Follow-up Intervention: Its Effect on Compliance Behavior to a Diabetes Regimen

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  • Angela L. Estey
    Dalhousie University and Camp Hill Medical Centre Halifax, Nova Scotia, Canada
  • Meng H. Tan
    Dalhousie University and Camp Hill Medical Centre Halifax, Nova Scotia, Canada
  • Karen Mann
    Dalhousie University and Camp Hill Medical Centre Halifax, Nova Scotia, Canada

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<jats:p> This study tested the hypothesis that follow-up intervention (by telephone calls and home visit) affects compliance in patients with non-insulin-dependent diabetes mellitus (NIDDM). Sixty NIDDM patients were randomly assigned to two groups—a control group, which received the standard protocol (3-day educational program and a review session 1 month after the program); and an intervention group, which received the standard protocol as well as a series offour telephone calls and one home visit by a registered nurse over a 3-month period. Compliance to prescribed regimens was determined by analyzing three sets of data: changes in pre- to poststudy glycosylated hemoglobin (HbA<jats:sub>1c</jats:sub>) values; changes in pre- to poststudy weight; and frequency with which self-monitoring of blood glucose (SMBG) was practiced. Results showed that SMBG practice was significantly better for the intervention group. No significant differences were seen in poststudy HbA <jats:sub>1c</jats:sub> values and weight changes between the two groups. Follow-up inter vention by telephone calls and home visit can enhance patient compliance to certain aspects of the prescribed diabetes management plan. </jats:p>

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