Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia
(1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational inte...
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| Format: | Article |
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MDPI AG
2023-07-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/13/1929 |
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| author | Zahiruddin Wan Mohd Siti Rohana Ahmad Nor Azwany Yaacob Noorsuzana Mohd Shariff Mat Zuki Jaeb Zalmizy Hussin |
| author_facet | Zahiruddin Wan Mohd Siti Rohana Ahmad Nor Azwany Yaacob Noorsuzana Mohd Shariff Mat Zuki Jaeb Zalmizy Hussin |
| author_sort | Zahiruddin Wan Mohd |
| collection | DOAJ |
| description | (1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational interviewing (MI) technique implemented within directly observed treatment as part of a short course (DOTS) program in TB patients with diabetes (TB/DM). A randomized controlled trial was conducted in the northeastern state of Malaysia. (2) Methods: One hundred and twenty-four TB patients with diabetes received educational intervention using a MID-DOT module that used the MI technique, which was repetitively applied by TB nurses throughout a 6-month DOTS program while another 122 patients were given standard health education. Study outcomes include the proportion of patients with successful TB treatment, and changes in HbA1c and diabetic self-care scores at 6 months. (3) Results: The successful TB treatment outcome was 88% in the intervention group versus 72% in the control group (RR = 1.24; 95%CI 1.16, 1.58). A significant reduction of HbA1c (mean difference 0.82%; 95%CI 0.66, 0.98) and significantly higher diabetes self-care score (mean difference 8.49; 95%CI 7.38, 9.59) were also shown in the intervention group. (4) Conclusions: A dual TB/DM educational strategy which integrates the MI technique applied repetitively within the DOTS program is effective in increasing successful TB treatment as well as improving diabetic outcomes. |
| first_indexed | 2024-03-11T01:40:56Z |
| format | Article |
| id | doaj.art-511d14e5e9ad4df892fbd2bd12927c37 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T01:40:56Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-511d14e5e9ad4df892fbd2bd12927c372023-11-18T16:37:08ZengMDPI AGHealthcare2227-90322023-07-011113192910.3390/healthcare11131929Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in MalaysiaZahiruddin Wan Mohd0Siti Rohana Ahmad1Nor Azwany Yaacob2Noorsuzana Mohd Shariff3Mat Zuki Jaeb4Zalmizy Hussin5School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, MalaysiaState Health Department of Kedah, Alor Setar 05400, MalaysiaSchool of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, MalaysiaAdvanced Medical and Dental Institute, Universiti Sains Malaysia, Gelugor 11800, MalaysiaHospital Raja Perempuan Zainab II, Kota Bharu 15586, MalaysiaSchool of Applied Psychology, Social Work and Policy, Universiti Utara Malaysia, Sintok 06010, Malaysia(1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational interviewing (MI) technique implemented within directly observed treatment as part of a short course (DOTS) program in TB patients with diabetes (TB/DM). A randomized controlled trial was conducted in the northeastern state of Malaysia. (2) Methods: One hundred and twenty-four TB patients with diabetes received educational intervention using a MID-DOT module that used the MI technique, which was repetitively applied by TB nurses throughout a 6-month DOTS program while another 122 patients were given standard health education. Study outcomes include the proportion of patients with successful TB treatment, and changes in HbA1c and diabetic self-care scores at 6 months. (3) Results: The successful TB treatment outcome was 88% in the intervention group versus 72% in the control group (RR = 1.24; 95%CI 1.16, 1.58). A significant reduction of HbA1c (mean difference 0.82%; 95%CI 0.66, 0.98) and significantly higher diabetes self-care score (mean difference 8.49; 95%CI 7.38, 9.59) were also shown in the intervention group. (4) Conclusions: A dual TB/DM educational strategy which integrates the MI technique applied repetitively within the DOTS program is effective in increasing successful TB treatment as well as improving diabetic outcomes.https://www.mdpi.com/2227-9032/11/13/1929tuberculosisdiabetes mellitusdual managementmotivational interview |
| spellingShingle | Zahiruddin Wan Mohd Siti Rohana Ahmad Nor Azwany Yaacob Noorsuzana Mohd Shariff Mat Zuki Jaeb Zalmizy Hussin Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia Healthcare tuberculosis diabetes mellitus dual management motivational interview |
| title | Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia |
| title_full | Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia |
| title_fullStr | Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia |
| title_full_unstemmed | Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia |
| title_short | Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia |
| title_sort | innovative integrated motivational interviewing for dual management in tuberculosis patients with diabetes mid dot in malaysia |
| topic | tuberculosis diabetes mellitus dual management motivational interview |
| url | https://www.mdpi.com/2227-9032/11/13/1929 |
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