Effectiveness of a medication booklet and counseling on treatment adherence in type 2 diabetes mellitus patients

Abstract

Objective: This study aimed to evaluate the effectiveness of counseling and the use of a medication booklet on the level of treatment compliance through reduced levels of glycated hemoglobin (HbA1C) and Morisky Medication Adherence Scale (MMAS-8) scores in patients with type 2 diabetes mellitus. Methods: This pre-experimental prospectively study was conducted at Dr. Adjidarmo General Hospital, KabupatenLebak, Banten Province, Indonesia. The study sample consisted of 30 type 2 diabetic patients who met the inclusion and exclusion criteria and who underwent a counseling intervention session and received a medication booklet. Compliance was measured against the MMAS-8 scores and HbA1C levels before the intervention and after 10 weeks of administration of counseling and receipt of the booklet). Results: The MMAS-8 scores before and after the intervention were 2.63±1.50 and 0.7±1.18, respectively. The HbA1C levels before and after the intervention were 11.31±2.95 and 8.12±2.79, respectively. The measurement results for MMAS-8 and HbA1C were analyzed using the Wilcoxon test. Conclusions: The analysis showed a significant difference (p<0.001) between the HbA1Cvalues and MMAS-8 scores before and after the intervention. Therefore, this study’s finding indicate that the provision of counseling and an informational booklet can improve type 2 diabetes mellitus patient compliance with treatment.