control in adults with diabetes, according to a study published online Oct. 14 in Diabetes Care.

Patrick J. O'Connor, M.D., M.P.H., from the HealthPartners Institute for Education and Research in Minneapolis, and colleagues evaluated 2,378 adults with who had recently been prescribed a new class of medication for treating elevated levels of glycated hemoglobin (A1C) ≥8 percent (64 mmol/mol), blood pressure ≥140/90 mm Hg, or low-density lipoprotein cholesterol ≥100 mg/dL. Participants were randomized to either usual care or to receive one scripted telephone call from a educator or clinical pharmacist to identify and address nonadherence to the new medication.

The researchers found that the intervention was not associated with significant improvement in primary adherence, medication persistence, or intermediate outcomes of care. Regardless of subgroups of patients defined by age, sex, race/ethnicity, and study site, and when limiting the analysis to those who completed the intended intervention, results remained similar.

"In summary, this low-intensity intervention did not significantly improve or intermediate outcomes of ," the authors write. "Wide use of this strategy may not be warranted, and alternative approaches to identify and improve medication adherence are needed."

Explore further

Racial disparities persist in diabetes care outcomes

More information: Abstract
Full Text (subscription or payment may be required)
Journal information: Diabetes Care

Copyright © 2014 HealthDay. All rights reserved.

Citation: Telephone intervention doesn't aid diabetes meds adherence (2014, October 27) retrieved 4 August 2020 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Feedback to editors

User comments