Abstract
Background: Individuals with type 2 diabetes manage complex multi-drug regimens, but nearly half of all patients do not consistently take the dose prescribed for them, and therefore may not receive the full potential therapeutic benefit. Both patient and health system factors contribute to achieving and maintaining medication adherence. To determine if patients with type 2 diabetes who are concurrently managing other chronic conditions could improve their adherence, we devised and are testing a multifaceted, primary care-based strategy to provide health literacy-appropriate and language concordant regimen information, guidance and reminders. Objective: We are testing the effectiveness of an electronic health record (EHR) based strategy and short message service (SMS) text reminders to help patients with type 2 diabetes adhere to their medications. Methods: We are conducting a 3-arm, multi-site trial to test and compare the effectiveness of the EHR, and EHR + SMS text reminder strategies compared to usual care on medication adherence. Our goal is to enroll a total of 900 English or Spanish-speaking patients with type 2 diabetes and hemoglobin A1C value ≥7.5%. Enrolled participants will complete interviews at baseline and 3 and 6 months following their baseline interview. Conclusions: Our trial is evaluating practical, clinic-based, scalable, evidence-based solutions for patients with type 2 diabetes managing complex medication regimens. Our findings will evaluate strategies that can be implemented broadly in primary care practices, and programmed as defaults within EHRs to support appropriate medication adherence to allow the widespread implementation of those strategies.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 46-52 |
| Number of pages | 7 |
| Journal | Contemporary Clinical Trials |
| Volume | 83 |
| DOIs | |
| State | Published - Aug 1 2019 |
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Keywords
- Diabetes
- Electronic health record
- Health literacy
- Medication adherence
- Primary care
- Text messaging
ASJC Scopus subject areas
- Pharmacology (medical)
Cite this
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Rationale and design of the regimen education and messaging in diabetes (REMinD) trial. / O'Conor, Rachel; Arvanitis, Marina; Wismer, Guisselle; Opsasnick, Lauren; Sanchez Muñoz, Angela; Kannry, Joseph; Lin, Jenny J.; Kaiser, Darren; Kwasny, Mary Jeanne; Persell, Stephen D; Parker, Ruth; Wood, Alastair J.J.; Federman, Alex D.; Wolf, Michael.
In: Contemporary Clinical Trials, Vol. 83, 01.08.2019, p. 46-52.Research output: Contribution to journal › Article
TY - JOUR
T1 - Rationale and design of the regimen education and messaging in diabetes (REMinD) trial
AU - O'Conor, Rachel
AU - Arvanitis, Marina
AU - Wismer, Guisselle
AU - Opsasnick, Lauren
AU - Sanchez Muñoz, Angela
AU - Kannry, Joseph
AU - Lin, Jenny J.
AU - Kaiser, Darren
AU - Kwasny, Mary Jeanne
AU - Persell, Stephen D
AU - Parker, Ruth
AU - Wood, Alastair J.J.
AU - Federman, Alex D.
AU - Wolf, Michael
PY - 2019/8/1
Y1 - 2019/8/1
N2 - Background: Individuals with type 2 diabetes manage complex multi-drug regimens, but nearly half of all patients do not consistently take the dose prescribed for them, and therefore may not receive the full potential therapeutic benefit. Both patient and health system factors contribute to achieving and maintaining medication adherence. To determine if patients with type 2 diabetes who are concurrently managing other chronic conditions could improve their adherence, we devised and are testing a multifaceted, primary care-based strategy to provide health literacy-appropriate and language concordant regimen information, guidance and reminders. Objective: We are testing the effectiveness of an electronic health record (EHR) based strategy and short message service (SMS) text reminders to help patients with type 2 diabetes adhere to their medications. Methods: We are conducting a 3-arm, multi-site trial to test and compare the effectiveness of the EHR, and EHR + SMS text reminder strategies compared to usual care on medication adherence. Our goal is to enroll a total of 900 English or Spanish-speaking patients with type 2 diabetes and hemoglobin A1C value ≥7.5%. Enrolled participants will complete interviews at baseline and 3 and 6 months following their baseline interview. Conclusions: Our trial is evaluating practical, clinic-based, scalable, evidence-based solutions for patients with type 2 diabetes managing complex medication regimens. Our findings will evaluate strategies that can be implemented broadly in primary care practices, and programmed as defaults within EHRs to support appropriate medication adherence to allow the widespread implementation of those strategies.
AB - Background: Individuals with type 2 diabetes manage complex multi-drug regimens, but nearly half of all patients do not consistently take the dose prescribed for them, and therefore may not receive the full potential therapeutic benefit. Both patient and health system factors contribute to achieving and maintaining medication adherence. To determine if patients with type 2 diabetes who are concurrently managing other chronic conditions could improve their adherence, we devised and are testing a multifaceted, primary care-based strategy to provide health literacy-appropriate and language concordant regimen information, guidance and reminders. Objective: We are testing the effectiveness of an electronic health record (EHR) based strategy and short message service (SMS) text reminders to help patients with type 2 diabetes adhere to their medications. Methods: We are conducting a 3-arm, multi-site trial to test and compare the effectiveness of the EHR, and EHR + SMS text reminder strategies compared to usual care on medication adherence. Our goal is to enroll a total of 900 English or Spanish-speaking patients with type 2 diabetes and hemoglobin A1C value ≥7.5%. Enrolled participants will complete interviews at baseline and 3 and 6 months following their baseline interview. Conclusions: Our trial is evaluating practical, clinic-based, scalable, evidence-based solutions for patients with type 2 diabetes managing complex medication regimens. Our findings will evaluate strategies that can be implemented broadly in primary care practices, and programmed as defaults within EHRs to support appropriate medication adherence to allow the widespread implementation of those strategies.
KW - Diabetes
KW - Electronic health record
KW - Health literacy
KW - Medication adherence
KW - Primary care
KW - Text messaging
UR - http://www.scopus.com/inward/record.url?scp=85068265505&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85068265505&partnerID=8YFLogxK
U2 - 10.1016/j.cct.2019.06.016
DO - 10.1016/j.cct.2019.06.016
M3 - Article
C2 - 31260791
AN - SCOPUS:85068265505
VL - 83
SP - 46
EP - 52
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
SN - 1551-7144
ER -