Main features include:
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...The proposed research has as its overall goal the development and implementation of effective medication adherence interventions to improve the health outcomes of Latinos with diabetes mellitus (DM). The proposed study builds upon and extends the research developed through a previous funded project, "Improving Treatment Adherence in Latinos with Diabetes Mellitus: A Randomized Controlled Trial of a Group Education Intervention." The previous study found that Latinos with DM, when they are given diabetes self-management education (DSME) and adherence counseling (AC), are more likely to make good treatment decisions (adhere to medication regimens) and to experience improved glycemic control. The next logical step would be to combine DSME and AC to develop and implement an effective, easy-to-implement adherence intervention. The proposed study will employ an experimental design to investigate whether a combination of DSME and AC in conjunction with an electronic medication monitoring device (EMD) is effective in improving adherence and glycemic control in Latinos with DM. The specific aims of the proposed study are to (1) develop and implement a culturally tailored DSME and AC program; (2) determine if a culturally tailored DSME and AC in conjunction with an EMD produces greater improvements in adherence, as compared to DSME and AC alone; (3) determine if a culturally tailored DSME and AC in conjunction with an EMD produces greater improvements in glycemic control, as compared to DSME and AC alone; (4) determine whether, for the individuals with the greatest degree of non-adherence at baseline, DSME and AC in conjunction with an EMD produces greater improvements in adherence, as compared to DSME and AC alone; and (5) determine if DSME and AC in conjunction with an EMD produces greater improvements in glycemic control, as compared to DSME and AC alone. This study has the potential to significantly contribute to the knowledge base of interventions for Latinos with DM.Q:
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