The effectiveness of self-management program for people with type 2 diabetes mellitus based on PRECEDE-PROCEDE model

NeJhaddadgar, Nazila; Darabi, Fatemeh; Rohban, Alireza; Solhi, Mahnaz; kheire, Marzeieh

doi:10.1016/j.dsx.2018.08.016

Cited by 22 publications

(30 citation statements)

References 15 publications

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“… 69 The sample size varied from 60 53 to 300 participants. 55 Educational interventions in the review were guided by the following theories or models: three studies used the theory of self-efficacy, 54 63 67 three studies 56 61 66 used empowerment theory, two studies 60 68 used theory of self- efficacy and motivational interviewing, and one study used either chronic care model, 55 PRECEDE-PROCEED model, 62 BASNEF model 59 or behavioural theory. 64 However, the remainder of the articles 51–53 57 58 65 69 used non-theory or model-based approaches.…”

Section: Resultsmentioning

confidence: 99%

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Effect of educational interventions on knowledge of the disease and glycaemic control in patients with type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials

et al. 2021

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BackgroundGlobally, type 2 diabetes has continued to increase, now accounting for over 90% of all diabetes cases. Though the magnitude of uncontrolled glycaemic levels in patients with type 2 diabetes is steadily rising, evidence showed that effectively controlled glycaemic levels can prevent complications and improve the quality of life of these patients. As little is known about the effect of educational interventions on this population, this systematic review and meta-analysis evaluated the effectiveness of educational interventions versus standard care on glycaemic control and disease knowledge among patients with type 2 diabetes.MethodsPubMed, Google Scholar, Cochrane Library, Scopus, African Journals Online and Wiley Online Library were searched. Two authors independently assessed within-trial risk of bias in each included study using revised Cochrane risk-of-bias tool for randomised trials. A random-effects model was employed to estimate combined effect sizes. Subgroup analyses were employed to investigate possible sources of heterogeneity between studies. The overall certainty of the evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation approach.ResultsA total of 19 trials with 2708 study participants were included in the review. Primary outcomes (glycaemic control) were reported in 18 trials. The pooled estimated impact of educational intervention on glycaemic levels using the random-effects model was −0.83 (95% CI: −1.17 to –0.49, p<0.001). Subgroup analyses revealed greater A1c reductions in those studies with intervention duration of up to 3 months and with empirical intervention designs. Educational interventions led to significant increases in participants’ knowledge of type 2 diabetes (standardised mean difference: 1.16; 95% CI: 0.71 to 1.60; I2=93%).ConclusionIn the current review overall, educational interventions can potentially lead to improved glycaemic control levels in patients with type 2 diabetes despite heterogeneity across the studies. Besides, the findings showed that educational interventions could increase disease knowledge among patients with type 2 diabetes.PROSPERO registration numberCRD42020205838.

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Section: Resultsmentioning

confidence: 99%

“…The Dietary Knowledge Questionnaire 64 and the Diabetes and Medication Knowledge Questionnaire 52 54 57 58 67 were used to estimate the level of knowledge in individuals with T2DM. The number of items was between 8 62 and 24 items. 67 There was a significant variation in knowledge of T2DM scores across different studies.…”

Section: Resultsmentioning

confidence: 99%

Effect of educational interventions on knowledge of the disease and glycaemic control in patients with type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials

et al. 2021

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“…As a keyhole of the management in diabetic patients, pharmacology should be accompanied by healthy lifestyle [7]. It is known that the most important treatment for diabetes is to change lifestyle, especially to regulate a healthy and balanced diet [8].…”

Section: E Physiological Needs (Non Pharmacology)mentioning

confidence: 99%

Perceptions and Needs Among Diabetes Patients: A Qualitative Study

Giri¹,

Adnyana²

2020

Proceedings of the 3rd International Conference on Innovative Research Across Disciplines (ICIRAD 2019)

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Diabetes mellitus is a degenerative disease that requires multi-dimensional management. Nowadays, the current phenomenon in the community happens that the patients only focused on pharmacological therapy without getting suggestions that describing the other dimensions. This study aimed at analyzing the patient's needs and the patient's perception of the condition of diabetes management. This study was designed in qualitative descriptive, the data collection was carried out through observation, in-depth interviews and focus group discussions for 3 months and involved 30 informants (patients and their families). The results of this study were qualitative descriptions that provide an overview of the needs and perceptions of patients and their families. The low level of knowledge about diabetes causes a bad perception of diabetes planning therapy. In conclusion, takes an equal perception between doctors and patients and their families about the management of diabetes which is not only limited to pharmacological therapy. There is a need for a practical guidance module to be a bridge in the sharing of knowledge and communication media for doctors and patients.

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“…Tingkat pengetahuan yang rendah tentang perawatan diri dapat memperburuk kondisi ke-sehatan serta menimbulkan stres akibat ketidakmampuan dalam melakukan perawatan diri (Nejhaddadgar, Darabi, Rohban, Solhi, & kheire, 2019). Stres yang dialami pasien DM dapat berakibat pada gangguan pengontrolan kadar glukosa darah yang disebabkan oleh produksi kortisol berlebih yaitu, suatu hormone yang mengurangi sensitivitas tubuh terhadap insulin, sehingga membuat glukosa di dalam tubuh lebih sulit untuk memasuki sel yang mengakibatkan kadar glukosa dalam darah meningkat (Nugroho & Purwanti, 2010).…”

Section: Pembahasanunclassified

Hubungan Tingkat Pengetahuan Dan Diabetes Self-Management Dengan Tingkat Stres Pasien Diabetes Melitus Yang Menjalani Diet

Kusnanto¹,

Sundari²,

Asmoro³

et al. 2019

Jurnal Keperawatan Indonesia

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Pengetahuan sangat penting dalam mengembangkan diabetes self-management untuk mencegah resiko komplikasi jangka panjang dengan diet yang ketat. Tujuan penelitian ini untuk mengetahui hubungan antara pengetahuan dan diabetes self-management dengan tingkat stress pasien diabetes melitus yang menjalani diet. Penelitian ini menggunakan desain cross-sectional. Jumlah total sampel didapatkan sebesar 106 responden dengan multistage sampling, Kriteria inklusi meliputi pasien DM <5 tahun dengan rentang usia 35-55 tahun, tidak menggunakan insulin injeksi, Pasien DM masih berkeluarga dan tinggal dengan keluarganya. Data didapatkan dengan kuesioner Knowledge of Diabetic Diet Questionnaire, Self-Management Dietary Behaviors Questionnaire, dan tingkat stress menjalani diet. Kemudian dianalisis dengan uji Spearman test. Hasil penelitian menunjukkan bahwa tingkat pengetahuan (p=0,049; r=-0,192) dan diabetes self-management (p=0,000; r=-0,341) memiliki hubungan terhadap tingkat stress saat menjalani diet. Diabetes self-management memiliki hubungan yang sangat kuat dari pada tingkat pengetahuan terhadap tingkat stress pasien diabetes yang menjalani diet. Penelitian selanjutnya diharapkan bisa menggunakan responden dengan wilayah yang lebih luas dan serta mengembangkan intervensi yang lebih baik untuk meningkatkan pengetahuan tentang diet pada pasien diabetes melitus. Kata Kunci: diabetes melitus, diet, self-management, tingkat stres Abstract The correlation between knowledge level and diabetes self-management towards stress level of patients DM with diet. Knowledge is very important in developing diabetes self-management to prevent the risk of long-term complications with a strict diet. The purpose of this study was to determine the relationship between knowledge and diabetes self-management with stress levels of people with diabetes mellitus who went on a diet. This study uses a cross-sectional design. The total samples obtained were 106 respondents with multistage sampling, inclusion criteria included patients with DM <5 years with a range of ages 35-55 years, did not use insulin injection, DM patients were still married and lived with their families. Data are obtained with questionnaire of Knowledge of Diabetic Diet Questionnaire (KDDQ), a Self-Management Dietary Behaviors Questionnaire (SMDBQ), and a stress level on a diet. Data analyzed by the Spearman Rho. The results showed that the level of knowledge (p=0.049; r=-0.192) and diabetes self-management (p=0,000; r=-0,341) had a relationship to stress levels while on a diet. Diabetes self-management has a very strong relationship to the level of knowledge of the stress level of diabetics with diet. Future studies are expected to be able to use respondents with a wider area and develop better interventions to increase knowledge about diets in people with diabetes mellitus. Keywords: diabetes mellitus, diet, self-management, stress level

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The effectiveness of self-management program for people with type 2 diabetes mellitus based on PRECEDE-PROCEDE model

Cited by 22 publications

References 15 publications

Effect of educational interventions on knowledge of the disease and glycaemic control in patients with type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials

Effect of educational interventions on knowledge of the disease and glycaemic control in patients with type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials

Perceptions and Needs Among Diabetes Patients: A Qualitative Study

Hubungan Tingkat Pengetahuan Dan Diabetes Self-Management Dengan Tingkat Stres Pasien Diabetes Melitus Yang Menjalani Diet

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