Effects of modified brief counseling-5A and religious motivational SMS on medication-taking behavior and compliance of diabetes mellitus patients

Ginanjar Zukhruf Saputri, Akrom Akrom, Okta Mutia Sari


Compliance with treatment determines whether the therapeutic target of Diabetes Mellitus (DM), that is, blood glucose control, is achieved. Since knowledge of DM management can improve adherence in medication-taking behavior, counseling by pharmacists is believed to contribute to its better acquisition. Nevertheless, many counseling and reminder media are still currently developed. This study was intended to identify the effects of brief counseling with 5A modification and a motivational reminder through short message services (SMS), designed with a religious approach, on medication-taking behavior and adherence among DM outpatients at Jetis 1 Community Health Center, Bantul, Yogyakarta. This quasi-experimental study employed a pretest-posttest control group design, and the data were collected prospectively from the outpatients from May to August 2018. After signing an informed consent form, 72 patients who met the inclusion criteria were divided evenly into two groups, namely the treatment group and the control group. Patients who were pregnant or audibly impaired were excluded. The data acquisition involved interviews using two sets of questionnaires on medication-taking behavior and the Medication Adherence Rating Scale (MARS). The levels of medication-taking behavior and compliance were statistically assessed using the Wilcoxon test. The results showed that brief counseling-5A, combined with religious motivational SMS, raised the stage of behavior change in DM patients. There were increases (Δ) in medication-taking behavior by 2.76±1.59 and patient compliance by 3.44±3.45. In conclusion, brief counseling-5A by pharmacists and motivational text reminders can improve the medication-taking behavior and compliance of DM patients with the therapy.

DOI: http://doi.org/10.11591/ijphs.v11i3.21348


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International Journal of Public Health Science (IJPHS)
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