The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial
Xin-Jun Jiang,1– 5 Hua Jiang,2 Yuan Chen,6 Xiao-An Wu,7 Xue-Lian Yu,8 Lei Liu,9 Ming-Zi Li2 1Department of Adults Nursing, School of International Nursing, Hainan Medical University, Haikou, People’s Republic of China; 2Department of Medical & Surgical Nursing, School of...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2021-01-01
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| Series: | Diabetes, Metabolic Syndrome and Obesity |
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| Online Access: | https://www.dovepress.com/the-effectiveness-of-a-self-efficacy-focused-structured-education-prog-peer-reviewed-article-DMSO |
| _version_ | 1797935152498737152 |
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| author | Jiang XJ Jiang H Chen Y Wu XA Yu XL Liu L Li MZ |
| author_facet | Jiang XJ Jiang H Chen Y Wu XA Yu XL Liu L Li MZ |
| author_sort | Jiang XJ |
| collection | DOAJ |
| description | Xin-Jun Jiang,1– 5 Hua Jiang,2 Yuan Chen,6 Xiao-An Wu,7 Xue-Lian Yu,8 Lei Liu,9 Ming-Zi Li2 1Department of Adults Nursing, School of International Nursing, Hainan Medical University, Haikou, People’s Republic of China; 2Department of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing, People’s Republic of China; 3Key Laboratory of Emergency and Trauma Ministry of Education, Hainan Medical University, Haikou, People’s Republic of China; 4Key Laboratory of Trauma of Hainan Medical University, Hainan Medical University, Haikou, People’s Republic of China; 5Key Laboratory of Tropical Cardiovascular Diseases Research of Hainan Province, The First Affiliated Hospital of Hainan Medical University, Haikou, People’s Republic of China; 6Department of Endocrinology, Wuyishan Municipal Hospital, Wuyishan, People’s Republic of China; 7Department of Endocrinology, People’s Hospital of Leping City, Leping, People’s Republic of China; 8Department of Endocrinology, Yanhua Hospital, Beijing, People’s Republic of China; 9Department of Health Education, Jimenli Primary Hospital, Beijing, People’s Republic of ChinaCorrespondence: Ming-Zi LiDepartment of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing, People’s Republic of ChinaTel +86-10-82805230Email limingzi@bjmu.edu.cnBackground and Objective: The 12-month follow-up effect of the self-efficacy-focused structured education program (SSEP) requires in-depth confirmation. This study aims to verify whether the benefits of SSEP can be maintained in 12 months.Materials and Methods: A multicenter randomized controlled trial with 12-month follow-up conducted among 265 type 2 diabetes patients not on insulin from 4 hospitals in mainland China. The intervention group (n = 133) was administrated with SSEP, and the control group (n = 132) received the routine education. The indicators of metabolic and psychosocial aspects of the patients were assessed at baseline and 12 months.Results: As opposed to the control group, the primary outcomes of HbA1c in the intervention group were improved obviously in the 12th month during the 12-month follow-up (− 1.13%, P < 0.001). The secondary outcomes (ie, waist circumference, total cholesterol, low-density lipoprotein cholesterol, diabetes self-efficacy, diabetes self-management behaviors, diabetes knowledge and diabetes distress) were improved significantly in the intervention group as compared with the control group in the 12th month during the 12-month follow-up (− 3.14 cm, P = 0.001; − 0.30 mmol/L, P = 0.032; − 0.25 mmol/L, P = 0.008; 0.87, P < 0.001; 10.67, P < 0.001; 3.42, P < 0.001; − 4.97, P < 0.001). The non-significant difference in the secondary outcomes (ie, systolic pressure, diastolic pressure, triglycerides and high-density lipoprotein cholesterol) was identified between the two groups in the 12th month during the 12-month follow-up (P > 0.05).Conclusion: The SSEP provided sustainable benefits in outcomes of HbA1c, waist circumference, total cholesterol, low-density lipoprotein cholesterol, diabetes knowledge, diabetes distress, diabetes self-efficacy and diabetes self-management behaviors for type 2 diabetes patients not on insulin in the 12th month during the 12-month follow-up. Thus, it will be an effective education model capable of being generalized nationwide, and it can be referenced for the nations and regions under consistent conditions.Clinical Trial Registry: Chinese Clinical Trial Registry (ChiCTR‐IOR‐17011007).Keywords: diabetes mellitus, type 2, self efficacy, education |
| first_indexed | 2024-04-10T18:09:54Z |
| format | Article |
| id | doaj.art-f47643c70dfd48a4ac8ac903b1ddad80 |
| institution | Directory Open Access Journal |
| issn | 1178-7007 |
| language | English |
| last_indexed | 2024-04-10T18:09:54Z |
| publishDate | 2021-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Diabetes, Metabolic Syndrome and Obesity |
| spelling | doaj.art-f47643c70dfd48a4ac8ac903b1ddad802023-02-02T11:24:56ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072021-01-01Volume 1430531361381The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled TrialJiang XJJiang HChen YWu XAYu XLLiu LLi MZXin-Jun Jiang,1– 5 Hua Jiang,2 Yuan Chen,6 Xiao-An Wu,7 Xue-Lian Yu,8 Lei Liu,9 Ming-Zi Li2 1Department of Adults Nursing, School of International Nursing, Hainan Medical University, Haikou, People’s Republic of China; 2Department of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing, People’s Republic of China; 3Key Laboratory of Emergency and Trauma Ministry of Education, Hainan Medical University, Haikou, People’s Republic of China; 4Key Laboratory of Trauma of Hainan Medical University, Hainan Medical University, Haikou, People’s Republic of China; 5Key Laboratory of Tropical Cardiovascular Diseases Research of Hainan Province, The First Affiliated Hospital of Hainan Medical University, Haikou, People’s Republic of China; 6Department of Endocrinology, Wuyishan Municipal Hospital, Wuyishan, People’s Republic of China; 7Department of Endocrinology, People’s Hospital of Leping City, Leping, People’s Republic of China; 8Department of Endocrinology, Yanhua Hospital, Beijing, People’s Republic of China; 9Department of Health Education, Jimenli Primary Hospital, Beijing, People’s Republic of ChinaCorrespondence: Ming-Zi LiDepartment of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing, People’s Republic of ChinaTel +86-10-82805230Email limingzi@bjmu.edu.cnBackground and Objective: The 12-month follow-up effect of the self-efficacy-focused structured education program (SSEP) requires in-depth confirmation. This study aims to verify whether the benefits of SSEP can be maintained in 12 months.Materials and Methods: A multicenter randomized controlled trial with 12-month follow-up conducted among 265 type 2 diabetes patients not on insulin from 4 hospitals in mainland China. The intervention group (n = 133) was administrated with SSEP, and the control group (n = 132) received the routine education. The indicators of metabolic and psychosocial aspects of the patients were assessed at baseline and 12 months.Results: As opposed to the control group, the primary outcomes of HbA1c in the intervention group were improved obviously in the 12th month during the 12-month follow-up (− 1.13%, P < 0.001). The secondary outcomes (ie, waist circumference, total cholesterol, low-density lipoprotein cholesterol, diabetes self-efficacy, diabetes self-management behaviors, diabetes knowledge and diabetes distress) were improved significantly in the intervention group as compared with the control group in the 12th month during the 12-month follow-up (− 3.14 cm, P = 0.001; − 0.30 mmol/L, P = 0.032; − 0.25 mmol/L, P = 0.008; 0.87, P < 0.001; 10.67, P < 0.001; 3.42, P < 0.001; − 4.97, P < 0.001). The non-significant difference in the secondary outcomes (ie, systolic pressure, diastolic pressure, triglycerides and high-density lipoprotein cholesterol) was identified between the two groups in the 12th month during the 12-month follow-up (P > 0.05).Conclusion: The SSEP provided sustainable benefits in outcomes of HbA1c, waist circumference, total cholesterol, low-density lipoprotein cholesterol, diabetes knowledge, diabetes distress, diabetes self-efficacy and diabetes self-management behaviors for type 2 diabetes patients not on insulin in the 12th month during the 12-month follow-up. Thus, it will be an effective education model capable of being generalized nationwide, and it can be referenced for the nations and regions under consistent conditions.Clinical Trial Registry: Chinese Clinical Trial Registry (ChiCTR‐IOR‐17011007).Keywords: diabetes mellitus, type 2, self efficacy, educationhttps://www.dovepress.com/the-effectiveness-of-a-self-efficacy-focused-structured-education-prog-peer-reviewed-article-DMSOdiabetes mellitustype 2self efficacyeducation |
| spellingShingle | Jiang XJ Jiang H Chen Y Wu XA Yu XL Liu L Li MZ The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial Diabetes, Metabolic Syndrome and Obesity diabetes mellitus type 2 self efficacy education |
| title | The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial |
| title_full | The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial |
| title_fullStr | The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial |
| title_full_unstemmed | The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial |
| title_short | The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial |
| title_sort | effectiveness of a self efficacy focused structured education program ssep in improving metabolic control and psychological outcomes of type 2 diabetes patients a 12 month follow up of a multicenter randomized controlled trial |
| topic | diabetes mellitus type 2 self efficacy education |
| url | https://www.dovepress.com/the-effectiveness-of-a-self-efficacy-focused-structured-education-prog-peer-reviewed-article-DMSO |
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