Comparison of education group strategies and home visits in type 2 diabetes mellitus: clinical trial

Abstract

Objective:to compare the adherence and empowerment of patients with type 2 diabetes mellitus for self-care practices and glycemic control in group education strategies and home visits. Method:Clinical trial with ten randomized clusters, performed with 238 patients with type 2 diabetes mellitus distributed in group education, home visit, and control group. Socio-demographic data, glycated hemoglobin and those obtained from the self-care and empowerment questionnaires were collected. Statistical analysis was performed separately by educational strategy. Results:the mean age of the patients was 57.8 years old (SD = 9.4 years old), with a predominantly female participation (66.4%). Both strategies presented similar results regarding adherence to self-care practices and patient empowerment. There was also a reduction in glycated hemoglobin levels; however, only in the education group, the difference presented statistical significance (p <0.001). Conclusion:the strategies were effective; however, group education presented better glycemic control results in relation to the home visit. International registry: NCT02132338 and national: RBR-92j38t in the clinical trials registry.

Knowledge, attitudes, and beliefs about acute coronary syndrome among patients with type 2 diabetes

“…A study reports that an educational program based on the development of empowerment principles was effective for people with type 2 diabetes ( 31 ) . Educational strategies empower knowledge, skills, and self-confidence, enabling people with chronic conditions to assume responsibility for managing their diseases ( 31 ) .…”

“…A study reports that an educational program based on the development of empowerment principles was effective for people with type 2 diabetes ( 31 ) . Educational strategies empower knowledge, skills, and self-confidence, enabling people with chronic conditions to assume responsibility for managing their diseases ( 31 ) . Therefore, the education people with diabetes receive should focus not only on expanding their knowledge about the disease but also on cultivating a self-care attitude to prevent cardiovascular problems and decrease the time they take to seek help in cardiac emergencies.…”

Intervenção educativa em homens com diabetes mellitus: efeitos sobre comportamentos e perfil antropométrico

“…(25) A literatura aponta que ambas as estratégias educativas utilizadas (em grupo e visita domiciliar individual) produzem benefícios para indivíduos com DM, independentemente do sexo. (26) É possível que intervenções em grupo ou individuais produzam efeitos distintos, pois os homens que participaram do grupo tiveram a oportunidade de conhecer experiências de outros e discutir possibilidades de autocuidado, e os que participaram do encontro indivi-dual puderam falar mais abertamente sobre dificuldades particulares. No caso do presente estudo, foi necessário propiciar ambas as estratégias, pois vários homens manifestaram a dificuldade em participar dos grupos nos horários de atendimento das UBS ou a preferência por receber a visita o domicílio.…”

Education in Diabetes Mellitus for blood glucose self-monitoring: a quasi-experimental study

“…Through the importance of glycemic control, strategies that support behaviors favorable to its reach and maintenance should be a priority in care for the person with DM. In this perspective, DM education can be a fundamental strategy to promote knowledge and the development of self-care skills (2,(5)(6) .…”