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To evaluate the effect of telehealth through short messaging services (SMSs) on adherence to statins in patients with diabetes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | No Intervention | will not receive the intervention | |
| Study group | Experimental | will receive the intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SMS reminder massages about adherence | Other | SMS three-times per week in the first six weeks and twice per week in the second six weeks reminding the patient about adherence to prescribed medication |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence rate | Adherence rate was measured by: 1. Pill counting (PC) Pill count (PC) Is an objective mesearrment, calculated by the sum of days covered by lipid-lowering medication divided by the number of days in that period. Investigators calculated the index date for adherence on the day of recruitment for each patient. Patients were considered to have good adherence to lipid-lowering medication if their estimated PC was ≥80%, Equation : Sum of days covered by lipid-lowering medication / number of days in that period × 100. Percentage ≧ 80% means a good medication adherence Percentage < 80% means a poor medication adherence | 6 and 12 weeks |
| Adherence rate | Medication Adherence Reporting Scale -5 (MARS-5) is a self-reporting scale. Is a subjective method of mesearrment, It is a 5 five-point Likert scale response ranging from 1 (always) to 5 (never). The total score of the MARS-5 ranges from 5 to 25 Mean score ≥20 means good medication adherence Mean score < 20 means poor medication adherence | 6 and 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Lipid profile | Mean score of lipid profile will be monitored at follow up times comparison between baseline and follow up measurements will be done | at 12 week |
| Acute cardiovascular events (CVE) |
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Inclusion Criteria:
Exclusion criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Nursing | Asyut | 71111 | Egypt |
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Eligible patients will be offered to participate. Willing patients will be randomly assigned to one of two groups: Two arms study design: first arm (control group)won't receive intervention while the second arm (intervention group) will receive telenursing intervention through SMS; Is a text messages will be sent to the intervention group comprised of a reminder on when, how to take lipid lowering medication, benefits, and adverse effect of not taken the drug as prescribed for three months duration. SMS (Short Messaging Service) will be sent three times per week in the first six weeks and twice per week in the second six weeks.
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MA will provide randomization AD will assess participant at baseline and follow-up EH will deliver the intervention.
Number of cases who will be hospitalized or exposed to acute cardiovascular events (CVD) within follow periods.
| at 12 weeks |
| Mortality | Number of death or mortality within follow up period. | at 12 weeks |