Persian Diabetes Self-Management Education (PDSME) program

Evaluation of effectiveness in Iran

Datos Bibliográficos

ID22945309
AutoresElham Shakibazadeh (0000-0002-1320-2133, Zanjan University of Medical Sciences), L Kay Bartholomew (0000-0002-1746-0463, The University of Texas Health Science Center at Houston), Arash Rashidian (0000-0002-4005-5183, Tehran University of Medical Sciences, autor de correspondencia), Bagher Larijani (0000-0001-5386-7597, Tehran University of Medical Sciences)
Año2016
Volumen31
Número3
Páginas623-634
Fecha de publicación2016-09-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Promotion International (JOURNAL)
Identificadores de la revistaISSN: 0957-4824 • E-ISSN: 1460-2245
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dav006
PMID25761821
OpenAlexW2026465812
IdiomaEN
Citas recibidas3
Referencias citadas28

Despite increasing rate of diabetes, no standard self-management education protocol has been developed in Iran. We designed Persian Diabetes Self-Management Education (PDSME) program using intervention mapping. Effectiveness of program was assessed in newly diagnosed people with type 2 diabetes and those who had received little self-management education. Individuals aged 18 and older (n = 350) were recruited in this prospective controlled trial during 2009-2011 in Tehran, Iran. Patients were excluded if they were pregnant, were housebound or had reduced cognitive ability. Participants were randomly allocated in intervention and control groups. PDSME patients attended eight workshops over 4-week period following two follow-up sessions. Validated questionnaires assessed cognitive outcomes at baseline, 2 and 8 weeks. HbA1c was assessed before and 18-21 months after intervention in both groups. The CONSORT statement was adhered to where possible. A total of 280 individuals (80%) attended the program. By 18-21 months, the PDSME group showed significant improvements in mean HbA1c (-1.1 versus +0.2%, p =0.008, repeated measure ANOVA (RMA)). Diabetes knowledge improved more in PDSME patients treated with oral antidiabetic agents than in those receiving usual care over time (RMA, F = 67.08, p < 0.001). Statistically significant improvements were seen in PDSME patients for self-care behaviors, health beliefs, attitudes toward diabetes, stigma, self-efficacy and patient satisfaction. PDSME program was effective in improving self-management cognitive and clinical outcomes. Results support use of intervention mapping for planning effective interventions. Given the large number of people with diabetes and lack of affordable diabetes education, PDSME deserves consideration for implementation.

Diabetes management · Diabetes mellitus · Family medicine · Health education · Physical therapy · Psychological intervention · Public health · Randomized controlled trial · Repeated measures design · Self-management · Type 2 diabetes · Chronic Disease Management Strategies · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Internal Medicine · Medicine · Nursing