• Improving Medication Adherence Among Diabetes Patients Utilizing Mobile App and Pamphlet

      Pacheco, Aileen D.; Jones-Parker, Hazel (2020-05)
      Problem and Purpose: The American Diabetes Association set the antidiabetic oral medication adherence rate to 80%. Medication nonadherence is strongly associated with poor glycemic control resulting in more healthcare services utilization. A family practice clinic noted that the majority of patients with diabetes are nonadherent to their medication. The purpose of this quality improvement (QI) project was to improve the medication adherence of patients with type 2 diabetes mellitus (T2DM) through the implementation of mobile health application reminder (MHAR) and diabetes adherence education pamphlet (DAEP). Methods: This project was implemented over thirteen weeks at a suburban primary care practice using the Mobilize, Assess, Plan, Implement, Track process framework. During an office visit, participants (N = 6) completed the likelihood of nonadherence (LON) online survey before the intervention and receive the DAEP. The participants used MHAR for four weeks and self-reported medication adherence rates. They also completed a post-LON survey via phone call by the project leader. Results: All the of participants (N=6) achieved low to medium LON post scores. There were no differences (z=0.577, p > 0.05) between pre- and post-intervention LON scores using the sign test as an alternative statistic. Only 67% (average) of patients seen received the DAEP at the last week of implementation. After four weeks of usage of the MHAR of each participant, 67% (n=4) reported adherent with an 80% or higher adherence rate, and 33% (n=2) nonadherent. The Pearson correlation coefficient for dichotomized compliance data predicted by post-intervention LON scores was found to be -0.31. This result indicated a weak negative correlation between adherence rate and post-LON. Conclusion: With the availability of MHAR, this tool must be leveraged to help patients adhere to their medication as prescribed. This project has demonstrated that when combined DAEP and MHAR have the potential to improve medication adherence among patients with T2DM. Providers can optimize the efficacy of these interventions to enhance verbal education during clinic visits.