AN INTERVENTION STUDY ON MEDICATION ADHERENCE AND CLINICAL OUTCOME AMONG TYPE 2 DIABETIC PATIENTS IN A TERTIARY HEALTH FACILITY NIGERIA
- Project Research
- 1-5 Chapters
- Abstract : Available
- Table of Content: Available
- Reference Style: APA
- Recommended for : Student Researchers
- NGN 3000
ABSTRACT
Diabetes is one of the leading causes of morbidity and mortality in adults globally. Type 2 diabetes is a disease associated with a huge burden of medication non-adherence due to complex regimens leading to complications that further increase morbidity and mortality among this population. The aim of this study was to assess medication adherence and the impact of mobile phone short message service (SMS) reminders on clinical outcome among type 2 diabetic patients in IBB Specialist Hospital Minna, Niger State Nigeria. A prospective intervention study with a control arm comparing standard of care with standard of care plus SMS reminders was conducted. The sample consisted of 423 patients with type 2 diabetes that were randomly sampled and assigned to two groups; an intervention group (n=213) and the control group (n=210). Morisky 8-Medication Adherence Scale (MMAS) was used to assess the medication adherence of patients. The SMS reminders were sent by the principal investigator thrice weekly for three months; the control group did not receive any SMS reminders. For three successive months FBS levels were recorded for both the intervention and control groups and compared to baseline. The collected data was categorized, coded and analyzed using Statistical Package for Social Sciences (SPSS) version 20 (SPSS Inc, Chicago, Illinois, USA). Chi-square test was used to ascertain associations between adherence to diabetic medication and patient related, medication related and disease related factors. Paired t-test was used to compare baseline and post intervention FBS levels. A P-value of less than 0.05 was considered statistically significant for this study. The result of the study showed that only about 15% of patients had good adherence to medication, the others range between the poor (10.7%) and non-adherent (74.3%) categories. The intervention group had significant reduction in FBS levels (P < 0.05) with a mean reduction of 1.3mmol/l compared to the control group in which there was no reduction in ix FBS (P > 0.05). It was concluded that medication adherence among type 2 diabetic patients in this study setting was suboptimal and intervention using mobile phone short message service (SMS) reminders slightly improves clinical outcome (FBS).
Related Project Materials
IMPACT OF CAPITAL BUDGETING ON INVESTMENT DECISIONS
IMPACT OF CAPITAL BUDGETING ON INVESTMENT DECISIONS
This study aims to: (1) assess the role of capital budgeting in making investment dec...
DEVELOPMENT AND PERFORMANCE OPTIMISATION OF A TWO-ROW ENGINE-PROPELLED SEEDRIDGE PLANTER
Excerpt from the Study
The two-row engine propelled ridge seed planter was developed and evaluated for performance in co...
COMPETENCY IMPROVEMENT NEEDS OF TECHNOLOGY TEACHERS IN THE IMPLEMENTATION OF BASIC TECHNOLOGY
EXCERPT FROM THE STUDY
Effective teaching of introductory/ basic technology require competencies. Competencies based on...
THE EFFECTS OF DEFORESTATION ON THE SOCIO-ECONOMIC LIFE OF THE PEOPLE OF MBO LOCAL GOVERNMENT AREA
ABSTRACT
This study was carried out to examine the Effects Of Deforestation On The Socio-Economic Life Of The People Of...
Design and Development of an Android Application for Domestic Jobs Application (Job Bay)
This project report describes a mobile android based job finder and applier. There is a crisis in Nig...
THE EFFECT OF ONLINE ADVERTISING ON CONSUMER BUYING BEHAVIOR USING STUDENTS OF FEDERAL POLYTECHNIC BIDA
Statement of the Problem
With the growing age of the internet a...
CHRISTIAN MARRIAGES AND HOW INFIDELITY AFFECTS THEM
Abstract
Infidelity is a topical issue in both social and legal spheres. This study was a mixed- method design focused...
ADDRESSING DIGITAL LITERACY IN VOCATIONAL EDUCATION PROGRAMS
Abstract: This study addresses digital literacy in vocational education programs in Nigeria...
SPATIO TEMPORAL ANALYSIS OF THE PREVALENCE OF WATERBORNE DISEASES IN KWARA STATE, NIGERIA
Abstract
Waterborne diseases have been a major health issue globally because of the bu...
RESIDENTS PERCEPTION ON HOUSING QUALITY
Abstract
This study examined the housing quality perception of the resident of Umuguma. The data of this study were coll...
