Translational research for Diabetes Self-Management in Sri Lanka: A randomized controlled trial

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Jayasuriya, R
Pinidiyapathirage, MJ
Jayawardena, R
Kasturiratne, A
de Zoysa, P
Godamunne, P
Gamage, S
Wickremasinghe, AR
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2015
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Abstract

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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Primary Care Diabetes

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9

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5

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This publication has been entered in Griffith Research Online as an advanced online version.

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Clinical sciences

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Life Sciences & Biomedicine

Endocrinology & Metabolism

Primary Health Care

General & Internal Medicine

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Jayasuriya, R; Pinidiyapathirage, MJ; Jayawardena, R; Kasturiratne, A; de Zoysa, P; Godamunne, P; Gamage, S; Wickremasinghe, AR, Translational research for Diabetes Self-Management in Sri Lanka: A randomized controlled trial, Primary Care Diabetes, 2015, 9 (5), pp. 338-345

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