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In the two-year IT intervention period, five patients had reduced treatment participation and retention.
Thus, caution must be exercised when attributing the findings of this study to the IT intervention.
One study reported increased self-efficacy using the Diabetes Self-Efficacy Scale (DSES) [ 31] following the introduction of a patient-targeted IT intervention [ 19].
Nine of the studies reviewed identified an association between the IT intervention used and the outcome measures [ 17- 19, 21- 28, 28- 30].
One study evaluated a patient-directed IT intervention that used electronically delivered strategies to enhance diabetes self-efficacy beliefs and self-management behaviours, yet did not report self-efficacy as an outcome measure [ 23].
Therefore, when evaluating any new IT intervention in general practice it is important to examine professionals' perceptions and acceptance of the technology, because these factors could influence the outcomes of the intervention, yet this was not assessed in any of the studies reviewed.
Similar(46)
The Reframe-IT intervention comprises eight modules to be delivered during the 10-week intervention period.
Furthermore, the TAKE-IT intervention is clinic-based, and integrated with usual clinical care, making it feasible for application in practice.
It will not be possible for us to determine which component(s) of the TAKE-IT intervention are most powerful in promoting adherence.
The TAKE-IT intervention includes educational, organizational, and behavioural components to target common adherence barriers, and incorporates many of the adherence-promoting strategies previously identified as helpful in prior trials, and by families of adolescents with kidney transplants [ 18].
An important feature of the TAKE-IT intervention is that it is administered repeatedly at regular intervals – an intervention approach [ 46, 47] demonstrated to offer better sustained treatment effects than interventions delivered in single session or concentrated formats [ 48, 49].
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