Short‐term effectiveness of a theory‐based intervention to promote diabetes management behaviours among adults with type 2 diabetes in Iran: A randomised control trial

Daryabeygi-Khotbehsara, Reza; White, Katherine M.; Djafarian, Kourosh; Islam, Sheikh Mohammed Shariful; Catrledge, Susie; Ghaffari, Mohammad Payam; Keshavarz, Seyed Ali

doi:10.1111/ijcp.13994

Cited by 10 publications

(8 citation statements)

References 32 publications

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Section: Discussionsupporting

confidence: 90%

“…We suppose that decline in SMBG adherence over time might be one reason, while the possibility of reverse causality cannot be excluded. Our results, in conjunction with previous findings, [28][29][30][32][33][34][35][36][37][38] highlight the importance of maintaining SMBG adherence in patients with prolonged diabetes duration. Interestingly, we observed that SMBG was independently associated with hypoglycemia in both study populations.…”

Section: Ta B L E 2 Association Between Smbg and Hba1c < 7%supporting

confidence: 90%

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Distinct associations of self‐monitoring of blood glucose with glycemic control and hypoglycemia between groups of recently diagnosed and long‐term follow‐up type 2 diabetes: The Taiwan Diabetes Registry

Wang

Yeh

et al. 2021

Int J Clin Pract

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Background We investigated the uses and frequency of self‐monitoring of blood glucose (SMBG) with glycemic control and hypoglycemia in two groups of type 2 diabetes (T2D) (recently diagnosed and long‐term follow‐up) using real‐world data in Taiwan (the Taiwan Diabetes Registry). Methods Patients with T2D recently diagnosed within 6 months (n = 3297, mean age 54.4 ± 13.9 years) and T2D patients with long‐term follow‐up (n = 1201, mean age 65.5 ± 12.1 years, mean diabetes duration 14.3 ± 7.8 years) from the Taiwan Diabetes Registry were analysed. All patients were interviewed by certified diabetes educators. Information about SMBG and hypoglycemia was recorded. Demography, personal history, and laboratory data were obtained from electronic medical records. Logistic regression analyses were used to examine the associations of SMBG with glycated haemoglobin (HbA1c) <7% and hypoglycemia. Results Mean HbA1c values were 8.4 ± 2.5 and 7.6 ± 1.4%, respectively, in the recently diagnosed and long‐term follow‐up T2D groups. The self‐reported rates of hypoglycemic events within 3 months were 10.5% and 19.0%, respectively. SMBG was associated with higher odds of HbA1c <7% (OR 1.21, 95% CI 1.01‐1.44) in patients with recently diagnosed T2D, but with lower odds of HbA1c <7% in T2D patients with long‐term follow‐up (OR 0.60, 95% CI 0.44‐0.82). In both study populations, SMBG was independently associated with hypoglycemia (OR 3.90 [95% CI 2.99‐5.08] and OR 3.93 [95% CI 2.73‐5.66], respectively). The aforementioned findings were consistent across the strata of SMBG frequency. Conclusion We reported different associations between SMBG and glycemic control in patients recently diagnosed with T2D and in T2D patients with long‐term follow‐up. SMBG was associated with higher detection of hypoglycemic episodes in both study populations.

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Section: Discussionsupporting

confidence: 90%

Section: Ta B L E 2 Association Between Smbg and Hba1c < 7%supporting

confidence: 90%

Distinct associations of self‐monitoring of blood glucose with glycemic control and hypoglycemia between groups of recently diagnosed and long‐term follow‐up type 2 diabetes: The Taiwan Diabetes Registry

Wang

Yeh

et al. 2021

Int J Clin Pract

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“…This finding emphasizes that PBC contributes to the prediction of DSM over and above the effect of intention. Several studies support the finding that PBC is the most critical factor in predicting intent to perform self-management behavior for individuals with T2DM and is also directly related to self-management behavior ( Daryabeygi‐Khotbehsara et al, 2021 ; Gatt & Sammut, 2008 ). In keeping with the present results, a recent study has demonstrated that self-efficacy(similar to PBC) predicts patients’ adherence to DSM recommendations and is particularly significant for overall self-management ( Abubakari et al, 2016 ).…”

Section: Discussionmentioning

confidence: 71%

Determinants associated with self-management behavior among type 2 diabetes patients in China: A structural equation model based on the theory of planned behavior

Pan

Zhang

Wang

et al. 2023

International Journal of Clinical and Health Psychology

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“…A more extended period of follow-up and intervention targeted at people with a particular health condition may increase the impact of the intervention. The intervention with multiple sessions and evaluation after eight weeks showed a significant effect of intervention and time, though the effect size was not calculated [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…TPB is a theoretical framework proposed by Ajzen and Fishbein containing attitude, subjective norms, perceived behavioural control (PBC), and intention as the constructs for any health behaviour [15]. TPB is used to design various health interventions, including PA promotion among adults, children, and people with different health conditions [16][17][18][19]. Interventions based on this theory were found most effective in increasing PA intention and behaviour than other theories [16,20,21], and an increase in PA was also found [22].…”

Section: Introductionmentioning

confidence: 99%

Effect of Educational Intervention Based on Theory of Planned Behaviour on Physical Activity Intention among Secondary School Teachers of Nepal

Shrestha

Pahari

Adhikari

et al. 2022

BioMed Research International

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Any bodily movement produced by skeletal muscle which requires energy expenditure is known as physical activity (PA). WHO has recommended that at least 150 minutes of moderate or 75 minutes of vigorous-intensity PA or a combination of both per week is required for health benefits. Physical inactivity is one of the strongest risk factors for noncommunicable diseases (NCDs) and other conditions and is attributable to 6% of global premature death. However, data on the PA of teachers are unavailable in Nepal. They are considered one of the risk groups for NCDs because of the less active nature of their job. So, we aimed to evaluate the effect of the educational intervention based on the theory of planned behaviour on PA intention among secondary school teachers in Bhaktapur district, Nepal. For this study, we recruited 126 teachers from 6 schools. Each intervention and control group contained three randomly selected secondary schools. All the teachers from the selected schools were enrolled in the respective groups. A quasiexperimental (pretest-posttest control group) study design was used to test the effectiveness of the intervention on attitude, behaviour control, subjective norms, and intention for engaging in regular PA. Both groups underwent baseline and follow-up assessments at four weeks using the self-administered questionnaire developed for this study. The intervention group delivered a one-hour lecture session supported by audio-video materials for PA promotion. The effect was analysed by comparing the changes in the theory of planned behaviour (TPB) constructs within and between intervention and control groups. The difference in scores between and within the groups was tested using Student’s t -test. Adjusted difference-in-difference scores were calculated through linear regression. Data analysis was done using Statistical Package for Social Science version 26.0. The adjusted mean score increase in TPB constructs due to the interaction of time and intervention increased from 0.641 to 1.381. The highest gain ( beta = 1.381 ) was seen in the intention score, while a minor improvement was seen in perceived behavioural control ( beta = 0.641 ). After the intervention, the net increase in PA intention score was 9.35% compared to the control group. Thus, the promotion package was effective in increasing PA intention. The findings of this study and educational package could be helpful in encouraging teachers to engage in PA in other schools.

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Short‐term effectiveness of a theory‐based intervention to promote diabetes management behaviours among adults with type 2 diabetes in Iran: A randomised control trial

Cited by 10 publications

References 32 publications

Distinct associations of self‐monitoring of blood glucose with glycemic control and hypoglycemia between groups of recently diagnosed and long‐term follow‐up type 2 diabetes: The Taiwan Diabetes Registry

Distinct associations of self‐monitoring of blood glucose with glycemic control and hypoglycemia between groups of recently diagnosed and long‐term follow‐up type 2 diabetes: The Taiwan Diabetes Registry

Determinants associated with self-management behavior among type 2 diabetes patients in China: A structural equation model based on the theory of planned behavior

Effect of Educational Intervention Based on Theory of Planned Behaviour on Physical Activity Intention among Secondary School Teachers of Nepal

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