Cluster randomised controlled trial: an educational self-care intervention for older Taiwanese people with type 2 diabetes mellitus - the impact on blood glucose levels and diabetic complications

Chao, Ying-Hua, Usher, Kim, Buettner, Petra G., and Holmes, Colin (2014) Cluster randomised controlled trial: an educational self-care intervention for older Taiwanese people with type 2 diabetes mellitus - the impact on blood glucose levels and diabetic complications. Collegian, 21 (1). pp. 43-51.

[img] PDF (Published Version) - Published Version
Restricted to Repository staff only

View at Publisher Website: http://dx.doi.org/10.1016/j.colegn.2012....
 
3
7


Abstract

Aims: To investigate whether self care behaviours, medical outcomes and quality of life of Taiwanese elderly with type 2 diabetes mellitus (DM) can be improved by delivery of an educational health care package.

Background: DM is a major health problem in developed and developing countries, with older adults constituting about half of the diabetic population. Type 2 DM is the most rapidly increasing chronic disease in Taiwan.

Methods: During 2005 and 2006, Taiwanese elderly with Type 2 DM (n = 500) were randomly allocated to either an intervention or control group. Data collection using validated instruments occurred at baseline and 6 months follow-up. Main outcome measures were blood glucose levels and diabetic complications.

Results: At baseline, 88.4% participants in the control and 78.8% in the experimental group had a blood glucose level above normal range (p = 0.076); respective results at 6 months were 92.4% for the control group and 60.4% for the experimental group (p < 0.001). The multivariate adjusted result showed that the intervention group was 11.1 times less likely to have blood glucose levels above normal (p = 0.002) at 6 months follow-up compared to the control group. Occurrence of complications was significantly fewer in the intervention group at baseline and at 6 month follow-up compared to the control group (baseline: 42.0% versus 82.1%, p = 0.003; 6 month follow-up: 48.4% versus 87.0%; p = 0.006).

Item ID: 31367
Item Type: Article (Research - C1)
ISSN: 1876-7575
Keywords: type 2 diabetes mellitus; Taiwan; nursing; educational intervention; experimental study; randomised controlled trial
Date Deposited: 18 Feb 2014 23:41
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111702 Aged Health Care @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111099 Nursing not elsewhere classified @ 50%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920205 Health Education and Promotion @ 50%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920502 Health Related to Ageing @ 50%
Downloads: Total: 7
More Statistics

Actions (Repository Staff Only)

Item Control Page Item Control Page