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Diabetes Self-Management Education (DSME) - Effect on Knowledge, Self-Care Behavior, and Self-Efficacy Among Type 2 Diabetes Patients in Ethiopia: A Controlled Clinical Trial

Diabetes, metabolic syndrome and obesity, 2019-01, Vol.12, p.2489-2499 [Peer Reviewed Journal]

2019 Hailu et al. ;COPYRIGHT 2019 Dove Medical Press Limited ;COPYRIGHT 2019 Dove Medical Press Limited ;2019. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;info:eu-repo/semantics/openAccess ;2019 Hailu et al. 2019 Hailu et al. ;ISSN: 1178-7007 ;EISSN: 1178-7007 ;DOI: 10.2147/DMSO.S223123 ;PMID: 31819574

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  • Title:
    Diabetes Self-Management Education (DSME) - Effect on Knowledge, Self-Care Behavior, and Self-Efficacy Among Type 2 Diabetes Patients in Ethiopia: A Controlled Clinical Trial
  • Author: Hailu, Fikadu Balcha ; Moen, Anne ; Hjortdahl, Per
  • Subjects: Activities of daily living ; Behavior ; Business education ; Clinical Trial Report ; Clinical trials ; Data collection ; Developing countries ; Diabetes ; diabetes knowledge ; Diabetes therapy ; Drinking (Alcoholic beverages) ; Education ; Glucose ; Handbooks ; Intervention ; Knowledge ; LDCs ; Medical centers ; Medical research ; Medicine, Experimental ; nurse-led dsme ; Nurses ; Nutrition ; Nutritional requirements ; Patient monitoring equipment ; Questionnaires ; Requirements ; self-care behavior ; self-efficacy ; Type 2 diabetes
  • Is Part Of: Diabetes, metabolic syndrome and obesity, 2019-01, Vol.12, p.2489-2499
  • Description: Diabetes patients must be equipped with the necessary knowledge to confidently undertake appropriate self-care activities. We prepared a diabetes self-management education (DSME) intervention and assessed how it affected patients' self-reported levels of diabetes knowledge, self-care behaviors, and self-efficacy. A before-and-after, two-group intervention study was conducted at Jimma University Medical Centre among adult patients with type 2 diabetes. At baseline, we randomly assigned 116 participants to the DSME intervention and 104 to a comparison group. Six interactive DSME sessions supported by an illustrative handbook and fliers, experience-sharing, and take-home activities were administered to the intervention group by two nurses during a six-month period. Diabetes knowledge, self-care behaviors, and self-efficacy were measured at baseline and at nine months following the commencement of DSME intervention (endpoint) in both groups. At the endpoint, data from 78 intervention group participants and 64 comparison group participants were included in final analysis. The difference in the mean Diabetes Knowledge Scale scores before and after the DSME intervention was significantly greater in the intervention group (p = 0.044). The measured self-care behaviors included diet, exercise, glucose self-monitoring, footcare, smoking, alcohol consumption, and khat chewing. The mean number of days per week on which the intervention group participants followed general dietary recommendations increased significantly at the endpoint (p = 0.027). The intervention group followed specific dietary recommendations (p = 0.019) and performed footcare (p = 0.009) for a significantly greater number of days. There were no significant differences within or between the groups in other self-reported diabetes self-care behavior regimens or in diabetes self-efficacy. Our study found significant improvements in the intervention participants' diabetes knowledge scores and in their adherence to dietary and footcare recommendations. This demonstrates that our DSME intervention may be of clinical importance in developing countries such as Ethiopia. ClinicalTrials.gov, Identifier NCT03185689, retrospectively registered on June 14, 2017: https://clinicaltrials.gov/ct2/show/NCT03185689.
  • Publisher: New Zealand: Dove Medical Press Limited
  • Language: English;Norwegian
  • Identifier: ISSN: 1178-7007
    EISSN: 1178-7007
    DOI: 10.2147/DMSO.S223123
    PMID: 31819574
  • Source: GFMER Free Medical Journals
    NORA Norwegian Open Research Archives
    PubMed Central
    DOVE Medical Press Journals
    ProQuest Central
    DOAJ Directory of Open Access Journals
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