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Date of Award


Document Type

Thesis - Pacific Access Restricted

Degree Name

Master of Arts (M.A.)



First Advisor

Martin T. Gipson

First Committee Member

Kenneth Beauchamp

Second Committee Member

Cris Clay


Nonadherence with blood glucose testing is a prevalent and potentially dangerous problem for patients with diabetes. Unit dose packaging has been shown to increase medication adherence in several populations. However, this technique has not been applied to products other than pills, and has not been used with diabetes patients. The present study used unit dose packaged blood testing and injection materials and a brief telephone prompt to increase the frequency with which diabetes patients test their blood glucose. In a combined multiple baseline A-B-BC-A design, baseline was established for at least 3 weeks (A) followed by special packaging for at least 2 weeks (B) special packaging plus a telephone prompt (BC), and then a 3 week return to baseline (A). Adherence was measured with self-report forms, trace measures of used testing materials, and the Wagner's Blood Testing Questionnaire. Results show that overall, there was a difference between baseline and treatment, with treatment, either B or BC, yielding the highest overall adherence for all 5 participants.



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