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A brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes.
Health Educ Res. 2011 Oct; 26(5):896-907.HE

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.

Authors+Show Affiliations

Department of Nursing, Damai Medical and Heart Clinic, Melaka 75300, Malaysia. mytan53@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

21715653

Citation

Tan, M Y., et al. "A Brief Structured Education Programme Enhances Self-care Practices and Improves Glycaemic Control in Malaysians With Poorly Controlled Diabetes." Health Education Research, vol. 26, no. 5, 2011, pp. 896-907.
Tan MY, Magarey JM, Chee SS, et al. A brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes. Health Educ Res. 2011;26(5):896-907.
Tan, M. Y., Magarey, J. M., Chee, S. S., Lee, L. F., & Tan, M. H. (2011). A brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes. Health Education Research, 26(5), 896-907. https://doi.org/10.1093/her/cyr047
Tan MY, et al. A Brief Structured Education Programme Enhances Self-care Practices and Improves Glycaemic Control in Malaysians With Poorly Controlled Diabetes. Health Educ Res. 2011;26(5):896-907. PubMed PMID: 21715653.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes. AU - Tan,M Y, AU - Magarey,J M, AU - Chee,S S, AU - Lee,L F, AU - Tan,M H, Y1 - 2011/06/29/ PY - 2011/7/1/entrez PY - 2011/7/1/pubmed PY - 2012/1/13/medline SP - 896 EP - 907 JF - Health education research JO - Health Educ Res VL - 26 IS - 5 N2 - 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. SN - 1465-3648 UR - https://www.unboundmedicine.com/medline/citation/21715653/A_brief_structured_education_programme_enhances_self_care_practices_and_improves_glycaemic_control_in_Malaysians_with_poorly_controlled_diabetes_ L2 - https://academic.oup.com/her/article-lookup/doi/10.1093/her/cyr047 DB - PRIME DP - Unbound Medicine ER -