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Logo of ijdiabdevcspringer.comThis journalToc AlertsSubmit OnlineOpen ChoiceInternational Journal of Diabetes in Developing Countries
 
Int J Diabetes Dev Ctries. 2010 Apr-Jun; 30(2): 105.
PMCID: PMC2878689

Educational program for patients with type-1 diabetes mellitus receiving free monthly supplies of insulin improves knowledge and attitude, but not adherence

Dear Sir,

I have read with interest the article titled, ‘Educational program for patients with type-1 diabetes mellitus receiving free monthly supplies of insulin improves knowledge and attitude, but not adherence,’ Vimalavathini et al.[1] The authors mention in the second paragraph of introduction, “When a patient does not respond to an appropriately prescribed medicine, the reasons could be drug or patient-related factors”. I agree, but at the same time I want to add that, the reasons could also be communication-related factors. The authors already mention in the third paragraph that, “Planned interventional education programs have shown to provide a positive impact on improving the KAP scores in diabetic patients”.

Education is a broad concept, which encompasses both teaching and learning. Evidence-based studies show that doctors' interpersonal and communication skills have a significant impact on improved health outcomes.[24] To provide comprehensive care, many key qualities are essential, which include the ability to communicate effectively with the patient, act in a professional manner, cultivate an awareness of one's own values and prejudices, and provide care with an understanding of the cultural and spiritual dimensions of the patient's life.[5]

Quality drugs, discipline, and diet (3D) are the principles of diabetic management. However, patients' adherence, compliance with medication, and disease outcome are closely associated with the quality of communication and a planned interventional education program.

References

1. Vimalavathini R, Agarwal SM, Gitanjali B. Educational program for patients with type-1 diabetes mellitus receiving free monthly supplies of insulin improves knowledge and attitude, but not adherence. Int J Diab Dev Ctries. 2008;28:86–90. [PMC free article] [PubMed]
2. Salam A, Ahmad Faizal MP, Siti Harnida MI, Zulkifli Z, Azian AL, Soon Pheng NG, et al. UKM Medical Graduates' Perception of their Communication Skills during Housemanship. Med Health. 2008;3:54–8.
3. Rider EA, Keefer CH. Communication skills competencies: Definitions and a teaching tool box. Med Educ. 2006;40:624–9. [PubMed]
4. Stewart MA. Effective physician-patient communication and health outcomes: A review. CMAJ. 1995;152:123–33. [PMC free article] [PubMed]
5. Litzelman DK, Cottingham AH. The new formal competency-based curriculum in Indiana University School of Medicine: Overview and five year analysis. Acad Med. 2007;82:410–21. [PubMed]

Articles from International Journal of Diabetes in Developing Countries are provided here courtesy of Springer