Effect of telephone follow-up on adherence to a diabetes therapeutic regimen

Jpn J Nurs Sci. 2010 Dec;7(2):121-8. doi: 10.1111/j.1742-7924.2010.00146.x.

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.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aftercare*
  • Blood Glucose / analysis
  • Chromatography, High Pressure Liquid
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / drug therapy
  • Diabetes Mellitus, Type 2 / therapy*
  • Diet, Diabetic
  • Exercise
  • Female
  • Glycated Hemoglobin / analysis
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Iran
  • Male
  • Middle Aged
  • Patient Compliance*
  • Telephone*

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Hypoglycemic Agents