Type 2 Diabetes Mellitus
Conditions
Interventions
The study will be carried out in selected clinics of the Colombo North Teaching Hospital.
Stratified cluster randomized sampling will be used to allocate patients into the two study arms.
The inte
Sponsors
Medical Research Institute, Sri Lanka
Sri Lanka Medical Association
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult patients aged > 18 – 65 years 2. Diagnosed with type 2 diabetes mellitus and registered with the clinic in 2014 3. Only on oral anti-diabetic medications 4. Identified as having low adherence using a purpose designed validated tool (modified from internationally validated tools and containing key components of pill counts, self-reported number of pills ingested, HbA1C, regularity of clinic visits, regular measuring of FBS/PPBS etc.)
Exclusion criteria
Exclusion criteria: 1. Patients who are on insulin 2. Patients who are unable to attend the clinic in person due to mobility or other impairment 3. Diagnosed psychiatric illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the level of adherence to medication as measured by the validated tool designed for this study [At baseline (pre-intervention) and at 3 months and six months after the commencement of the intervention] | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Reduction in the dosage/number of pills prescribed (as recorded in clinic prescriptions) 2. Rate of initiation of insulin (as recorded in clinic prescriptions) 3. Increase in knowledge about diabetes and medication (using a pre-tested questionnaire) 4. Glycemic control as measured by routine FBS/PPBS (as recorded in clinic prescriptions) 5. Symptoms attributed to hypo/hyperglyceamia (patient self-reports and medical records)) 6. Recurrent hospital/GP visits (patient self-reports and medical records) [At baseline (pre-intervention) and at 3 months and six months after the commencement of the intervention.] | — |
Countries
Sri Lanka
Contacts
Public ContactDr. Subha Perera
Registrar in Community Medicine
Outcome results
None listed