OBJECTIVE: Aim of this study was to investigate the effectiveness of a patient education program for the treatment of hypoglycemia-associated problems in type 1 diabetic inpatients. METHODS: In this observational controlled pre-post study, the intervention group (IG; N = 105) participated in the new program, controls (control group CG; N = 102) received conventional patient education on hypoglycemia. RESULTS: Follow-up data (mean follow-up: 6.63 months) were obtained from 177 patients (85.6%). Though severe hypoglycemia also decreased in CG to some degree, the decrease in IG was higher than in CG, but fails to reach significance between groups. Hypoglycemia awareness remained constant in IG, whereas some deterioration was observed in CG (p = 0.06). Prevalence of hypoglycemia-related problems decreased in IG, whereas in CG it remained constant. No differential effects with regard to psychological well being, fear of hypoglycemia and late complications, and control beliefs were observed. CONCLUSION: The results suggest that the new intervention program is an effective treatment. The effectiveness should be confirmed, however, in a randomized controlled trial, also incorporating outpatient settings. PRACTICE IMPLICATIONS: A self-management intervention targeting the patients' health beliefs and attitudes towards hypoglycemia and their diabetes self-management, rather than knowledge-centered patient education, can help to ameliorate or even prevent hypoglycemia-associated problems.
RCT Entities:
OBJECTIVE: Aim of this study was to investigate the effectiveness of a patient education program for the treatment of hypoglycemia-associated problems in type 1 diabetic inpatients. METHODS: In this observational controlled pre-post study, the intervention group (IG; N = 105) participated in the new program, controls (control group CG; N = 102) received conventional patient education on hypoglycemia. RESULTS: Follow-up data (mean follow-up: 6.63 months) were obtained from 177 patients (85.6%). Though severe hypoglycemia also decreased in CG to some degree, the decrease in IG was higher than in CG, but fails to reach significance between groups. Hypoglycemia awareness remained constant in IG, whereas some deterioration was observed in CG (p = 0.06). Prevalence of hypoglycemia-related problems decreased in IG, whereas in CG it remained constant. No differential effects with regard to psychological well being, fear of hypoglycemia and late complications, and control beliefs were observed. CONCLUSION: The results suggest that the new intervention program is an effective treatment. The effectiveness should be confirmed, however, in a randomized controlled trial, also incorporating outpatient settings. PRACTICE IMPLICATIONS: A self-management intervention targeting the patients' health beliefs and attitudes towards hypoglycemia and their diabetes self-management, rather than knowledge-centered patient education, can help to ameliorate or even prevent hypoglycemia-associated problems.
Authors: Danielle Petricone-Westwood; Georden Jones; Brittany Mutsaers; Caroline Séguin Leclair; Christina Tomei; Geneviève Trudel; Andreas Dinkel; Sophie Lebel Journal: Int J Behav Med Date: 2019-02
Authors: T Danne; H W de Valk; T Kracht; K Walte; R Geldmacher; L Sölter; W von dem Berge; Z K Welsh; J R Bugler; K Lange; O Kordonouri Journal: Diabetologia Date: 2009-06-13 Impact factor: 10.122
Authors: Song Zhu; Fang Liu; Jina Li; Yuzhu Guan; Meng Meng; Xia Li; Zhiguang Zhou; Rong Xu; Lezhi Li Journal: J Int Med Res Date: 2020-08 Impact factor: 1.671