N/A
Completed N=473
Improving Medication Adherence in the Alabama Black Belt
Diabetes · Medication Adherence
Source: ClinicalTrials.gov NCT02274844 ↗
Enrolled (actual)
473
Serious AEs
0.0%
Results posted
Oct 2020
Primary outcomePrimary: Change in Self Reported Medication Adherence — 0.78; 0.74; 0.53; 0.62 Scores on a scale — p=0.22
Summary
Medication adherence is especially critical in regions like rural Alabama, where residents have among the worst health outcomes in the US. This project was designed in collaboration with our community member partners and builds on a 5-year partnership of community-engaged research on diabetes peer coaching interventions and our experience with peer storytelling. The investigators will test the hypothesis that an intervention designed within the Corbin and Strauss framework can improve adherence and health outcomes compared to usual care.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Self Reported Medication Adherence |
0.78; 0.74; 0.53; 0.62; -0.25; -0.12 | 0.22 |
| PRIMARY Change in Percentage of HbA1c |
8.4; 8.3; 8.1; 8.1; -0.37; -0.24 | — |
| PRIMARY Change in Blood Pressure |
128.5; 129.3; 130.6; 133.6; 2.5; 4.1 | — |
| PRIMARY Change in Low-Density Lipoprotein (LDL) Cholesterol |
84.6; 80.7; 80.1; 82.2; -4.5; 1.5 | — |
| SECONDARY Change in Quality of Life as Assessed With the Short Form 12- Mental Component |
42.7; 42.3; 42.0; 42.1; -0.7; -0.2 | — |
| SECONDARY Change in Quality of Life as Assessed With the Short Form-12- Physical Component |
39.0; 40.1; 40.4; 40.4; 1.4; 0.3 | — |
| SECONDARY Change in Medication Use Self-efficacy Score as Measured by SEAMS Scale and the Perceived Diabetes Self-Management Scale, Which is Associated With A1c |
31.9; 32.2; 33.9; 33.1; 2.0; 0.9 | — |
| SECONDARY Change in Diabetes-Specific Quality of Life |
2.6; 2.3; 1.9; 2.0; -0.6; -0.3 | — |
| SECONDARY Number of Physician Office Visits 6 Months |
— | — |
| SECONDARY Number of Hospital Stays at 6 Months |
— | — |
| SECONDARY Number of Emergency Visits at 6 Months |
— | — |
| SECONDARY Change in Diabetes Medication Counts |
1.4; 1.3; 1.3; 1.3; -0.04; 0.004 | — |
Eligibility Criteria
Inclusion Criteria
- adults
- type 2 diabetes
- taking medications for diabetes
- medication non adherent
Exclusion Criteria
- nursing home residence
- plans to move away in the next year
- advanced illnesses such as hemodialysis, cancer or dementia
Data sourced from ClinicalTrials.gov (NCT02274844). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.