| Title |
Impact of a structured multicomponent educational intervention program on metabolic control of patients with type 2 diabetes
|
|---|---|
| Published in |
BMC Endocrine Disorders, December 2017
|
| DOI | 10.1186/s12902-017-0222-2 |
| Pubmed ID | |
| Authors |
Maria do Rosário Pinto, Pedro Miguel Dinis Santos Parreira, Marta Lima Basto, Lisete dos Santos Mendes Mónico |
| Abstract |
Diabetes is one of the most common metabolic disorders, with a high prevalence of patients with poor metabolic control. Worldwide, evidence highlights the importance of developing and implementing educational interventions that can reduce this burden. The main objective of this study was to analyse the impact of a lifestyle centred intervention on glycaemic control of poorly controlled type 2 diabetic patients, followed in a Community Care Centre. A type 2 experimental design was conducted over 6 months, including 122 adults with HbA1c ≥ 7.5%, randomly allocated into Experimental group (EG) or Control Group (CG). EG patients attended a specific Educational Program while CG patients frequented usual care. Personal and health characterization variables, clinical metrics and self-care activities were measured before and after the implementation of the intervention. Analysis was done by comparing gains between groups (CG vs EG) through differential calculations (post minus pre-test results) and Longitudinal analysis. Statistical differences were obtained between groups for HbA1c and BMI: EG had a decrease in 11% more (effect-size r2 = .11) than CG for HbA1c (p < .001) and 4% more (effect-size r2 = .04) in BMI (p < .05). When controlling for socioeconomic characteristics and comorbidities that showed to be associated to each parameter in pre-test, from pre to post-test only EG participants significantly decreased HbA1c [Wilks' ʎ = .702; F(1,57) = 24.16; p < .001; ηp2 = .298; observed power = .998]; BMI values [Wilks' ʎ = .900; F(1,59) = 6.57; p = .013; ηp2 = .100; observed power = .713]; systolic Blood pressure [Wilks' ʎ = .735; F(1,61) = 21.94; p < .001; ηp2 = .265; observed power = .996] and diastolic Blood pressure [Wilks' ʎ = .795; F(1,59) = 15.20; p < .001; ηp2 = .205; observed power = .970]. The impact of a structured multicomponent educational intervention program by itself, beyond standard educational approach alone, supported in a Longitudinal analysis that controlled variables statistically associated with clinical metrics in pre-test measures, has demonstrated its effectiveness in improving HbA1c, BMI and Blood pressure values. RBR-8ns8pb . (Retrospectively registered: October 30,2017). |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| France | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 122 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 122 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 22 | 18% |
| Student > Bachelor | 16 | 13% |
| Student > Ph. D. Student | 10 | 8% |
| Researcher | 8 | 7% |
| Lecturer | 6 | 5% |
| Other | 22 | 18% |
| Unknown | 38 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 32 | 26% |
| Medicine and Dentistry | 25 | 20% |
| Biochemistry, Genetics and Molecular Biology | 4 | 3% |
| Social Sciences | 3 | 2% |
| Psychology | 3 | 2% |
| Other | 14 | 11% |
| Unknown | 41 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 December 2017.
All research outputs
#20,456,235
of 23,012,811 outputs
Outputs from BMC Endocrine Disorders
#622
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Outputs of similar age
#375,105
of 439,661 outputs
Outputs of similar age from BMC Endocrine Disorders
#5
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