Randomized controlled trial of a family-orientated self-management program to improve self-efficacy, glycemic control, and quality of life among Thai individuals with Type 2 Diabetes
Journal article
Wichit, Nutchanath, Mnatzaganian, George, Courtney, Mary, Schulz, Paula and Johnson, Maree. (2017). Randomized controlled trial of a family-orientated self-management program to improve self-efficacy, glycemic control, and quality of life among Thai individuals with Type 2 Diabetes. Diabetes Research and Clinical Practice. 123(1), pp. 37 - 48. https://doi.org/10.1016/j.diabres.2016.11.013
| Authors | Wichit, Nutchanath, Mnatzaganian, George, Courtney, Mary, Schulz, Paula and Johnson, Maree |
|---|---|
| Abstract | Aims: We evaluated a theoretically-derived family-oriented intervention aimed to improve self-efficacy, self-management, glycemic control and quality of life in individuals living with Type 2 diabetes in Thailand. Methods: In a single-blinded randomized controlled trial, 140 volunteer individuals with Type 2 diabetes, recruited from a diabetes clinic in rural Thailand, were randomly allocated to intervention and control arms. Those in the intervention arm received routine care plus a family-oriented program that included education classes, group discussions, a home visit, and a telephone follow-up while the control arm only received routine care. Improvement in outcomes over time (baseline, Week 3, and Week 13 following intervention) was evaluated using Generalized Estimating Equations multivariable analyses. Results: Except for age, no between-group significant differences were observed in all other baseline characteristics. Diabetes self-efficacy, self-management, and quality of life improved in the intervention arm but no improvement was observed in the controls. In the risk-adjusted multivariable models, compared to the controls, the intervention arm had significantly better self-efficacy, self-management, outcome expectations, and diabetes knowledge (p < 0.001, in each). Participation in the intervention increased the diabetes self-management score by 14.3 points (β = 14.3, (95% CI 10.7–17.9), p < 0.001). Self-management was better in leaner patients and in females. No between-group differences were seen in quality of life or glycemic control, however, in the risk-adjusted multivariable models, higher self-management scores were associated with significantly decreased HbA1c levels (p < 0.001) and improved patient quality of life (p < 0.05) (irrespective of group membership). Conclusions: Our family-oriented program improved patients’ self-efficacy and self-management, which in turn could decrease HbA1c levels. |
| Keywords | health outcome; family-oriented; self-management; Type 2 diabetes; randomized controlled trial |
| Year | 2017 |
| Journal | Diabetes Research and Clinical Practice |
| Journal citation | 123 (1), pp. 37 - 48 |
| Publisher | Elsevier |
| ISSN | 0168-8227 |
| Digital Object Identifier (DOI) | https://doi.org/10.1016/j.diabres.2016.11.013 |
| Scopus EID | 2-s2.0-85002543108 |
| Open access | Open access |
| Page range | 37 - 48 |
| Research Group | School of Nursing, Midwifery and Paramedicine |
| Publisher's version | License |
| Place of publication | Ireland |
| Editors | A. Ceriello |
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| License: CC BY-NC-ND 4.0 | |
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