The Impact of Telehealth-Based Diabetes Self-Management Education (DSME) on Medication Adherence in Rural Populations with Type 2 Diabetes

Bizimana Rukundo T.

Faculty of Biological Sciences Kampala International University Uganda

ABSTRACT

Type 2 diabetes (T2D) is a growing public health issue, particularly in rural populations where access to healthcare services is limited. Medication adherence is critical to effective T2D management, yet rural communities often face significant barriers, including long distances to medical facilities, limited healthcare resources, and socioeconomic challenges. Telehealth-based Diabetes Self-Management Education (DSME) has emerged as a promising solution to address these barriers by offering remote education and support to enhance medication adherence. This review examined the impact of telehealth-based DSME on medication adherence in rural populations with T2D. By utilizing telehealth platforms such as videoconferencing, mobile health applications, and remote monitoring, DSME programs provide patients with personalized education, facilitate continuous communication with healthcare providers, and offer behavioral interventions to improve self-management. Evidence from clinical studies suggests that telehealth-based DSME significantly improves medication adherence, leading to better glycemic control and reduced risk of diabetes-related complications. However, challenges such as the digital divide, training for healthcare providers, and privacy concerns must be addressed to fully realize the potential of these interventions. The methodology utilized in this review involved a comprehensive analysis of existing clinical trials, observational studies, and telehealth-based DSME programs to synthesize current knowledge and highlight effective strategies for improving medication adherence in rural populations.

Keywords: Telehealth, Diabetes Self-Management Education (DSME), Medication Adherence, Rural Populations, Type 2 Diabetes (T2D).

CITE AS: Bizimana Rukundo T. (2025). The Impact of Telehealth-Based Diabetes Self-Management Education (DSME) on Medication Adherence in Rural Populations with Type 2 Diabetes. RESEARCH INVENTION JOURNAL OF PUBLIC HEALTH AND PHARMACY 4(1): 56-60. https://doi.org/10.59298/RIJPP/2025/415660