Effectiveness of empowerment-based intervention on HbA1c and self-efficacy among cases with type 2 diabetes mellitus

Chen, Yanyan; Tian, Yikui; Sun, Xiaohong; Wang, Boqiao; Huang, Xiao

doi:10.1097/md.0000000000027353

Cited by 10 publications

(4 citation statements)

References 36 publications

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“…The meta-analysis elucidated a cohesive association between digital interventions and the marked improvement in self-efficacy pertaining to diabetes self-management. This comprehensive synthesis of multiple studies corroborates the underlying premise of the present study-that the integration of digital interventions can be instrumental in nurturing patients' belief in their capability to manage their diabetes effectively [40][41][42].…”

Section: Discussionsupporting

confidence: 82%

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

Shaban,

Sharaa,

Amer

et al. 2024

BMC Nurs

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Background In recent years, there has been growing interest in the use of Digital Based Nursing Intervention to support diabetes management. This study aimed to evaluate the effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of clients with diabetes. Methods Employing a quasi-experimental design, a sample of 120 adult participants diagnosed with type 2 diabetes, aged more than 18 years with focus on older adults was drawn from outpatient clinics at Cairo University Hospital. The intervention was approved and registered by the ethical committee of the faculty of nursing with IRB number: RHDIRB2019041701. The intervention group (n = 60) received a digital-based nursing intervention, while the control group (n = 60) received standard care. Data were collected using adopted standardized tools including the Diabetes Knowledge Test, the Diabetes Self-Efficacy Scale, and the Summary of Diabetes Self-Care Activities. Demographic characteristics were analyzed, and pre- and post-intervention scores were compared using paired t-tests were statistical methods. Results The digital-based nursing intervention resulted in significant enhancements in participants with diabetes knowledge and self-efficacy levels. Moreover, the intervention group demonstrated marked improvements in various self-care behaviors encompassing diet, exercise, medication adherence, blood glucose testing, and foot care. While the control group also exhibited some progress, the effects were less pronounced. Regression analyses highlighted age as a consistent factor associated with knowledge, self-efficacy, and specific self-care behaviors. Conclusion This study underscores the potential of tailored digital nursing interventions to complement traditional care approaches, empowering patients with type 2 diabetes to actively engage in self-management. The findings suggest that digital-based nursing interventions hold promise for enhancing patient knowledge, confidence, and proactive health behaviors. Nevertheless, limitations, including the relatively short intervention duration and a sample from a single clinic, warrant consideration. Future research should address these limitations to bolster the validity and applicability of the study’s conclusions.

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Section: Discussionsupporting

confidence: 82%

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

Shaban,

Sharaa,

Amer

et al. 2024

BMC Nurs

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“…Sin embargo, los instrumentos más utilizados para la evaluación del empoderamiento fueron la escala de empoderamiento de la diabetes forma corta 35,36,39,40 y el cuestionario de autocuidado 35,36,39,40,44 . Para determinar la validez de los instrumentos utilizados se han evaluado algunos parámetros, como el conocimiento sobre la enfermedad, la calidad de vida, el autocuidado de la enfermedad y las variables antropométricas y bioquímicas; no obstante, el parámetro más común fue la reducción de la HbA1c después del seguimiento 11,[21][22][23] .…”

Section: Discussionunclassified

“…El empoderamiento para el autocuidado de la DT2 podría mejorar el control de la enfermedad, reducir los niveles de hemoglobina glucosilada (HbA1c) y mejorar la autopercepción de la enfermedad, la calidad de vida, la autogestión y la capacidad para modular cambios psicológicos, sociales, habituales y de comportamiento [21][22][23][24] . En todo el mundo, los estudios han demostrado que implementar estrategias de empoderamiento tiene un efecto positivo; la American Association of Diabetes Educators recomienda que esta implementación vaya dirigida a educación para el autocontrol de la diabetes como proceso continuo de facilitar conocimiento, habilidad y capacidad de autocuidado 25 .…”

Section: Introductionunclassified

Empoderamiento como estrategia para el autocuidado en las personas con diabetes tipo 2: una revisión sistemática

González-Rivera,

García-Solano,

Moreno-Fergusson

et al. 2023

ALAD

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To identify the evidence from the literature regarding empowerment strategies for type 2 diabetes (T2D) self-care through a systematic literature review. PRISMA method, the review was in PubMed, Scopus, Scielo, CINAHL, LILACS, Web of Science, Springer, Redalyc and Sciencedirect were applied, using randomized controlled trials published since 2015 in Spanish, English and Portuguese, with at least one empowerment strategy, analyzed by four independent researchers. 2370 studies were found, 16 met the criteria. They used educational and psychosocial strategies, motivational interviewing and participatory action, discussions, images, questions, illustrations, worksheets, books, experiences, counseling, phone calls, debates, home visits, physical exercise, medication, action plans, decision making, glycemic control, uncertainty management, and nutrition. Glycated hemoglobin (HbA1c) was extracted to assess the effectiveness of the strategies. 87.5% were delivered by nurses, 50% in a clinical setting, 68.7% were carried out with groups; the empowerment process model was the most used as a theoretical foundation. Empowerment strategies for T2D self-care were effective, mainly those implemented by nurses showed improvements in HbA1c. It is recommended to support the implementation of intervention programs that empower people with T2D to perform self-care.

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“…Patterns with consistently high indicates higher prevalence for complications as well as mortality [ 46 ]. Based on previous research, the progression of T2DM, as measured by HbA1c is well-regulated with better diabetes knowledge and self-care empowerment [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

The efficacy of self-monitoring of blood glucose (SMBG) intervention package through a subscription model among type-2 diabetes mellitus in Malaysia: a preliminary trial

Johari,

Razalli,

Chua

et al. 2024

Diabetol Metab Syndr

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Background The aim of this study was to determine the effect of a Self-Monitoring Blood Glucose (SMBG) intervention package through a subscription model in improving HbA1c and health parameters among type-2 diabetes mellitus (T2DM) individuals in Malaysia. Methods This is a quasi-experimental study involving a total number of 111 individuals with T2DM (mean age 57.0 ± 11.7 years, 61% men) who were assigned to intervention (n = 51) and control (n = 60) groups. The intervention group participants were the subscribers of SugO365 program which provided a personalized care service based on self-recorded blood glucose values. Subscribers received a Contour® Plus One glucometer which can connect to Health2Sync mobile app to capture all blood glucose readings as well as physical and virtual follow up with dietitians, nutritionists, and pharmacists for 6 months. Outcome measures were body weight, body mass index (BMI), random blood glucose (RBG), glycated haemoglobin (HbA1c) and health-related quality of life (HRQoL, assessed by SF-36 questionnaire). Data were measured at baseline, third and sixth months. Results Repeated-measure analysis of covariance showed significant improvement in HbA1c level (ƞp2 = 0.045, p = 0.008) in the intervention (baseline mean 7.7% ± 1.1%; end mean 7.3% ± 1.3%) as compared to control (baseline mean 7.7% ± 0.9%; end mean 8.1% ± 1.6%) group. Similar trend was observed for Role Emotional domain of the quality of life (ƞp2 = 0.047, p = 0.023) in the intervention (baseline mean 62.8 ± 35.1, end mean 86.3 ± 21.3) compared to control (baseline mean group 70.5 ± 33.8; end mean 78.4 ± 27.3) group. Negative association was found in HbA1c changes using Z-score and Physical Function domain (r = − 0.217, p = 0.022). Conclusion A 6 months SMBG intervention package through a subscription model improved blood glucose control as measured by HbA1c and health-related quality of life, particularly the Role Emotional domain. Elevated HbA1c levels are correlated with decreased physical function.There is a need to further examine the efficacy of SMBG intervention package using a larger sample and a longer period of intervention and to determine its cost efficacy.

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Effectiveness of empowerment-based intervention on HbA1c and self-efficacy among cases with type 2 diabetes mellitus

Cited by 10 publications

References 36 publications

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

Empoderamiento como estrategia para el autocuidado en las personas con diabetes tipo 2: una revisión sistemática

The efficacy of self-monitoring of blood glucose (SMBG) intervention package through a subscription model among type-2 diabetes mellitus in Malaysia: a preliminary trial

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