title: Venue of receiving diabetes self-management education and training and its impact on oral diabetic medication adherence.
abstract: To determine predictors associated with the diabetes self-management education and training (DSME) venue and its impact on oral antidiabetic (OAD) medication adherence.
  
  
  
  The Medical Expenditure Panel Survey household component (MEPS-HC) data (2010-2012) identified adults with diabetes prescribed OAD medication(s) who completed a supplemental Diabetes Care Survey (DCS). Based on the DCS responses to questions about the number and type of DSME venue(s), two groups were created: (1) multiple venues (a physician or health professional plus internet and/or group classes) vs (2) single venue (physician or health professional only). The medication possession ratio (MPR) measured medication adherence, with 0.80 the cut-point defining adherent. Logistic regression examined factors associated with the DSME venue and its effect on OAD medication adherence.
  
  
  
  Of the 2119 respondents, 41.6% received DSME from multiple venues. Age (<65years), education-level (college or higher), high-income, and diet modification were significantly more likely associated with receiving DSME from multiple venues. In single vs multiple venues, medication adherence was suboptimal (mean MPR 0.66 vs 0.64, p=0.245), and venue showed no influence on adherence (OR: 0.92, 95% CI, 0.73-1.16).
  
  
  
  Sociodemographic characteristics influence where adults with diabetes receive DSME. Adding different DSME venues may not address suboptimal OAD medication adherence.
authors.affiliation: Department of Pharmaceutical & Administrative Sciences, Presbyterian College School of Pharmacy, 307 N. Broad Street, Clinton, SC 29325, USA. Electronic address: jwu@presby.edu.
authors.forename: Jun
authors.initials: J
authors.lastname: Wu
authors.affiliation: Adult Health and Nursing Systems, Virginia Commonwealth University School of Nursing, Richmond, USA.
authors.forename: Mary Lynn
authors.initials: ML
authors.lastname: Davis-Ajami
authors.affiliation: Department of Clinical Pharmacy & Outcomes Sciences, University of South Carolina, Columbia, USA.
authors.forename: Virginia
authors.initials: V
authors.lastname: Noxon
authors.affiliation: Department of Clinical Pharmacy & Outcomes Sciences, University of South Carolina, Columbia, USA.
authors.forename: Zhiqiang Kevin
authors.initials: ZK
authors.lastname: Lu
mesh_terms: D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D016015:Logistic Models; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012648:Self Care; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D007004:Hypoglycemic Agents
keywords: Diabetes; Diabetes self-management education and training; Medication adherence; Oral antidiabetic medication