Evaluation of the Effect of Self-Management Education in Teach Back Method on Medication and Nutritional Adherence of Elderly Patients with Type 2 Diabetes

Abstract

Introduction: Medication and nutritional adherence include accurate consumption of medication and following the diet according to the recommendations provided by healthcare personnel, which leads to maintaining and promoting the health of the elderly. The present study aimed to evaluate the effect of teach-back self-management training on medication and nutritional adherence of the elderly with type 2 diabetes in the selected comprehensive health service centers in Mashhad, Iran. Method: This experimental study was conducted on 104 type 2 diabetic patients who were randomly divided into intervention and control groups. In the intervention group, self-management training was provided by return training method, and in the control group, routine training was provided. To collect data, the Moriski medication adherence questionnaire and the Midas dietry compliance questionnaire were completed before and after the intervention. Data analysis was performed using SPSS statistical software (version 20), and Chi-square, Fisher, independent t-test, and paired t-test. Results: Based on the findings of the present research, the mean scores of the medication and nutritional adherence in the two groups before the intervention were not significantly different (P<0.05). However, after the intervention, medication and nutritional adherence of the intervention group was significantly increased compared to the control group (P<0.05). Conclusion: The use of teach-back self-management training is suggested as an effective method in increasing medication and nutritional adherence of the elderly with type 2 diabetes