Evaluation of the Relationship Between Missed Appointments and Adherence to Medical Indications

NCT06501456 | Completed

• 1 other identifier: 5595
• Study Type: observational
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

We will conduct a cross-sectional study involving adults with type 2 diabetes mellitus. Our primary objective is to evaluate the association between nonattendance and participants' adherence to both pharmacological and non-pharmacological medical recommendations, as well as COVID-19 prevention measures. Additionally, we will assess the adherence rates to these medical recommendations, COVID-19 prevention protocols, and the recommended health care practices and controls for patients with type 2 diabetes mellitus.

Conditions

No-Show Patients; Therapeutic Adherence and Compliance; Type 2 Diabetes Mellitus; COVID-19

Keywords

No Show Patients; Patient Compliance; Type 2 diabetes mellitus; COVID-19

Outcome Measures

Primary Outcomes (1)

• Association between non-attendance to scheduled outpatient shifts and adherence to doctor's instructions in adult patients

  Measured the association between absenteeism from outpatient visits and adherence to medical indications in adults with type 2 diabetes mellitus.

  2020 - 2021

Secondary Outcomes (1)

• Adherence of patients with type 2 diabetes mellitus to medical indications during the pandemic

  July 2020

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adults with diagnosis of type 2 diabetes mellitus

You may qualify if:

• Adult patients (over 18 years old), affiliated with the medical insurance of the Hospital Italiano de Buenos Aires for at least two years.
• Patients with a diagnosis of type 2 diabetes mellitus at least 2 years before the date of entry to the study Will be included.

You may not qualify if:

• Refusal to participate or to the informed consent process.
• Difficulties with language or comprehension (includes pathologies that alter the understanding of the indications or compliance with them (dementia, encephalopathy, intellectual disability, psychiatric disorders).
• Recent hospitalization (the month before the phone call).
• Medical follow-up outside of Hospital Italiano de Buenos Aires.
• Work as health personnel.
• Communication failure (wrong phone number or no response to 3 calls on different days and times)

Sponsors & Collaborators

• Hospital Italiano de Buenos Aires: lead

Study Sites (1)

Hospital Italiano de Buenos Aires

Ciudad Autónoma de Buenos Aire, Buenos Aires F.D., C1199ABB, Argentina

Location

Related Publications (9)

• Zeleke Negera G, Charles Epiphanio D. Prevalence and Predictors of Nonadherence to Diet and Physical Activity Recommendations among Type 2 Diabetes Patients in Southwest Ethiopia: A Cross-Sectional Study. Int J Endocrinol. 2020 Feb 28;2020:1512376. doi: 10.1155/2020/1512376. eCollection 2020.

  PMID: 32190048 RESULT

• Brewster S, Bartholomew J, Holt RIG, Price H. Non-attendance at diabetes outpatient appointments: a systematic review. Diabet Med. 2020 Sep;37(9):1427-1442. doi: 10.1111/dme.14241. Epub 2020 Feb 3.

  PMID: 31968127 RESULT

• American Diabetes Association. 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020 Jan;43(Suppl 1):S48-S65. doi: 10.2337/dc20-S005.

  PMID: 31862748 RESULT

• Sun CA, Taylor K, Levin S, Renda SM, Han HR. Factors associated with missed appointments by adults with type 2 diabetes mellitus: a systematic review. BMJ Open Diabetes Res Care. 2021 Mar;9(1):e001819. doi: 10.1136/bmjdrc-2020-001819.

  PMID: 33674280 RESULT

• Lee RRS, Samsudin MI, Thirumoorthy T, Low LL, Kwan YH. Factors affecting follow-up non-attendance in patients with Type 2 diabetes mellitus and hypertension: a systematic review. Singapore Med J. 2019 May;60(5):216-223. doi: 10.11622/smedj.2019042.

  PMID: 31187148 RESULT

• Pourhabibi N, Mohebbi B, Sadeghi R, Shakibazadeh E, Sanjari M, Tol A, Yaseri M. Determinants of Poor Treatment Adherence among Patients with Type 2 Diabetes and Limited Health Literacy: A Scoping Review. J Diabetes Res. 2022 Jul 4;2022:2980250. doi: 10.1155/2022/2980250. eCollection 2022.

  PMID: 35832786 RESULT

• Giunta D, Briatore A, Baum A, Luna D, Waisman G, de Quiros FG. Factors associated with nonattendance at clinical medicine scheduled outpatient appointments in a university general hospital. Patient Prefer Adherence. 2013 Nov 8;7:1163-70. doi: 10.2147/PPA.S51841. eCollection 2013.

  PMID: 24235820 RESULT

• Giunta DH, Alonso Serena M, Luna D, Peroni ML, Sanchez Thomas D, Binder F, Blugerman GA, Fuentes N, Elizondo CM, Gonzalez Bernaldo de Quiros F. Association between non-attendance to outpatient clinics and emergency department consultations, hospitalizations and mortality in a Health Maintenance Organization. Int J Health Plann Manage. 2020 Sep;35(5):1140-1156. doi: 10.1002/hpm.3021. Epub 2020 Jul 9.

  PMID: 32648278 RESULT

• Giunta DH, Alonso Serena M. Nonattendance rates of scheduled outpatient appointments in a university general hospital. Int J Health Plann Manage. 2019 Oct;34(4):1377-1385. doi: 10.1002/hpm.2797. Epub 2019 May 7.

  PMID: 31062463 RESULT

Related Links

• INDEC Argentina

MeSH Terms

Conditions

No-Show Patients; Treatment Adherence and Compliance; Diabetes Mellitus, Type 2; COVID-19; Patient Compliance

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Health Behavior; Behavior; Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Study Officials

• Javier Nicolás Giunta, MD

  Hospital Italiano de Buenos Aires

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE CROSSOVER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: May 27, 2021
• First Posted: July 15, 2024
• Study Start: July 1, 2020
• Primary Completion: August 1, 2020
• Study Completion: August 1, 2020
• Last Updated: July 15, 2024

Record last verified: 2024-07

Locations

AR (1)