08 January 2025
Sunaryo S.Kom
PHARMACY USU PUBLIC RELATIONS – The Faculty of Pharmacy, Universitas Sumatera Utara, held the Doctoral Promotion Examination (Open Session) for the Doctoral Program in Pharmaceutical Sciences on Tuesday, January 7, 2025, at 4:00 PM until completion in the IMT-GT Room, 2nd Floor, BPA Building, USU.
The promovenda for this open session was Embun Suci Nasution, who presented her dissertation titled "The Effect of Digital Medication Reminder Interventions on Medication Adherence and Clinical Outcomes in Type 2 Diabetes Mellitus Patients" and scientific articles titled "Association Between Characteristics of Type 2 Diabetes Mellitus Patients and Medication Adherence" and "Medication Reminder Application App to Enhance Medication Adherence of Type 2 Diabetes Mellitus Patients".
The examination was chaired by the Rector of Universitas Sumatera Utara, Prof. Dr. Muryanto Amin, S.Sos., M.Si., with the Advisory Committee consisting of:
Promoter: Prof. Dr. Urip Harahap, Apt.
Co-Promoter: Assoc. Prof. Dr. Baharudin Ibrahim, B.Pharm. (Hons). M.Pharm. Clinical Pharmacy, Ph.D.
Co-Promoter: Khairunnisa, M.Pharm., Ph.D., Apt.
The external examiners included:
Prof. Dr. Wiryanto, M.S., Apt.
Dr. Aminah Dalimunthe, M.Si., Apt.
Prof. Dr. Hasniza Zaman Huri
Prof. Dr. Suharjo, M.S., Apt.
Summary of the Promovenda’s Dissertation:
Numerous studies indicate low medication adherence among type 2 diabetes mellitus patients, necessitating interventions to improve adherence. One such intervention is a medication reminder app. This study aimed to evaluate the effectiveness of a digital medication reminder intervention on medication adherence and clinical outcomes in type 2 diabetes mellitus patients.
The study employed a mixed-methods design for phases I and II, conducted from August 2021 to June 2022 in healthcare facilities in Medan, followed by qualitative research. Phase III was a quasi-experimental study using a one-group pre-test and post-test design conducted from February to May 2024 in hospitals and public health centers in Medan.
Participants were outpatient type 2 diabetes mellitus patients who used the medication reminder app DiaCare on their smartphones. Respondents were assessed using the DKQ-24 questionnaire to measure knowledge, MARS-5 to measure adherence, and DQoL to measure quality of life. Data were analyzed using SPSS. Key findings included:
No correlation between respondents' characteristics and their knowledge or adherence levels.
Major factors influencing non-adherence included fear of side effects, forgetfulness, laziness, boredom, running out of medication, feeling healthy, and financial issues.
The DiaCare app increased adherence by 30%, reduced fasting blood glucose by 23.3%, and improved quality of life by 23.3%.
The DiaCare medication reminder app proved effective in enhancing medication adherence and clinical outcomes in type 2 diabetes mellitus patients.
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