Beneficial effect of an education and empowerment program on metabolic control in type II diabetes
Item
- Title
- Beneficial effect of an education and empowerment program on metabolic control in type II diabetes
- Author(s)
- Joyce Ben
- Abstract
-
Objective - To determine whether a program of education and empowerment for recently diagnosed type 2 diabetes patients leads to greater improvements in metabolic control, lifestyle and health-related wellbeing than usual care. Availability of data was used to assess empowerment of intervention subjects and standard of usual care for control subjects.Research Design - 12-month controlled intervention study.
Methodology - The study population consisted of 79 type II diabetes patients at the Hammersmith Hospital, (age 55 ( 12.5 years). 53 of these were volunteers for the intervention program, while data on the 26 control subjects was acquired from hospital records. Intervention consisted of 6 visits to the hospital for individual and group meetings with a registered dietician, supplemented by hand-held patient records (the Diabetes Passport). Control subjects received usual care, consisting of a preliminary health assessment and discussion at diagnosis, reinforced with a leaflet outlining self-care. Outcomes were weight and BMI, standing and lying blood pressure, HbA1c and fasting glucose, total cholesterol, high density lipoprotein and cholesterol:HDL ratio, serum triglycerides, creatinine, urine albumin/creatinine ratio, reported physical activity levels, diabetes knowledge, and reported quality of life. All of these indicators were assessed at baseline and 12-months; HbA1c was also measured at 6 months.
Results - The intervention and control populations showed marked disparities at baseline (in population size, HbA1c and fasting glucose, incidence of tobacco use and neuropathy). No parametric indicators were significantly changed at 6- or 12-months, with the exception of the intervention group's free T4 concentration (12.1 ( 1.8 vs. 13.4 ( 1.6, p=0.03; however, mean difference was exceeded by standard deviation). Likewise, no significant outcomes of intervention were apparent when comparing mean differences between the two groups. However, the total-population means of HbA1c and BMI for the intervention subjects showed a downward trend, while control subjects' BMI rose sharply and HbA1c rose at 6-months before falling at 12-months. Additionally, a negative correlation was found between change in HbA1c and changes in diabetes knowledge (p=0.03) and wellbeing (p=0.002).
Conclusions - Although the high rate of participant attrition at 12-months, and the relative lack of control data, led to a scarcity of significant results from this study, there are nevertheless encouraging trends which suggest that significant improvements might have been noted if more data had been available. The correlation analysis confirms the effectiveness of education and empowerment in promoting good glycaemic control in diabetes. - presented at
- British College of Osteopathic Medicine
- Date Accepted
- 0
- Date Submitted
- 1.1.1970 00:00:00
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 13677
- Inst-Identifier
- 1076
- Recommended
- 0
- Item sets
- Thesis
Joyce Ben, “Beneficial effect of an education and empowerment program on metabolic control in type II diabetes”, Osteopathic Research Web, accessed April 22, 2025, https://library.wso.at/s/orw/item/1080