Introduction The purpose of this study is to assess the effectiveness of diabetes self-management education (DSME) in a rural agricultural town. METHODS: In this prospective, education-intervention trial, 85 adults with type 2 diabetes mellitus from villages randomly assigned to DSME and 70 from villages assigned to standard care participated. The DSME group underwent a curriculum delivered by peer educators; those in the standard group received usual advice. Outcome measures were anthropometric, biochemical, health behaviors, and medication use data taken at baseline then after three and six months. RESULTS:DSME group had a lower median A1C after three and six months. After six months, there was a 0.5% median A1C reduction in DSME group and a 0.25% increase in the standard group. There were more participants in DSME group with A1C ⩽7.0% after three and six months. By the third month, there were more participants in DSME group performing foot examination. CONCLUSION:DSME in this rural agricultural town improved glycemic control and promoted foot examination.
RCT Entities:
Introduction The purpose of this study is to assess the effectiveness of diabetes self-management education (DSME) in a rural agricultural town. METHODS: In this prospective, education-intervention trial, 85 adults with type 2 diabetes mellitus from villages randomly assigned to DSME and 70 from villages assigned to standard care participated. The DSME group underwent a curriculum delivered by peer educators; those in the standard group received usual advice. Outcome measures were anthropometric, biochemical, health behaviors, and medication use data taken at baseline then after three and six months. RESULTS: DSME group had a lower median A1C after three and six months. After six months, there was a 0.5% median A1C reduction in DSME group and a 0.25% increase in the standard group. There were more participants in DSME group with A1C ⩽7.0% after three and six months. By the third month, there were more participants in DSME group performing foot examination. CONCLUSION: DSME in this rural agricultural town improved glycemic control and promoted foot examination.
Entities:
Keywords:
community medicine; diabetes mellitus; health education; rural health; rural population
Authors: Roberta Lamptey; Maud P Robben; Mary Amoakoh-Coleman; Daniel Boateng; Diederick E Grobbee; Melanie J Davies; Kerstin Klipstein-Grobusch Journal: Diabet Med Date: 2022-03-08 Impact factor: 4.213
Authors: David Flood; Jessica Hane; Matthew Dunn; Sarah Jane Brown; Bradley H Wagenaar; Elizabeth A Rogers; Michele Heisler; Peter Rohloff; Vineet Chopra Journal: PLoS Med Date: 2020-11-12 Impact factor: 11.613