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A number of strategies have been evaluated to improve clinical outcomes in diabetics patients, however no studies explored the efficacy of a nurse-led reminder program through email (NRP-e) to improve medication adherence, even if it is fundamental in the management of diabetics. The study aims at evaluating for the first time the efficacy of a nurse-led reminder program through email (NRP-e) to improve medication adherence in diabetic patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nurse-led email program through email | Experimental | In addition to usual care and educational program, the intervention group will also receive email alerts and phone calls from the nurse care manager (NCM). |
|
| Management of diabetic patients | No Intervention | Usual care, educational program and usual management of Diabetic patients |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nurse-led reminder program through email | Behavioral | Both groups will receive an educational program and usual care. The educational program will consist of: - 1-hour session, during which the NCM give advices and enphasize the importance of the correct procedure of glycemic control, report non-pharmacological strategies for a healty lifestyle and instruction on how to fill a self assessment form. |
| Measure | Description | Time Frame |
|---|---|---|
| Medication adherence | The main outcome of the study was the improvement of medication adherence in diabetic patients between baseline and the end of follow-up. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Trust in nurses | Mean differences between groups in the average scores of trust in nurses perceived by patients between baseline and the end of follow-up. | 6 months |
| Lifestyle | Mean differences between groups in the average reduction in smoking and alcohol consumption, BMI and in the average increase of consumption of a healthy diet in diabetic patients between baseline and the end of follow-up. |
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Inclusion Criteria:
To be elegible, all subjects had to be diabetics (Diabetes Mellitus, Non-Insulin-Dependent)
Exclusion Criteria:
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| 6 months |
| Contacts with health services | Mean differences between groups in the reduction of the number of contact sand admissions of diabetic patients at health care services, between baseline and the end of follow-up. | 6 months |
| D004700 | Endocrine System Diseases |