Cargando…

Evaluation of the effects of a diabetes educational program: a randomized clinical trial

OBJECTIVE: Evaluate the effectiveness of a diabetes mellitus educational program in primary health care. METHODS: This cluster randomized trial was conducted in a sample of 470 people with type 2 diabetes mellitus from eight health units, randomly assigned to two groups: intervention (n = 231) and c...

Descripción completa

Detalles Bibliográficos
Autores principales: Torres, Heloísa de Carvalho, Pace, Ana Emília, Chaves, Fernanda Figueredo, Velasquez-Melendez, Gustavo, Reis, Ilka Afonso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5802646/
https://www.ncbi.nlm.nih.gov/pubmed/29412378
http://dx.doi.org/10.11606/S1518-8787.2018052007132
_version_ 1783298561221328896
author Torres, Heloísa de Carvalho
Pace, Ana Emília
Chaves, Fernanda Figueredo
Velasquez-Melendez, Gustavo
Reis, Ilka Afonso
author_facet Torres, Heloísa de Carvalho
Pace, Ana Emília
Chaves, Fernanda Figueredo
Velasquez-Melendez, Gustavo
Reis, Ilka Afonso
author_sort Torres, Heloísa de Carvalho
collection PubMed
description OBJECTIVE: Evaluate the effectiveness of a diabetes mellitus educational program in primary health care. METHODS: This cluster randomized trial was conducted in a sample of 470 people with type 2 diabetes mellitus from eight health units, randomly assigned to two groups: intervention (n = 231) and control (n = 239). The intervention group participated in the educational program composed of three strategies: group education, home visit, and telephone intervention. Simultaneously, the control group was monitored individually. Group monitoring took place over nine months in the year 2012. Clinical evaluations were performed at the initial time (T(0)), three (T(3)), six (T(6)) and nine (T(9)) months after the beginning of the intervention. RESULTS: After nine months of follow-up, 341 users remained in the study, 171 in the control group and 170 in the intervention group. The average age of users was 60.6 years. In both groups, statistically significant differences were observed in mean HbA1c levels over the follow-up time (p < 0.05). However, the mean HbA1c level at T(3), T(6) and T(9) times were significantly lower among the people in the intervention group (p < 0.05). CONCLUSIONS: The educational program model developed was effective to improve the glycemic control of the intervention group participants.
format Online
Article
Text
id pubmed-5802646
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Faculdade de Saúde Pública da Universidade de São Paulo
record_format MEDLINE/PubMed
spelling pubmed-58026462018-02-12 Evaluation of the effects of a diabetes educational program: a randomized clinical trial Torres, Heloísa de Carvalho Pace, Ana Emília Chaves, Fernanda Figueredo Velasquez-Melendez, Gustavo Reis, Ilka Afonso Rev Saude Publica Original Articles OBJECTIVE: Evaluate the effectiveness of a diabetes mellitus educational program in primary health care. METHODS: This cluster randomized trial was conducted in a sample of 470 people with type 2 diabetes mellitus from eight health units, randomly assigned to two groups: intervention (n = 231) and control (n = 239). The intervention group participated in the educational program composed of three strategies: group education, home visit, and telephone intervention. Simultaneously, the control group was monitored individually. Group monitoring took place over nine months in the year 2012. Clinical evaluations were performed at the initial time (T(0)), three (T(3)), six (T(6)) and nine (T(9)) months after the beginning of the intervention. RESULTS: After nine months of follow-up, 341 users remained in the study, 171 in the control group and 170 in the intervention group. The average age of users was 60.6 years. In both groups, statistically significant differences were observed in mean HbA1c levels over the follow-up time (p < 0.05). However, the mean HbA1c level at T(3), T(6) and T(9) times were significantly lower among the people in the intervention group (p < 0.05). CONCLUSIONS: The educational program model developed was effective to improve the glycemic control of the intervention group participants. Faculdade de Saúde Pública da Universidade de São Paulo 2018-01-29 /pmc/articles/PMC5802646/ /pubmed/29412378 http://dx.doi.org/10.11606/S1518-8787.2018052007132 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Torres, Heloísa de Carvalho
Pace, Ana Emília
Chaves, Fernanda Figueredo
Velasquez-Melendez, Gustavo
Reis, Ilka Afonso
Evaluation of the effects of a diabetes educational program: a randomized clinical trial
title Evaluation of the effects of a diabetes educational program: a randomized clinical trial
title_full Evaluation of the effects of a diabetes educational program: a randomized clinical trial
title_fullStr Evaluation of the effects of a diabetes educational program: a randomized clinical trial
title_full_unstemmed Evaluation of the effects of a diabetes educational program: a randomized clinical trial
title_short Evaluation of the effects of a diabetes educational program: a randomized clinical trial
title_sort evaluation of the effects of a diabetes educational program: a randomized clinical trial
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5802646/
https://www.ncbi.nlm.nih.gov/pubmed/29412378
http://dx.doi.org/10.11606/S1518-8787.2018052007132
work_keys_str_mv AT torresheloisadecarvalho evaluationoftheeffectsofadiabeteseducationalprogramarandomizedclinicaltrial
AT paceanaemilia evaluationoftheeffectsofadiabeteseducationalprogramarandomizedclinicaltrial
AT chavesfernandafigueredo evaluationoftheeffectsofadiabeteseducationalprogramarandomizedclinicaltrial
AT velasquezmelendezgustavo evaluationoftheeffectsofadiabeteseducationalprogramarandomizedclinicaltrial
AT reisilkaafonso evaluationoftheeffectsofadiabeteseducationalprogramarandomizedclinicaltrial