A brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes

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dc.contributor.authorTan, M.
dc.contributor.authorMagarey, J.
dc.contributor.authorChee, S.
dc.contributor.authorLee, L.
dc.contributor.authorTan, M.
dc.date.issued2011
dc.description.abstractWe assessed the effectiveness of a brief structured diabetes education programme based on the concept of self-efficacy on self-care and glycaemic control using single-blind study design. One hundred and sixty-four participants with poorly controlled diabetes from two settings were randomized using computer-generated list into control (n = 82) and intervention (n = 82) groups, of which 151 completed the study. Monthly interventions over 12 weeks addressed the self-care practices of diet, physical activity, medication adherence and self-monitoring of blood glucose (SMBG). These self-care practices were assessed at Weeks 0 and 12 using pre- and post-questionnaires in both groups together with glycated haemoglobin A1c (HbA1c) and diabetes knowledge. In the intention-to-treat analysis (n = 164), the intervention group improved their SMBG (P = <0.001), physical activity (P = 0.001), HbA1c (P = 0.03), diabetes knowledge (P = <0.001) and medication adherence. At Week 12, HbA1c difference adjusted for SMBG frequency, medication adherence and weight change remained significant (P = 0.03) compared with control group. For within group comparisons, diabetes knowledge (P = <0.001), HbA1c level (P = <0.001), SMBG (P = <0.001) and medication adherence (P = 0.008) improved from baseline in the intervention group. In the control group, only diabetes knowledge improved (P = <0.001). These findings can contribute to the development of self-management diabetes education in Malaysia.
dc.description.statementofresponsibilityM. Y. Tan, J. M. Magarey, S. S. Chee, L. F. Lee and M. H. Tan
dc.identifier.citationHealth Education Research, 2011; 26(5):896-907
dc.identifier.doi10.1093/her/cyr047
dc.identifier.issn0268-1153
dc.identifier.issn1465-3648
dc.identifier.orcidMagarey, J. [0000-0002-6150-2894]
dc.identifier.urihttp://hdl.handle.net/2440/67130
dc.language.isoen
dc.publisherOxford Univ Press
dc.rights© The Author 2011. Published by Oxford University Press. All rights reserved.
dc.source.urihttps://doi.org/10.1093/her/cyr047
dc.subjectHumans
dc.subjectDiabetes Mellitus, Type 1
dc.subjectDiabetes Mellitus, Type 2
dc.subjectBlood Glucose Self-Monitoring
dc.subjectSelf Care
dc.subjectSingle-Blind Method
dc.subjectHealth Knowledge, Attitudes, Practice
dc.subjectMotor Activity
dc.subjectSelf Efficacy
dc.subjectMiddle Aged
dc.subjectMalaysia
dc.subjectFemale
dc.subjectMale
dc.subjectPatient Education as Topic
dc.subjectMedication Adherence
dc.subjectDiet, Diabetic
dc.subjectOutcome and Process Assessment, Health Care
dc.subjectGlycated Hemoglobin
dc.titleA brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes
dc.typeJournal article
pubs.publication-statusPublished

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