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Impact of family support improvement behaviors on anti diabetic medication adherence and cognition in type 2 diabetic patients.
MedLine Citation:
PMID:  25436202     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Glycaemic control is the main goal of treatment for type 2 diabetic patients. Hyperglycaemia may result in cognitive decline. More family support may increase medication adherence and decrease glycaemic level. The purpose of this study was to determine the impact of family support improvement behavior on anti diabetic medication adherence and cognition in type 2 diabetic patients.
METHOD: The randomized control trial study was conducted on 91 patients from an outpatient diabetes clinic. They were randomly divided to intervention (n = 45) and control (n = 46) group. Data on the patients' demographic information and their family gathered using a questionnaire, For two groups Morisky Medication Adherence Scale (MMAS), drug administration part of Diabetes Social Support Questionnaire - family version (DSSQ), Number Connection Test (NCT) were applied and hemoglobin A1C was measured two times in the onset of study and three months later for control group and before and after intervention for intervention group. The key family members of the intervention group were taught according to their educational needs in small groups.
RESULT: In intervention group mean of NCT score was significantly decreased after intervention (P = 0.006) however in the control group there was no significant difference after three months. In intervention group a significant correlation was noted between DSSQ scores and MMAS scores after intervention(r =0.67, P < 0.001) but, there was no significant correlation in the control group.
CONCLUSION: Family support instruction based on the educational needs of family members, may improve medication adherence through direct effect and cognitive status with indirect effect.
Authors:
Hamidreza Khosravizade Tabasi; Farah Madarshahian; Mohsen Khoshniat Nikoo; Mohsen Hassanabadi; Gholamhossein Mahmoudirad
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-11-25
Journal Detail:
Title:  Journal of diabetes and metabolic disorders     Volume:  13     ISSN:  2251-6581     ISO Abbreviation:  J Diabetes Metab Disord     Publication Date:  2014  
Date Detail:
Created Date:  2014-12-1     Completed Date:  -     Revised Date:  2014-12-2    
Medline Journal Info:
Nlm Unique ID:  101590741     Medline TA:  J Diabetes Metab Disord     Country:  -    
Other Details:
Languages:  ENG     Pagination:  113     Citation Subset:  -    
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