The effects of a nurse-led integrative medicine-based structured education program on self-management behaviors among individuals with newly diagnosed type 2 diabetes: a randomized controlled trial
Abstract Background International guidelines advocate providing prompt structured education to individuals with diabetes at diagnosis. However, among the few eligible structured education programs, heterogeneous intervention regimens and inconsistent findings were reported. Eligible programs for Chi...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-022-00970-7 |
| _version_ | 1798038078947852288 |
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| author | Xingfeng Yu Janita Pak Chun Chau Lanting Huo Xiaomei Li Dan Wang Hongjuan Wu Yulian Zhang |
| author_facet | Xingfeng Yu Janita Pak Chun Chau Lanting Huo Xiaomei Li Dan Wang Hongjuan Wu Yulian Zhang |
| author_sort | Xingfeng Yu |
| collection | DOAJ |
| description | Abstract Background International guidelines advocate providing prompt structured education to individuals with diabetes at diagnosis. However, among the few eligible structured education programs, heterogeneous intervention regimens and inconsistent findings were reported. Eligible programs for Chinese individuals with diabetes are lacking. This study aimed to investigate the effects of a nurse-led integrative medicine-based structured education program on self-management behaviors, glycemic control and self-efficacy among individuals with newly diagnosed type 2 diabetes. Methods Employing a randomized controlled trial, 128 individuals with type 2 diabetes diagnosed in the preceding three to nine months were recruited from four university-affiliated tertiary hospitals in Xi’an City, Northwest China, and randomly allocated to the intervention or control groups after baseline assessments. Participants in the intervention group received a 4-week nurse-led integrative medicine-based structured education program, which is theoretically based on the Health Belief Model and Self-Efficacy Theory, in line with updated diabetes management guidelines, and informed by relevant systematic reviews. Participants in the control group received routine care. Self-management behaviors and self-efficacy were measured with the Summary of Diabetes Self-Care Activities and the Diabetes Management Self-Efficacy Scale at baseline, immediate post-intervention and 12 weeks following the intervention while Glycated Hemoglobin A was measured at baseline and the 12th-week follow-up. The intervention effects were estimated using the generalized estimating equation models. Results Participants in the intervention group exhibited significantly better self-management performance in specific diet regarding intake of fruits and vegetables at both follow-ups (β = 1.02, p = 0.011 and β = 0.98, p = 0.016, respectively), specific diet regarding intake of high-fat foods at the immediate post-intervention follow-up (β = 0.83, p = 0.023), blood glucose monitoring at the 12th-week follow-up (β = 0.64, p = 0.004), foot care at both follow-ups (β = 1.80, p < 0.001 and β = 2.02, p < 0.001, respectively), and medication management at both follow-ups (β = 0.83, p = 0.005 and β = 0.95, p = 0.003, respectively). The intervention also introduced significant improvements in Glycated Hemoglobin A (β = − 0.32%, p < 0.001), and self-efficacy at both follow-ups (β = 8.73, p < 0.001 and β = 9.71, p < 0.001, respectively). Conclusions The nurse-led integrative medicine-based structured education program could produce beneficial effects on multiple diabetes self-management behaviors, glycemic control and self-efficacy. Trial registration This study was retrospectively registered in the ClinicalTrials.gov . on 25/08/2017; registration number: NCT03261895 . |
| first_indexed | 2024-04-11T21:35:19Z |
| format | Article |
| id | doaj.art-ed44289ae8be4bfaa5e9241cf7cb9dd3 |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-04-11T21:35:19Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
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| series | BMC Nursing |
| spelling | doaj.art-ed44289ae8be4bfaa5e9241cf7cb9dd32022-12-22T04:01:47ZengBMCBMC Nursing1472-69552022-08-0121111710.1186/s12912-022-00970-7The effects of a nurse-led integrative medicine-based structured education program on self-management behaviors among individuals with newly diagnosed type 2 diabetes: a randomized controlled trialXingfeng Yu0Janita Pak Chun Chau1Lanting Huo2Xiaomei Li3Dan Wang4Hongjuan Wu5Yulian Zhang6The Nursing Department, Shaanxi Provincial People’s HospitalThe Nethersole School of Nursing, The Chinese University of Hong KongFaculty of Nursing, Health Science Center, Xi’an Jiaotong UniversityFaculty of Nursing, Health Science Center, Xi’an Jiaotong UniversityThe Nursing Department, Shaanxi Provincial People’s HospitalThe Nursing Department, Shaanxi Provincial People’s HospitalThe Director’s Office, Shaanxi Provincial People’s HospitalAbstract Background International guidelines advocate providing prompt structured education to individuals with diabetes at diagnosis. However, among the few eligible structured education programs, heterogeneous intervention regimens and inconsistent findings were reported. Eligible programs for Chinese individuals with diabetes are lacking. This study aimed to investigate the effects of a nurse-led integrative medicine-based structured education program on self-management behaviors, glycemic control and self-efficacy among individuals with newly diagnosed type 2 diabetes. Methods Employing a randomized controlled trial, 128 individuals with type 2 diabetes diagnosed in the preceding three to nine months were recruited from four university-affiliated tertiary hospitals in Xi’an City, Northwest China, and randomly allocated to the intervention or control groups after baseline assessments. Participants in the intervention group received a 4-week nurse-led integrative medicine-based structured education program, which is theoretically based on the Health Belief Model and Self-Efficacy Theory, in line with updated diabetes management guidelines, and informed by relevant systematic reviews. Participants in the control group received routine care. Self-management behaviors and self-efficacy were measured with the Summary of Diabetes Self-Care Activities and the Diabetes Management Self-Efficacy Scale at baseline, immediate post-intervention and 12 weeks following the intervention while Glycated Hemoglobin A was measured at baseline and the 12th-week follow-up. The intervention effects were estimated using the generalized estimating equation models. Results Participants in the intervention group exhibited significantly better self-management performance in specific diet regarding intake of fruits and vegetables at both follow-ups (β = 1.02, p = 0.011 and β = 0.98, p = 0.016, respectively), specific diet regarding intake of high-fat foods at the immediate post-intervention follow-up (β = 0.83, p = 0.023), blood glucose monitoring at the 12th-week follow-up (β = 0.64, p = 0.004), foot care at both follow-ups (β = 1.80, p < 0.001 and β = 2.02, p < 0.001, respectively), and medication management at both follow-ups (β = 0.83, p = 0.005 and β = 0.95, p = 0.003, respectively). The intervention also introduced significant improvements in Glycated Hemoglobin A (β = − 0.32%, p < 0.001), and self-efficacy at both follow-ups (β = 8.73, p < 0.001 and β = 9.71, p < 0.001, respectively). Conclusions The nurse-led integrative medicine-based structured education program could produce beneficial effects on multiple diabetes self-management behaviors, glycemic control and self-efficacy. Trial registration This study was retrospectively registered in the ClinicalTrials.gov . on 25/08/2017; registration number: NCT03261895 .https://doi.org/10.1186/s12912-022-00970-7Type 2 diabetesStructured educationCulture-tailored interventionsSelf-managementGlycemic controlSelf-efficacy |
| spellingShingle | Xingfeng Yu Janita Pak Chun Chau Lanting Huo Xiaomei Li Dan Wang Hongjuan Wu Yulian Zhang The effects of a nurse-led integrative medicine-based structured education program on self-management behaviors among individuals with newly diagnosed type 2 diabetes: a randomized controlled trial BMC Nursing Type 2 diabetes Structured education Culture-tailored interventions Self-management Glycemic control Self-efficacy |
| title | The effects of a nurse-led integrative medicine-based structured education program on self-management behaviors among individuals with newly diagnosed type 2 diabetes: a randomized controlled trial |
| title_full | The effects of a nurse-led integrative medicine-based structured education program on self-management behaviors among individuals with newly diagnosed type 2 diabetes: a randomized controlled trial |
| title_fullStr | The effects of a nurse-led integrative medicine-based structured education program on self-management behaviors among individuals with newly diagnosed type 2 diabetes: a randomized controlled trial |
| title_full_unstemmed | The effects of a nurse-led integrative medicine-based structured education program on self-management behaviors among individuals with newly diagnosed type 2 diabetes: a randomized controlled trial |
| title_short | The effects of a nurse-led integrative medicine-based structured education program on self-management behaviors among individuals with newly diagnosed type 2 diabetes: a randomized controlled trial |
| title_sort | effects of a nurse led integrative medicine based structured education program on self management behaviors among individuals with newly diagnosed type 2 diabetes a randomized controlled trial |
| topic | Type 2 diabetes Structured education Culture-tailored interventions Self-management Glycemic control Self-efficacy |
| url | https://doi.org/10.1186/s12912-022-00970-7 |
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