Translational research for Diabetes Self-Management in Sri Lanka: A randomized controlled trial
Author(s)
Jayasuriya, R
Pinidiyapathirage, MJ
Jayawardena, R
Kasturiratne, A
de Zoysa, P
Godamunne, P
Gamage, S
Wickremasinghe, AR
Griffith University Author(s)
Year published
2015
Metadata
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Aims The study tested the hypothesis that a theory driven Diabetes Self-Management (DSM) intervention delivered by trained nurses would result in a clinically significant improvement in glycaemic control. Methods Patients with an HbA1c >7.5% (58 mmol/mol) and free of diabetes complications were enrolled into a randomized controlled trial (n = 85). Intervention consisted of four sessions and monthly follow up for 6 months. Biochemical tests, and diet and physical activity assessments were done in both groups. Analysis of covariance was used to test the effectiveness of the intervention. Results At 6 months, there was a ...
View more >Aims The study tested the hypothesis that a theory driven Diabetes Self-Management (DSM) intervention delivered by trained nurses would result in a clinically significant improvement in glycaemic control. Methods Patients with an HbA1c >7.5% (58 mmol/mol) and free of diabetes complications were enrolled into a randomized controlled trial (n = 85). Intervention consisted of four sessions and monthly follow up for 6 months. Biochemical tests, and diet and physical activity assessments were done in both groups. Analysis of covariance was used to test the effectiveness of the intervention. Results At 6 months, there was a significant difference (P = 0.001) in HbA1c between the groups controlling for baseline values and other variables. Based on the primary outcome, 28% in the intervention group achieved the target value of 6.5% HbA1c, compared to 8% in the "usual care" group (P < 0.001; η2 = 0.65). The reduction in total energy intake and increase in physical activity was significant in the intervention group between baseline and follow up. Conclusions The DSM intervention has resulted in a clinically significant impact on glycaemia, change in diet and physical activity, and has demonstrated the feasibility of using it within existing care arrangements in a developing country setting.
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View more >Aims The study tested the hypothesis that a theory driven Diabetes Self-Management (DSM) intervention delivered by trained nurses would result in a clinically significant improvement in glycaemic control. Methods Patients with an HbA1c >7.5% (58 mmol/mol) and free of diabetes complications were enrolled into a randomized controlled trial (n = 85). Intervention consisted of four sessions and monthly follow up for 6 months. Biochemical tests, and diet and physical activity assessments were done in both groups. Analysis of covariance was used to test the effectiveness of the intervention. Results At 6 months, there was a significant difference (P = 0.001) in HbA1c between the groups controlling for baseline values and other variables. Based on the primary outcome, 28% in the intervention group achieved the target value of 6.5% HbA1c, compared to 8% in the "usual care" group (P < 0.001; η2 = 0.65). The reduction in total energy intake and increase in physical activity was significant in the intervention group between baseline and follow up. Conclusions The DSM intervention has resulted in a clinically significant impact on glycaemia, change in diet and physical activity, and has demonstrated the feasibility of using it within existing care arrangements in a developing country setting.
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Journal Title
Primary Care Diabetes
Volume
9
Issue
5
Note
This publication has been entered in Griffith Research Online as an advanced online version.
Subject
Clinical sciences
Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
Primary Health Care
General & Internal Medicine