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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Faculdade de Saúde Pública da Universidade de São Paulo
2018
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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 |
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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 |
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