Telephonic follow-up to assess compliance to advice regarding lifestyle modification and confirmation of diagnosis given during a diabetes screening camp

Geeta S. Pardeshi, Shailaja Daral, Timiresh Das, Mukesh Kumar, Pragyan Parija, Shalini Smanla, Jugal Kishore


Background: Compliance to the advice given in the diabetes screening camp will ensure timely diagnosis and lifestyle modification in high risk individuals. The objective of the study was to determine factors associated with follow up telephonic contacts and compliance to advice regarding lifestyle modification and confirmation of diagnosis.

Methods: A prospective cohort study was conducted among persons aged more than 30 years attending a diabetes screening camp in outpatient department of a tertiary care hospital. Follow up telephonic contact to assess compliance was done among those with random blood sugar level >140mg/dl. Fisher’s exact test and relative risk with 95% confidence interval were calculated.

Results: Out of the 1798 individuals attending the screening camp, 170 (9.4%) had raised random blood sugar level. Of these, 113 (66%) could be contacted telephonically. Male gender (RR=1.45, 95% CI=1.12-1.89; p=0.002), formal education (RR=1.85, 95% CI=1.20-2.86; p=0.00), gainful employment (RR=1.31, 95% CI=1.002-1.72; p=0.04) and perception of diabetes as serious and fatal disease (RR=1.26, 95% CI=1.02-1.55;p=0.04) were significantly associated with successful follow up contact. Of the 103 eligible individuals followed up for assessment of compliance, 82 (80%), 63 (61%) and 50 (49%) were compliant to advice regarding diet, physical activity and follow up visits for confirmation of diagnosis respectively. None of the independent factors were significantly associated with compliance. Confirmation of diagnosis of diabetes and initiation of antidiabetic treatment was reported by 33 respondents.

Conclusions: A robust and holistic follow up mechanism to ensure better compliance to lifestyle modification and confirmation of diagnosis after a diabetes screening camp is needed.



Diabetes screening, Compliance, Follow up contact

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