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https://hdl.handle.net/2440/67130
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Type: | Journal article |
Title: | A brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes |
Author: | Tan, M. Magarey, J. Chee, S. Lee, L. Tan, M. |
Citation: | Health Education Research, 2011; 26(5):896-907 |
Publisher: | Oxford Univ Press |
Issue Date: | 2011 |
ISSN: | 0268-1153 1465-3648 |
Statement of Responsibility: | M. Y. Tan, J. M. Magarey, S. S. Chee, L. F. Lee and M. H. Tan |
Abstract: | We assessed the effectiveness of a brief structured diabetes education programme based on the concept of self-efficacy on self-care and glycaemic control using single-blind study design. One hundred and sixty-four participants with poorly controlled diabetes from two settings were randomized using computer-generated list into control (n = 82) and intervention (n = 82) groups, of which 151 completed the study. Monthly interventions over 12 weeks addressed the self-care practices of diet, physical activity, medication adherence and self-monitoring of blood glucose (SMBG). These self-care practices were assessed at Weeks 0 and 12 using pre- and post-questionnaires in both groups together with glycated haemoglobin A1c (HbA1c) and diabetes knowledge. In the intention-to-treat analysis (n = 164), the intervention group improved their SMBG (P = <0.001), physical activity (P = 0.001), HbA1c (P = 0.03), diabetes knowledge (P = <0.001) and medication adherence. At Week 12, HbA1c difference adjusted for SMBG frequency, medication adherence and weight change remained significant (P = 0.03) compared with control group. For within group comparisons, diabetes knowledge (P = <0.001), HbA1c level (P = <0.001), SMBG (P = <0.001) and medication adherence (P = 0.008) improved from baseline in the intervention group. In the control group, only diabetes knowledge improved (P = <0.001). These findings can contribute to the development of self-management diabetes education in Malaysia. |
Keywords: | Humans Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Blood Glucose Self-Monitoring Self Care Single-Blind Method Health Knowledge, Attitudes, Practice Motor Activity Self Efficacy Middle Aged Malaysia Female Male Patient Education as Topic Medication Adherence Diet, Diabetic Outcome and Process Assessment, Health Care Glycated Hemoglobin |
Rights: | © The Author 2011. Published by Oxford University Press. All rights reserved. |
DOI: | 10.1093/her/cyr047 |
Published version: | http://dx.doi.org/10.1093/her/cyr047 |
Appears in Collections: | Aurora harvest 5 Nursing publications |
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