Abstract
Background: More than 4.2 million cases of diabetes mellitus (DM) were reported in Thailand during 2019. Medication adherence is necessary to delay disease progression and prevent complications among uncontrolled type 2 DM patients. The objective of this research was to study how education via the Line application and telephone-based counseling impacted medication adherence knowledge by analyzing the behavior of uncontrolled type 2 diabetic patients. Methods: Uncontrolled type 2 DM patients in Doi Saket Hospital, Doi Saket district, Chiang Mai province, Thailand. were included in the study. The sample was divided into an experimental (n=30) and control group (n=30). Patients who met the inclusion criteria of having uncontrolled type 2 diabetes diagnosed by a physician for at least one year, capable of communicating in Thai, possessing a mobile phone with the Line application and able to partake in activities for eight weeks were recruited in the parallel-group randomized trial. The experimental group participated in the developed education program, while the control group received standard routine health education activities provided by their health care providers. The intervention was based on the 5Rs principle as right medicine, right dose, right route, right patient and right time and included activities via the Line application and telephone-based counseling. Participants were evaluated for their medication adherence knowledge and behavior. Results: After eight weeks of education through the Line application and telephone-based counseling, posttest mean scores of medication adherence knowledge of the experimental and control groups were 18.03 (SD=0.28) and 12.37 (SD=0.62), while posttest mean scores of medication adherence behavior of the experimental and control groups were 49.28 (SD=3.77) and 33.84 (SD=3.81), respectively. Results revealed that the experimental group had statistically significant (P <0.01) higher medication adherence knowledge and behavior mean scores. Conclusion: Education using the Line application and telephone-based counseling program improved medication adherence knowledge and behavior among uncontrolled type 2 DM patients. Other outcomes of social media interactions such as patient engagement, patient behavior and attitudes, and the efficacy of patient-health care provider communication levels are possible areas for future study.
Highlights
Diabetes mellitus (DM) is a chronic metabolic condition characterized by elevated blood glucose levels due to insufficient or ineffective utilization of insulin by the body.[1]
An estimated 1.3 million Thai adults will live with diabetes mellitus (DM) by the end of 2035.3,4 Two-thirds of type 2 DM patients reside in cities.[3]
Significant positive changes were recorded from the baseline of all study outcome variables among participants in the experimental group compared with the control group after evaluations during the eight weeks of study
Summary
Diabetes mellitus (DM) is a chronic metabolic condition characterized by elevated blood glucose levels due to insufficient or ineffective utilization of insulin by the body.[1]. An estimated 1.3 million Thai adults will live with DM by the end of 2035.3,4 Two-thirds of type 2 DM patients reside in cities.[3] DM prevalence in urban areas is related to several risk factors including sedentary lifestyle, unhealthy diet and lack of time for regular exercise.[3,5] Chiang Mai, the largest province in the north of Thailand, has seen dramatic growth in NCDs over the past two decades.[4] A report by the Chiang Mai Provincial Public Health Office in 2020 stated that in Doi Saket district, Chiang Mai province, 292 type 2 DM patients were screened They were all unable to control their blood glucose levels, while 112 patients (38.36%) were able to control their blood pressure levels. Other outcomes of social media interactions such as patient engagement, patient behavior and attitudes, and the efficacy of patient-health care provider communication levels are possible areas for future study
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
