• Improving Medication Compliance and Self-Management in Elderly Type 2 Diabetes Patients through Mobile Health Education
  • Atefe Esmailpour Moalem,1,*
    1. MSc in geriatric nursing, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.


  • Introduction: Diabetes is the most common endocrine disease worldwide. Its prevalence increases with age and reaches its highest levels in older adults. Medication adherence and self-care behaviors are crucial factors in diabetes management. Mobile health education can help improve these behaviors. This study aimed to examine the effect of Idea software-based education on medication adherence and self-care behaviors among older adults with type 2 diabetes.
  • Methods: This randomized controlled clinical trial was conducted with 102 patients with type 2 diabetes at Mostafavian Diabetes Clinic in Sari, Iran. Participants were randomly assigned to either the intervention or control group. The intervention group received educational recommendations related to medication adherence and self-care behaviors through the Idea software, while the control group received printed recommendations. Data collection included adherence to medication, self-care, HbA1C, and FBS levels, measured before, one month, and three months post-intervention. Data were analyzed using SPSS version 26 and appropriate statistical tests.
  • Results: After the intervention, adherence to medication and self-care behaviors significantly increased in the intervention group (P<0.001). Additionally, a significant reduction in HbA1C and FBS levels was observed in the intervention group compared to the control group.
  • Conclusion: Mobile-based health education positively impacted medication adherence and self-care behaviors in older adults with type 2 diabetes. Given its advantages, such as affordability and accessibility, this approach can be considered for broader implementation in diabetes education programs.
  • Keywords: Diabetes Mellitus, Type 2; Self-Care; Medication Adherence; Mobile Health; Older Adults