Informal Diabetes Education: Impact on Self-Management and Blood Glucose Control

2004 ◽  
Vol 30 (1) ◽  
pp. 136-142 ◽  
Author(s):  
Mary Lou Gillard ◽  
Robin Nwankwo ◽  
James T. Fitzgerald ◽  
Mary Oh ◽  
David C. Musch ◽  
...  
2007 ◽  
Vol 13 (4) ◽  
pp. 65-82 ◽  
Author(s):  
Joanne Gallivan ◽  
Mimi Lising ◽  
Neyal J. Ammary ◽  
Rachel Greenberg

The National Diabetes Education Program (NDEP) is a federally sponsored national partnership including government, nonprofit, professional, and private sector organizations. The NDEP uses social marketing principles and processes to develop and implement awareness campaigns and educational activities to improve the treatment and health status of people with diabetes. Co-sponsored by the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC), NDEP launched its “Control Your Diabetes. For Life.” awareness campaign in 1998. The campaign was designed to educate the millions of Americans with diabetes and their social supporters about the seriousness of diabetes, ways to control the disease, and the benefits of good glucose control. The NDEP conducted extensive audience research and applied behavior change theories and the social marketing framework to design, implement, and evaluate the campaign. From 1998 to 2003, the campaign achieved at least 700 million media impressions with its culturally appropriate television and radio public service announcements, print ads, and newspaper and magazine stories. In addition, over half of people with diabetes indicated awareness of the campaign and NDEP has tracked positive trends in practice of blood glucose testing and awareness of the A1C (also known as the hemoglobin A1C), the best measure of blood glucose control, since the campaign's launch.


Author(s):  
Mahendro Prasetyo Kusumo ◽  
Julita Hendrartini ◽  
Zaenal Muttaqien Sufro ◽  
Fatwa Sari Tetra Dewi Dewi

Background: Poor self-management behavior is one of the causes of the high number of patients with type 2 diabetes mellitus (T2DM) in Indonesia. Objectives: The aim of this study was to measure the effectiveness of TPA-based community empowerment as a form of education in improving the blood glucose control practices of patients with T2DM in Yogyakarta. Methods: This study used quantitative methods with a quasi-experimental non-equivalent pre-posttest control group design. The subjects of this study were “Prolanis member” patients with T2DM in the four primary health care centers in Sleman, Yogyakarta, Indonesia. Purposive sampling was done at four primary care in Sleman, Yogyakarta, Indonesia. From 138 T2DM patients, only 102 were eligible to become respondents. The questionnaires were adapted to the recommendations of endocrine experts’ associations to measure the level of T2DM patients’ knowledge, attitude and practices. Intervention was done for three months, from October to December 2019. Measurements were made before and after the TPA. Results: Attitude and behavior scores showed a significant increase (P < 0.05) after TPA intervention. Meanwhile, the average score of knowledge after the TPA intervention showed no significant increase (P > 0.05). Good self-management behavior in patients with T2DM was observed in Sleman Regency. Education through TPA based community empowerment should be considered as an appropriate intervention to improve DM management practice. Patients can receive material that is delivered easily because of the relaxed and pleasant environment during TPA. Conclusions: TPA-based community empowerment can create a relaxed and pleasant environment to improve blood glucose control practices in patients with T2DM.


2021 ◽  
Vol 38 (6) ◽  
pp. 31-35
Author(s):  
Sean D Wheatley ◽  
Nicola C Arjomandkhah ◽  
Campbell Murdoch ◽  
Matthew JG Whitaker ◽  
Nina M Evans ◽  
...  

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244692
Author(s):  
Cameron P. Hurst ◽  
Nitchamon Rakkapao ◽  
Karen Hay

We investigate the relationship of diabetes knowledge, diabetes management self-efficacy and diabetes self-management with blood glucose control among people with Thai type 2 diabetes mellitus (T2D). Seven hundred outpatients from diabetes clinics from large university and small community hospitals in two provinces of Thailand (Khon Kaen and Bangkok) were interviewed to evaluate their diabetes knowledge (DK), diabetes management self-efficacy (DMSE) and diabetes self-management (DSM). In addition, patient medical records were accessed to obtain other patient characteristics including patients’ HbA1c levels. Bivariate and multivariable logistic regression modelling was conducted and unadjusted and adjusted odds ratios obtained, respectively. Over half (52.4%) of the patients in our sample failed to control their blood glucose (HbA1c > 7%). All three psychometric measures (DK, DMSE and DSM) were identified as associated with blood glucose control in the bivariate analysis (ORDK(unadj) = 0.89, 95%CI: 0.82, 0.96; ORDSM(unadj) = 1.64, 95%CI: 1.46, 1.82; ORDMSE(unadj) = 2.84; 95%CI: 2.43, 3.32). However, after mutual adjustment and adjustment for other patient characteristics, of the three psychometric measures, only diabetes management self-efficacy remained associated with blood glucose control (ORDMSE(adj) = 2.67; 95%CI: 2.20, 3.25). Diabetes management self-efficacy is shown to be strongly associated with blood glucose control in the Thai Type 2 diabetes population. Current early diabetes interventions in Thailand tend to focus on disease knowledge. A stronger emphasis on enhancing patients’ disease management self-efficacy in these interventions is likely to lead to substantial improvement in both diabetes self-management and blood glucose control, thereafter reducing the risk, or prolonging the development, of chronic diabetes complications.


2021 ◽  
Author(s):  
Fuhua Huang ◽  
Jing Su ◽  
Xiaoxu Weng ◽  
Lili Dong ◽  
Yanzhu Chen ◽  
...  

Abstract Objective: The purpose of this study was to comprehensively evaluate and explore the current situation of comprehensive metabolic control, the factors that influence glycemic control and the relationships among these factors in patients with type 2 diabetes in a low-income population. Method: A total of 462 outpatients and inpatients with type 2 diabetes who met the national standard of low income were selected by random sampling. The Diabetes General data questionnaire, the Chinese version of Diabetes Distress Scale (DDS) and the Diabetes Knowledge and Self-Management Behavior Scale were administered, and HbA1c, blood pressure, blood lipid and BMI were examined to comprehensively evaluate the psychology, management knowledge, behavior and control status of diabetes mellitus. Then, multiple linear regression analysis was carried out. Results: The total score of the knowledge behavior was 89.57 ± 19.00, and 104 patients (22.5%) met the threshold for the Diabetes Knowledge and Self-Management Behavior Scale. Diabetes-related health knowledge and ability were negatively related to HBA1c. A total of 73.81% of patients reported diabetes-related psychological pain, and the most common dimension of which was psychological pain was the emotional burden. The total score of the DDS and scores on each dimension were positively related to HbA1c levels. Multiple linear regression showed that the main factors affecting blood glucose control were the total score of the knowledge and behavior scale, interpersonal-related pain, time of diabetes diagnosis, age, diabetic nephropathy, emotion-related pain, gender, and smoking status. Conclusion: The comprehensive metabolic control status of low-income type 2 diabetes patients is much lower than indicated by the results of 3B research. Because self-management behavior in the knowledge of diabetes is the most important factor affecting blood glucose control and there is a correlation between self-management behavior and diabetes psychology, according to the heterogeneity of diabetes, it is important to consider how to make full use of the Internet and other methods to carry out individual, accurate and effective care to promote comprehensive metabolic control among low-income patients with type 2 diabetes.


Author(s):  
Saminan Saminan ◽  
Naufal Rabbany ◽  
Zahratul Aini ◽  
Zulkarnain Zulkarnain ◽  
Cut Murzalina

Diabetes mellitus is a type of chronic disease that is non-transmitted. Aceh province is the province with the seventh-highest prevalence of diabetes mellitus in Indonesia at 2.4%. People with type 2 diabetes mellitus are at risk of various complications and can cause death. Self-management of diabetes is one of the things that can be done by people with diabetes mellitus in controlling various complications. This study aimed to find out the relationship between diabetes self-management and blood glucose control of type 2 diabetes mellitus patients in Ulee Kareng Subdistrict, Banda Aceh. This type of sampling method in this research was cross-sectional with the number of samples in this study as many as 88 respondents. The study was conducted using the DSMQ questionnaire filling method to assess diabetes self-management level and blood glucose level value when respondents assess blood glucose control. The results of the study obtained are 30.7% of respondents have a good level of diabetes self- management, 44.3% enough, and 25% bad. As for blood glucose control, 65.9% of respondents had uncontrolled blood glucose levels, and 34.1% controlled. The results of the chi-square test obtained a p-value of 0.000 and the spearman correlation test obtained a p-value of 0.000, as well as a correlation coefficient of 0.492. Based on the data analysis, it can be concluded that there is a significant relationship between moderate and unidirectional levels between diabetes self-management and blood glucose control of type 2 diabetes mellitus patients in Ulee Kareng Subdistrict, Banda Aceh.


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