The effect of participatory community-based diabetes cares on the control of diabetes and its risk factors in western suburb of Yasouj, Iran

Abstract

This study aimed to investigate whether a community-based participatory diabetes care program could efficiently improve diabetic care and reduce its risk factors. To induce a participatory approach, a local group was established in partnership with academics, local leaders, health providers and public representatives. The group conducted community needs assessment and priority setting process. Diabetes was identified as the first priority health problem in this area. A total of 2569 30- to 65-year-old residents were screened for diabetes and 405 of them took part in a 13-week nutrition education and physical exercise intervention. Out of 1336 high-risk individuals, 17% had fasting blood sugar (FBS) ≥126 mg/dl and 13.5% with FBS between 110 and 125 mg/dl. Percentages of participants with triglycerides (TG) ≥150 mg/dl and cholesterol ≥200 mg/dl were 33.8% and 23.5%, respectively. After completion of the intervention, the mean FBS, HbA1C, TG and cholesterol were decreased significantly. Although systolic and diastolic blood pressure and body mass index were decreased too, the differences were not statistically significant. The mean physical activity increased and consumption of fried foods and saturated oil decreased significantly. The results suggest that participatory community-based care could be a feasible model for control of diabetes and its risk factors.

Community-Based Participatory Research Interventions to Improve Diabetes Outcomes: A Systematic Review

“…28,30,33 Of the 14 studies measuring A1C, 9 demonstrated statistically significant reduction in A1C. 29,31,33,[37][38][39][40][41][42] Of the 9 studies measuring BP, 3 demonstrated statistically significant improvements in BP. 27,38,41 Three of the 6 studies measuring lipids demonstrated statistically significant improvements in lipids, 30,40,42 and 4 of the 5 studies measuring fasting glucose demonstrated statistically significant improvements in fasting glucose.…”

“…[28][29][30][31][32][33][34][35][36][38][39][40] Four studies were conducted outside the US in the following countries: Belgium, 37 Dominican Republic, 41 India, 27 and Iran. 42 When looking at each study by community setting, 11 studies were conducted in a local community site, 28,30,31,[33][34][35]38,[40][41][42] 1 study was conducted in a community pharmacy, 37 2 studies were conducted at a community clinic, 29,32 and 2 studies were conducted in the home or a community site based on participant availability. 36,39 Additionally, Table 1 summarizes the type of intervention that was conducted as well as the impact on outcomes.…”

“…Fourteen of the 16 studies measured A1C as a primary outcome. 28,29,[31][32][33][34][35][36][37][38][39][40][41]42 Nine studies measured blood pressure (BP) as an outcome. [33][34][35][38][39][40][41][42] Six studies measured lipids as an outcome.…”

“…28,29,[31][32][33][34][35][36][37][38][39][40][41]42 Nine studies measured blood pressure (BP) as an outcome. [33][34][35][38][39][40][41][42] Six studies measured lipids as an outcome. 30,33,36,39,40,42 Five studies measured fasting glucose as an outcome, 27,30,37,39,42 and 3 measured quality of life (QOL) as an outcome.…”

“…[33][34][35][38][39][40][41][42] Six studies measured lipids as an outcome. 30,33,36,39,40,42 Five studies measured fasting glucose as an outcome, 27,30,37,39,42 and 3 measured quality of life (QOL) as an outcome. 28,30,33 Of the 14 studies measuring A1C, 9 demonstrated statistically significant reduction in A1C.…”