title: Patient adoption of an internet based diabetes medication tool to improve adherence: A pilot study.
abstract: To investigate the effect of a video intervention, Managing Your Diabetes Medicines, on patient self-efficacy, problems with using medication, and medication adherence in a rural, mostly African American population.
  
  
  
  Patients selected their problem areas in medication use and watched one of nine 2-min videos with a research assistant at a clinic or pharmacy and were given an access code to watch all the videos at their convenience. Outcomes were measured at baseline and 3-month follow-up.
  
  
  
  Fifty-one patients were enrolled; 84% were African American and 80% were female (mean age: 54 years). Seventy-three percent watched at least one module after the initial visit. Improved self-efficacy was associated with a decrease in concerns about medications (r=-0.64). Low literate patients experienced greater improvement in self-efficacy than more literate patients (t=2.54, p=0.02). Patients' mean number of problems declined from 6.14 to 5.03. The number of patients with high or medium adherence rose from 33% at baseline to 43% at 3-month follow-up.
  
  
  
  A practical, customized video intervention may help improve patient self-efficacy, reduce problems with medication use, and improve medication adherence in diabetes patients.
  
  
  
  Providers should consider implementing technology-based interventions in the clinic to address common problems that patients have with self-management.
authors.affiliation: Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA. Electronic address: sdavis81@email.unc.edu.
authors.forename: Scott A
authors.initials: SA
authors.lastname: Davis
authors.affiliation: Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA.
authors.forename: Delesha
authors.initials: D
authors.lastname: Carpenter
authors.affiliation: Department of Family Medicine and Public Health, Brody School of Medicine, East Carolina University, Greenville, USA.
authors.forename: Doyle M
authors.initials: DM
authors.lastname: Cummings
authors.affiliation: Polyglot Systems, Inc., Morrisville, USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Lee
authors.affiliation: Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA.
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Blalock
authors.affiliation: Consortium for Implementation Science, Department of Health Policy & Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
authors.forename: Jennifer Elissa
authors.initials: JE
authors.lastname: Scott
authors.affiliation: Department of Family Medicine and Public Health, Brody School of Medicine, East Carolina University, Greenville, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Rodebaugh
authors.affiliation: Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, Chapel Hill, USA.
authors.forename: Stefanie P
authors.initials: SP
authors.lastname: Ferreri
authors.affiliation: Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, USA.
authors.forename: Betsy
authors.initials: B
authors.lastname: Sleath
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D003920:Diabetes Mellitus / Q000188:drug therapy* / Q000208:ethnology / Q000523:psychology; D005260:Female; D057220:Health Literacy; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D020407:Internet; D008297:Male; D055118:Medication Adherence / Q000208:ethnology* / Q000523:psychology; D008875:Middle Aged; D009042:Motivation; D009657:North Carolina; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects; D015397:Program Evaluation; D012648:Self Care; D020377:Self Efficacy; D044465:White People / Q000523:psychology*
chemical_list: D007004:Hypoglycemic Agents
keywords: African American; Educational video; Health literacy; Information-Motivation-Behavioral Skills Model; Medication problems; Self-efficacy; Self-management