Venue of receiving diabetes self-management education and training and its impact on oral diabetic medication adherence

Jun Wu, Mary Lynn Davis-Ajami, Virginia Noxon, Zhiqiang Kevin Lu

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Aims To determine predictors associated with the diabetes self-management education and training (DSME) venue and its impact on oral antidiabetic (OAD) medication adherence. Methods The Medical Expenditure Panel Survey household component (MEPS-HC) data (2010–2012) identified adults with diabetes prescribed OAD medication(s) who completed a supplemental Diabetes Care Survey (DCS). Based on the DCS responses to questions about the number and type of DSME venue(s), two groups were created: (1) multiple venues (a physician or health professional plus internet and/or group classes) vs (2) single venue (physician or health professional only). The medication possession ratio (MPR) measured medication adherence, with 0.80 the cut-point defining adherent. Logistic regression examined factors associated with the DSME venue and its effect on OAD medication adherence. Results Of the 2119 respondents, 41.6% received DSME from multiple venues. Age (<65 years), education-level (college or higher), high-income, and diet modification were significantly more likely associated with receiving DSME from multiple venues. In single vs multiple venues, medication adherence was suboptimal (mean MPR 0.66 vs 0.64, p = 0.245), and venue showed no influence on adherence (OR: 0.92, 95% CI, 0.73–1.16). Conclusion Sociodemographic characteristics influence where adults with diabetes receive DSME. Adding different DSME venues may not address suboptimal OAD medication adherence.

Original languageEnglish (US)
Pages (from-to)162-170
Number of pages9
JournalPrimary Care Diabetes
Issue number2
StatePublished - Apr 1 2017
Externally publishedYes


  • Diabetes
  • Diabetes self-management education and training
  • Medication adherence
  • Oral antidiabetic medication

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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