Effects of chronic care model-based intervention offered to elderly patients with diabetes on medication adherence, self-management, and activities of daily living: a randomized controlled trial
In brief
Chronic care training improved medication adherence and self-management in older adults
In a randomized trial of hospitalized older adults with diabetes, those given chronic care model-based training scored higher on medication adherence and diabetes self-management than those receiving usual care. The intervention did not significantly improve activities of daily living, so whether better adherence and self-management translate into greater day-to-day independence remains unknown.
- Journal
- Internal and emergency medicine (Q1)
- Published
- 5 November 2026
- Study design
- Randomized controlled trial
- Evidence level
- Level 1, High (CEBM 1b)
- Authors
- Yasemin Özyer Güvener, Zeliha Koç
- PMID
- 42989013
- DOI
- 10.1007/s11739-026-04580-y
Why clinicians should know about it
- Picked for Internal Medicine (top studies of the week, 8 November 2026): Randomized diabetes self-management intervention addresses adherence in multimorbidity-prone patients
Abstract
This study was conducted to reveal the effects of a Chronic Care Model (CCM)-based intervention offered to elderly patients with diabetes on their medication adherence, self-management, and activities of daily living. This randomized controlled study was conducted on diabetic patients; older adults received inpatient treatment in an internal medicine clinic of a state hospital; the patients in the trial group were provided with training using the CCM. The comparisons following the trial revealed that the differences between the group mean values were statistically significant in all variables except the Katz ADL (p < 0.05). The mean MARS score and mean total DSMS score of the trial group were found to be statistically significantly higher than those of the control group (p < 0.001). The study confirmed that CCM-based interventions offered to elderly patients with diabetes were effective on medication adherence and self-management.
Abstract as published, via PubMed.
For healthcare professionals. The summary is generated by AI from the published abstract, and the evidence level is assigned automatically from the study design on the Oxford CEBM hierarchy. Neither is medical advice. Read the full paper before changing practice.