Patient education for people living with diabetes in the Philippines: A scoping review of information needs, diabetes knowledge and effectiveness of educational interventions

Ghisi, Gabriela Lima de Melo; Vanzella, Laís Manata; Pakosh, Maureen; Trani, Maria Rosan; Bilocura, Imelda; Bersabal, Shazna; Panilagao, Rhea Karla; Aultman, Crystal; Oh, Paul

doi:10.1016/j.dsx.2022.102494

Cited by 6 publications

(4 citation statements)

References 37 publications

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“…There is a scarcity of information concerning patients' experiences, perspectives, and preferences in the realm of diabetes education ( 7 , 29 ). The effectiveness of educational interventions is intricately influenced by the diversity of these experiences, views, and preferences, which can vary significantly both within and across individuals ( 30 ).…”

Section: Discussionmentioning

confidence: 99%

“…In the Philippines, the diabetes burden is substantial, with 7.1% of adults diagnosed in 2019, and it stands as the fourth leading cause of mortality in the country ( 4 , 5 ). Despite the heightened risk of health complications, including cardiovascular disease, for individuals with diabetes, significant gaps persist in the care and prevention of this condition in the Philippines ( 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

“…A recent scoping review of diabetes education literature highlighted the scarcity of published research for individuals with diabetes in the Philippines, the available data indicated the effectiveness of patient education in enhancing diabetes knowledge, self-efficacy, anthropometric measures, A1C levels, utilization of healthcare services, and attitudes towards health ( 7 ). Regrettably, the review could not pinpoint a specific educational model suitable for this population, including in CR programs.…”

Section: Introductionmentioning

confidence: 99%

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Effects of a comprehensive structured patient education intervention on disease-related knowledge and behaviour change among people living with type 2 diabetes in the Philippines

Trani,

Bilocura,

Bersabal

et al. 2024

Front. Rehabil. Sci.

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IntroductionAddressing the ongoing needs of individuals with diabetes, particularly in low- and middle-income countries like the Philippines, requires a focus on regular follow-ups with healthcare teams, adherence to healthy behaviors, and effective patient education to prevent long-term complications. The aim of this study was to ascertain the impact of a comprehensive educational program for those living with diabetes in the Philippines.MethodsIn a prospective study, a convenience sample of patients living with diabetes attending a cardiac rehabilitation or an outpatient diabetes clinic in the Philippines received a 12-week education intervention. Participants completed surveys at pre- and post-intervention assessing disease-related knowledge, health literacy, dietary habits, and tobacco use. Physical activity was measured by steps taken per day using wearable devices and by self-report of minutes of moderate or vigorous-intensity exercise per week. Satisfaction with the educational materials was also evaluated by a survey composed of Likert-type scale and open-ended questions. Descriptive statistics, paired t-tests or chi-square were used for data analysis.ResultsOverall, 184 individuals living with diabetes type 2 (mean age = 54.4 ± 12.4, 32% female) completed both assessments. There was significant improvement in disease-related knowledge (p < 0.001), daily steps measured by a wearable device and self-reported minutes of moderate/vigorous-intensity exercise (p < 0.001), and the number of fruit and vegetable servings consumed per day (p = 0.001). No significant changes were observed in health literacy levels. One participant stopped using tobacco at post-education. Educational materials were highly satisfactory to participants. Lack of time, family responsibilities, and poor internet access were the main barriers to learning reported by participants. Suggestions to improve the education provided included assessment of information needs at the start of the education, having short summaries about the topics, follow-ups post-intervention, and inviting family members to sessions.DiscussionResults of this study demonstrated the positive effects a comprehensive structured patient education intervention on disease-related knowledge and behaviour changes among people living with type 2 diabetes in the Philippines.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of a comprehensive structured patient education intervention on disease-related knowledge and behaviour change among people living with type 2 diabetes in the Philippines

Trani,

Bilocura,

Bersabal

et al. 2024

Front. Rehabil. Sci.

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“…Both documents emphasize that it is crucial to receive education about diabetes in order to successfully manage the condition. According to the literature, diabetes management education is essential for people to effectively live with diabetes (Funnell and Anderson, 2004;Ghisi et al, 2022). Successful diabetes management requires sufficient knowledge on the part of the person living with diabetes; this knowledge includes the goals of treatment, the effect diabetes has on the body and the factors that can influence glucose levels (Gonzalez et al, 2016).…”

Section: Theme 1: the Importance Of Knowledge And Diabetes Educationmentioning

confidence: 99%

Identification of psychological constructs for a positive psychology intervention to assist with the adjustment to closed loop technology among adolescents living with type 1 diabetes

Kruger,

Deacon,

van Rensburg

et al. 2023

Front. Psychol.

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AimAdolescents have been identified as the group who struggle most with successful adjustment to closed loop technology. This study aims to identify the psychological constructs that should form part of a positive psychology intervention to assist with the adjustment to closed loop technology among adolescents living with type 1 diabetes.MethodQualitative document analysis was employed to integrate findings from two documents: a published ongoing intervention study and a recent phenomenological study by the authors. Reflexive thematic analysis was used to identify themes from the documents.FindingsThe following themes were identified as important psychological constructs that aid adjustment: the importance of knowledge and education; the process of positive adjustment to closed loop technology; a positive outlook; and building a relationship with diabetes.ConclusionInterventions are needed to assist adolescents in their adjustment to closed loop technology. The psychological constructs identified served as a starting point in designing an effective, evidence-based intervention grounded in data and theory. Knowledge and education, responsibility, identity, positive affect, gratitude, support, and trust are psychological constructs that need to be included in an intervention program.

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“Failure to control blood sugar” experiences of persons with type 2 diabetes mellitus

Numsang,

Oumtanee,

Kurat

et al. 2023

International Journal of Nursing Sciences

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Patient education for people living with diabetes in the Philippines: A scoping review of information needs, diabetes knowledge and effectiveness of educational interventions

Cited by 6 publications

References 37 publications

Effects of a comprehensive structured patient education intervention on disease-related knowledge and behaviour change among people living with type 2 diabetes in the Philippines

Effects of a comprehensive structured patient education intervention on disease-related knowledge and behaviour change among people living with type 2 diabetes in the Philippines

Identification of psychological constructs for a positive psychology intervention to assist with the adjustment to closed loop technology among adolescents living with type 1 diabetes

“Failure to control blood sugar” experiences of persons with type 2 diabetes mellitus

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