Panan Pichayapinyo1, Laura R Saslow2, James E Aikens3, Nicolle Marinec4, Jutatip Sillabutra1, Piyamon Rattanapongsai5, John D Piette4,6. 1. Faculty of Public Health, Mahidol University, Bangkok, Thailand. 2. School of Nursing, University of Michigan, Ann Arbor, Michigan. 3. Department of Family Medicine, University of Michigan, Ann Arbor, Michigan. 4. Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, Michigan. 5. Non-communicable disease clinic, Health Promoting Hospital, Pathumthani Province, Thailand. 6. School of Public Health and Center for Diabetes Translational Research, University of Michigan, Ann Arbor, Michigan.
Abstract
BACKGROUND: Thailand has a shortage of community health nurses for supporting the self-management of type 2 diabetes, which is prevalent and poorly controlled. AIM: This study examined the feasibility and acceptability of a self-care assistance programme for poorly controlled type 2 diabetes mellitus. The SukapapNet programme consisted of automated interactive voice response calls to patients and automated follow-up email notifications to their nurses. DESIGN: Single-arm pre-post trial. METHODS: Six nurses and 35 type 2 diabetes patients were recruited from primary care settings in suburban provinces in Thailand. The study was conducted from June 2017 to November 2017. We assessed patients before and after 12 weeks of the SukapapNet intervention. RESULTS: Mean glycated haemoglobin decreased by 0.9%. Patients reported reduced carbohydrate consumption, increased physical activity, increased medication adherence, improved sleep quality, and more frequent foot care. Patients and nurses both recommended using the intervention, although nurses expressed concerns regarding increased workload. CONCLUSIONS: The study programme could improve outcomes in Thai type 2 diabetes patients. Further study of the impact of technology upon nurses' workload is warranted.
BACKGROUND: Thailand has a shortage of community health nurses for supporting the self-management of type 2 diabetes, which is prevalent and poorly controlled. AIM: This study examined the feasibility and acceptability of a self-care assistance programme for poorly controlled type 2 diabetes mellitus. The SukapapNet programme consisted of automated interactive voice response calls to patients and automated follow-up email notifications to their nurses. DESIGN: Single-arm pre-post trial. METHODS: Six nurses and 35 type 2 diabetespatients were recruited from primary care settings in suburban provinces in Thailand. The study was conducted from June 2017 to November 2017. We assessed patients before and after 12 weeks of the SukapapNet intervention. RESULTS: Mean glycated haemoglobin decreased by 0.9%. Patients reported reduced carbohydrate consumption, increased physical activity, increased medication adherence, improved sleep quality, and more frequent foot care. Patients and nurses both recommended using the intervention, although nurses expressed concerns regarding increased workload. CONCLUSIONS: The study programme could improve outcomes in Thai type 2 diabetespatients. Further study of the impact of technology upon nurses' workload is warranted.
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