scholarly journals Effects of Face-To-Face and Online Training on Self-Care of Middle-Aged and Elderly People with Type 2 Diabetes: A Comparative Study

2019 ◽  
Vol 7 (7) ◽  
pp. 1214-1219
Author(s):  
Es-hagh Ildarabadi ◽  
Mohammad Ghasem Tabei ◽  
Ameneh Mosaferi Khosh
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Self Care ◽  
Online Training ◽  
Training Group ◽  
Training Method ◽  
Middle Aged ◽  
Face To Face ◽  
The Face

BACKGROUND: Self-care training is one of the strategies used to control diabetes. There is some ambiguity about the appropriate method for educating middle-aged and older adults about self-care. AIM: This study aimed to compare the effects of face-to-face and online training on self-care levels in middle-aged and older adults with type 2 diabetes. MATERIAL AND METHODS: In a randomised clinical trial, 84 middle-aged and older adults with type 2 diabetes who had been referred to the Diabetes Clinic of Esfarayen in Iran, were evaluated. Patients who meet the inclusion criteria were randomly assigned into two groups. Diabetes self-care education (DSCE) was provided using a face-to-face training method in one group and using online training method in the other group. The summary of diabetes self-care activities (SDSCA) questionnaire was completed at baseline and 1 month after training. RESULTS: The mean and standard deviation of self-care scores before and 1 month after training were 43.16 ± 14.94 and 65.76 ± 10.65 in the face-to-face training group, and 37 ± 10.75 and 56.82 ± 12.06 in the online training group, respectively. The differences in the self-care scores were significant both before and after the intervention in the two groups (p < 0.05). Although the difference was greater in the face-to-face training group than in the online training group, it was not statistically significant (P > 0.05). CONCLUSION: Both face-to-face and online training had a similar effect on the self-care levels in middle-aged and older adults with type 2 diabetes. Therefore, both training methods could be used as effective techniques to meet the needs and educational requirements of middle-aged and older adults with type 2 diabetes.

Does Interrupting Prolonged Sitting With 10- or 20-Min Standing Attenuate Postprandial Glycemia and Blood Pressure in Middle-Aged and Older Adults With Type 2 Diabetes?

2020 ◽  
pp. 1-8
Author(s):  
Yuri A. Freire ◽  
Carlos A. Silva ◽  
Geovani A. D. Macêdo ◽  
Rodrigo A. V. Browne ◽  
Bruno M. de Oliveira ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Older Adults ◽  
Area Under The Curve ◽  
Acute Effect ◽  
Sitting Time ◽  
Middle Aged ◽  
Postprandial Glycemia ◽  
Prolonged Sitting

We carried out three types of 2-hr experimental sessions with middle-aged and older adults with Type 2 diabetes in order to examine the acute effect of interrupting prolonged sitting with varying periods of standing on postprandial glycemia and blood pressure (BP): (a) prolonged sitting after breakfast; (b) standing for 10 min, 30 min after breakfast; and (c) standing for 20 min, 30 min after breakfast. Glucose and BP were assessed before and after breakfast. A generalized linear model revealed no significant differences for the incremental area under the curve of glucose between standing for 10 min, 30 min after breakfast, versus prolonged sitting after breakfast (β = –4.5 mg/dl/2 hr, 95% CI [–17.3, 8.4]) and standing for 20 min, 30 min after breakfast, versus prolonged sitting after breakfast (β = 0.9 mg/dl/2 hr, 95% CI [–11.9, 13.7]). There was no difference in area under the curve of systolic and diastolic BP among the sessions. Interrupting prolonged sitting time with 10 or 20 min of standing 30 min after breakfast does not attenuate postprandial glycemia or BP in middle-aged and older adults with Type 2 diabetes.

scholarly journals Effects of Face-to-Face and Telephone-Based Family-Oriented Education on Self-Care Behavior and Patient Outcomes in Type 2 Diabetes: A Randomized Controlled Trial

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Masumeh Hemmati Maslakpak ◽  
Somaieh Razmara ◽  
Zahra Niazkhani
Keyword(s):  
Type 2 Diabetes ◽  
Patient Outcomes ◽  
Controlled Trial ◽  
Self Care ◽  
Control Group ◽  
Face To Face ◽  
Randomized Controlled ◽  
Education Group ◽  
Care Behavior

Background. Education of patients and their families is the cornerstone of effective diabetes care. The present study aimed to compare the effects of a face-to-face and telephone-based family-oriented educational program on self-care behavior and patient outcomes in type 2 diabetes patients. Methods. In the present randomized controlled trial, 90 type 2 diabetes patients were randomly divided into three groups of 30 participants: a face-to-face education group, a telephone-based education group, and a control group. The educational program lasted for 3 months. Outcomes evaluated included self-care, fasting blood sugar, hemoglobin A1c, cholesterol, and triglyceride. Results. The overall self-care scores in the intervention groups were significantly higher than that in the control group (P=0.0001). In addition, lipid profiles significantly improved in the interventions compared to the control (P<0.05). Comparing the two interventions showed better results for the face-to-face group regarding dietary adherence and physical activity, but the latter group had comparable results in blood glucose monitoring, foot care, and cholesterol level. Conclusions. This study shows the beneficiary effects of a family-oriented education on self-care and patient outcomes. It also shows the potential value of low-cost telephone technology in delivering effective diabetes care.

scholarly journals Low muscle mass and risk of type 2 diabetes in middle-aged and older adults: findings from the KoGES

Diabetologia ◽  
2017 ◽  
Vol 60 (5) ◽  
pp. 865-872 ◽  
Author(s):  
Jang Won Son ◽  
Seong Su Lee ◽  
Sung Rae Kim ◽  
Soon Jib Yoo ◽  
Bong Yun Cha ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Muscle Mass ◽  
Middle Aged

Managing Type 2 Diabetes in Low-Income, Middle-Aged and Older Adults: A Pilot Study

2011 ◽  
Author(s):  
Leilani Feliciano ◽  
Mary E. Steers ◽  
Sarah L. Anderson ◽  
Allison A. Jay ◽  
Brenna Renn
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Pilot Study ◽  
Low Income ◽  
Middle Aged

667-P: Effect of the Diabetes BeHaS Program on Diabetes Self-Care, Diabetes Empowerment, and Physical Function in Older Adults with Type 2 Diabetes

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 667-P
Author(s):  
KEUMOK PARK ◽  
BON JEONG KU ◽  
BOHYUN KIM ◽  
SOHYUN JIN ◽  
YOUNGSHIN SONG
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Physical Function ◽  
Self Care ◽  
Diabetes Empowerment

Accelerometer-measured Physical Activity of Older Adults with Type 2 Diabetes: A scoping review (Preprint)

2021 ◽  
Author(s):  
Ioana A. Moldovan ◽  
Alexa Bragg ◽  
Anna Nidhiry ◽  
Barbara A. De La Cruz ◽  
Suzanne E. Mitchell
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Older Adults ◽  
Scoping Review ◽  
Self Report ◽  
Physical Activity Intensity ◽  
Middle Aged ◽  
Promising Alternative ◽  
Activity Intensity

BACKGROUND Incorporating physical activity in lifestyle routines is recommended for individuals living with type 2 diabetes. Accelerometer devices offer a promising alternative to self-report methods for measuring physical activity performance. However, the extant literature for accelerometer-measured physical activity among middle-aged/older adults with chronic conditions is lacking. OBJECTIVE We conducted a comprehensive scoping review of the literature to capture accelerometry methodologies in older adults with type 2 diabetes, specifically in relation to cutpoints that classify physical activity into intensity categories (sedentary, light, moderate, vigorous, very vigorous). METHODS Applying the Joanna Briggs Institute’s methodology, we searched PubMed, Web of Science, EMBASE, and Engineering Village to identify studies that used research-grade accelerometers to objectively measure physical activity intensity levels of adults with type 2 diabetes using cutpoints in participant samples of mean age 50 years and older. RESULTS We identified 46 studies that met our inclusion criteria. The ActiGraph was the most popular accelerometer among researchers, and the Freedson (1998) and Troiano (2008) cutpoints were favored the most. The Lopes (2009) cutpoints were developed by calibrating the ActiGraph accelerometer in middle-aged and older adults with overweight/ obesity and type 2 diabetes. Several studies noted limitations of accelerometry use that could lead to an underestimation or inaccurate representation of physical activity for our population of interest. Limitations included decreased accuracy due to variation in device placement and underestimation of activity intensity attributed to using cutpoints in older adults with lower fitness levels that were originally validated with younger adults. CONCLUSIONS Considering the high variability among accelerometry methodologies, more work needs to be done to understand activity intensity cut-offs for populations with a high burden of chronic disease, older age, and suboptimal physical functioning.

scholarly journals Physical Function Following a Long-Term Lifestyle Intervention Among Middle Aged and Older Adults With Type 2 Diabetes: The Look AHEAD Study

2017 ◽  
Vol 73 (11) ◽  
pp. 1552-1559 ◽  
Author(s):  
Denise K Houston ◽  
Rebecca H Neiberg ◽  
Michael E Miller ◽  
James O Hill ◽  
John M Jakicic ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Physical Function ◽  
Lifestyle Intervention ◽  
Middle Aged ◽  
Look Ahead ◽  
The Look
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