Effects of Self-management Education Through Telephone Follow-up in Diabetic Patients

Abstract

It is expected that the number of people living with diabetes rise especially in low- and middle-income countries. In Iran, more than four million adults have diabetes mellitus, and self-management education is essential for effective diabetes self-care. This study aimed to investigate the effect of self-management education with telephone follow-up in diabetic patients of rural areas of Fars province in Lamerd city, Iran. In this experimental study, 64 participants were randomly assigned to intervention and control groups (32 patients for each group). In the intervention group, the participants attended four educational sessions, each lasting 90 minutes. The control group received the usual care. Outcome measures were clinical variables and the patients' scores in Diabetes Self-Management Questionnaire (DSMQ) in the preintervention and postintervention phases. Effects of the intervention were analyzed using Mann-Whitney U test and analysis of covariance. Data of 60 patients (30 in each group) were analyzed. There were significant differences between the two groups in fasting blood sugar after 3 months of intervention. There was a significant difference between the intervention and control groups in DSMQ sum scale after adjusting for baseline value. In subscales of DSMQ, there were significant differences between the intervention and control groups in glucose management, dietary control, and physical activity, whereas no significant difference was found in health care use between the intervention and control groups. Self-management education with telephone follow-up in diabetic patients in rural areas is effective, especially in improving fasting blood sugar level and increasing scores of patients based on DSMQ.

Self-management of non-communicable diseases in low- and middle-income countries: A scoping review

“…Namjoo Nasab et al deployed a system wherein patients would attend four 90-minute educational sessions, and receive weekly phone calls from a trained nurse to discuss adherence to their self-care behaviours. At the end of the study period, the intervention group demonstrated significant improvements in fasting blood sugar and various DM self-management scores, when compared to a control group [37]. Investigators in Mexico established a system where patients received disease-specific information through a peer-led group educational session, as well as subsequent care management from a multidisciplinary healthcare team.…”

Enhancing Diabetes Health Outcomes Among Haitian Migrants Living in Dominican Bateyes

“…Findings from the current study suggest that health education, mobile clinics, and grassroots efforts such as the Multiplicadores program may facilitate the promotion of healthful behaviors to manage T2DM. Past studies that have focused on enhancing T2DM outcomes among adults living with T2DM in low- and middle-income countries 9,30 -36 have also identified similar strategies that enhanced T2DM health outcomes (ie, use of cultural tailoring, engaging community health workers, providing peer support). 9,30 -36 While addressing T2DM in the bateyes may be challenging and complex, novel interventions are still needed.…”

“…Past studies that have focused on enhancing T2DM outcomes among adults living with T2DM in low-and middle-income countries 9,[30][31][32][33][34][35][36] have also identified similar strategies that enhanced T2DM health outcomes (ie, use of cultural tailoring, engaging community health workers, providing peer support). 9,[30][31][32][33][34][35][36] While addressing T2DM in the bateyes may be challenging and complex, novel interventions are still needed. Community-partnered research methods 37,38 seem prudent to overcome barriers and to enhance facilitators that may promote T2DM self-management and improve health outcomes for adults living with this disease in low-resourced communities.…”

Diabetes Self-management Education Effect on Family Knowledge of Hypoglycemia Episodes Detection on Type 2 Diabetes Mellitus

“…The data collection instrument uses a questionnaire adopted from an existing questionnaire and has tested validity and reliability, to measure the family's ability to detect episodes of hypoglycemia. DSME applies guidelines, counseling, and behavioral interventions to improve knowledge of diabetes and the skills of individuals and families in managing DM [17]. The stages of activity: a.…”

“…However, 50-80% of diabetic patients did not have good ability and knowledge to self-care out their disease [16]. Therefore, diabetes self-management education (DSME) plays an important role in clinical management to reduce diabetes-related complications and premature deaths of diabetes [17].…”