How do multi-modality strategies affect outcomes in T2D using a randomized control trial?

Abstract

A randomized clinical trial to examine the levels of body mass index, fasting blood glucose, blood pressure and glycemic control using multi-modality strategies among adults with type 2 diabetes. Methods: A randomized control trial (RCT), two-arm, prospective, and an interventional was designed with an intervention group (IG) and a control group (CG) using stratified block randomization and triple-blinding. Adults with T2D (N = 200) were randomly assigned to an intervention group (IG, n = 100) and a control group (CG, n = 100) in a single site trial. The adults with T2D in the IG were exposed to multi-modality strategies using an animated digital video, motivational interviewing, telephone counseling and the structured diabetes education by the diabetes nurse educator. Adults in the CG were only exposed to the structured diabetes education. Body mass index (BMI), fasting blood glucose (FBG), blood pressure (BP), and glycosylated hemoglobin (HbA1c) were measured as primary outcomes. Results: The adults with T2D in the IG had significant improvements in the HbA1c (2.4%), BMI (2.8 kg/m 2), and a FBG (1.8 mmol/L); and they achieved lower HbA1c levels compared to the CG. Conclusion: Multi-modality strategies were effective for lowering HbA1c and reducing BMI among adults with T2D. Implications. Integration of cognitive behavioural educational using multi-modality strategies promoted better primary outcomes among adults with T2D.

Relationship between socio-demographic, clinical factors, and quality of life in adults living with diabetic nephropathy

“…The PCS and MSC was most affected among high-risk adults with DN and undergoing hemodialysis. 27 Our study showed that the QOL of the adults with diabetic nephropathy with moderate to advanced CKD was poor. Moderate socioeconomic status, marital life, male gender were found to be associated with higher QOL scores.…”

“…The variance of HbAc1 (31.6%) and the variance of the total QOL (30.6%) was determined by age, gender, education, income, duration of illness, and education. 27 Physical functioning, role physical, body pain, vitality, role emotional, social function, role physical, general health and mental health were low. Physical and mental health composites of QOL were higher due to increased energy, emotional wellbeing and work status.…”

Efficacy of nurse-led cardiac rehabilitation on health care behaviours in adults with chronic heart failure: An experimental design

“…Adults with diabetes mellitus exposed to telephone counselling and the structured had lower body mass index, blood glucose, and cholesterol levels leading to a better quality of life. 32 Other studies show that compliance with medication and appointment keeping was higher than compliance with diet, fluid restriction, exercise and weighing with patient education. 33,34 The nurse-led cardiac rehabilitation program was statistically and clinically significant for efficacy and adherence scores from posttest1 to posttest2 in the intervention group.…”