dc.contributor.author | Göğaş Yavuz, Dilek | |
dc.contributor.author | Bilen, Habip | |
dc.contributor.author | Sancak, Seda | |
dc.contributor.author | Garip, Tayfun | |
dc.contributor.author | Hekimsoy, Zeliha | |
dc.contributor.author | Şahin, İbrahim | |
dc.contributor.author | Güvener, Nilgün | |
dc.contributor.author | Yılmaz, Murat | |
dc.date.accessioned | 2022-05-11T14:39:54Z | |
dc.date.available | 2022-05-11T14:39:54Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 1177-889X | |
dc.identifier.uri | https://doi.org/10.2147/PPA.S100626 | |
dc.identifier.uri | https://hdl.handle.net/20.500.11776/8788 | |
dc.description.abstract | Objective: The objective of this study is to evaluate the impact of sequential telephonic interviews on treatment persistence and daily adherence to insulin injections among insulin-naive type 2 diabetes patients initiated on different insulin regimens in a 3-month period. Methods: A total of 1,456 insulin-naive patients with type 2 diabetes (mean [standard deviation, SD] age: 56.0 [12.0] years, 49.1% were females) initiated on insulin therapy and consecutively randomized to sequential (n=733) and single (n=723) telephonic interview groups were included. Data on insulin treatment and self-reported blood glucose values were obtained via telephone interview. Logistic regression analysis was performed for factors predicting increased likelihood of persistence and skipping an injection. Results: Overall, 76.8% patients (83.2% in sequential vs 70.3% in single interview group, (P<0.001) remained on insulin treatment at the third month. Significantly higher rate for skipping doses was noted in basal bolus than in other regimens (27.0% vs 15.0% for premixed and 15.8% basal insulin, respectively, P<0.0001). Logistic regression analysis revealed sequential telephonic interview (odds ratio [OR], 1.531; 95% confidence interval [CI], 1.093-2.143; P=0.013), higher hemoglobin A1c levels (OR, 1.090; 95% CI, 0.999-1.189; P=0.049), and less negative appraisal of insulin therapy as significant predictors of higher persistence. Basal bolus regimen (OR, 1.583; 95% CI, 1.011-2.479; P=0.045) and higher hemoglobin A1c levels (OR, 1.114; 95% CI, 1.028-1.207; P=0.008) were the significant predictors of increased likelihood of skipping an injection. Conclusion: Our findings revealed positive influence of sequential telephonic interview, although including no intervention in treatment, on achieving better treatment persistence in type 2 diabetes patients initiating insulin. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Dove Medical Press Ltd | en_US |
dc.identifier.doi | 10.2147/PPA.S100626 | |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | type 2 diabetes | en_US |
dc.subject | insulin analogs | en_US |
dc.subject | HbA1c | en_US |
dc.subject | self-monitoring of blood glucose | en_US |
dc.subject | Glycemic Control | en_US |
dc.subject | Open-Label | en_US |
dc.subject | Barriers | en_US |
dc.subject | Initiation | en_US |
dc.subject | Management | en_US |
dc.subject | Multicenter | en_US |
dc.subject | Injection | en_US |
dc.subject | Regimens | en_US |
dc.subject | Efficacy | en_US |
dc.subject | Therapy | en_US |
dc.title | Impact of telephonic interviews on persistence and daily adherence to insulin treatment in insulin-naive type 2 diabetes patients: dropout study | en_US |
dc.type | article | en_US |
dc.relation.ispartof | Patient Preference and Adherence | en_US |
dc.department | Fakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı | en_US |
dc.authorid | 0000-0002-6231-0034 | |
dc.authorid | 0000-0002-2595-5167 | |
dc.authorid | 0000-0002-0075-6313 | |
dc.authorid | 0000-0001-5376-9874 | |
dc.identifier.volume | 10 | en_US |
dc.identifier.startpage | 851 | en_US |
dc.identifier.endpage | 861 | en_US |
dc.institutionauthor | Yılmaz, Murat | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.authorscopusid | 7003531672 | |
dc.authorscopusid | 6506715983 | |
dc.authorscopusid | 35190979600 | |
dc.authorscopusid | 26221638900 | |
dc.authorscopusid | 55968203700 | |
dc.authorscopusid | 54987367600 | |
dc.authorscopusid | 57216171270 | |
dc.authorwosid | Sahin, Ibrahim/ABI-6050-2020 | |
dc.authorwosid | Oguz, Aytekin/AAJ-2732-2021 | |
dc.authorwosid | Sert, Murat/G-6103-2018 | |
dc.authorwosid | Gogas Yavuz, Dilek/AAC-3697-2020 | |
dc.identifier.wos | WOS:000376272200001 | en_US |
dc.identifier.scopus | 2-s2.0-84969791996 | en_US |
dc.identifier.pmid | 27274207 | en_US |