Effectiveness of a community-based diabetes self-management education (dsme) program in a rural agricultural setting
Open accessAbstract
Introduction: The purpose of this study is to assess the effectiveness of diabetes self-management education (DSME) in a rural agricultural town. Methods: In this prospective, education-intervention trial, 85 adults with type 2 diabetes mellitus from villages randomly assigned to DSME and 70 from villages assigned to standard care participated. The DSME group underwent a curriculum delivered by peer educators; those in the standard group received usual advice. Outcome measures were anthropometric, biochemical, health behaviors, and medication use data taken at baseline then after three and six months. Results: DSME group had a lower median A1C after three and six months. After six months, there was a 0.5% median A1C reduction in DSME group and a 0.25% increase in the standard group. There were more participants in DSME group with A1C ⩽7.0% after three and six months. By the third month, there were more participants in DSME group performing foot examination. Conclusion: DSME in this rural agricultural town improved glycemic control and promoted foot examination.
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DSMES leads to a reduction in health care costs.
“Evidence indicates that DSMES imparts enhanced knowledge of DM and self-care practices resulting in improved A1C values,909,912,1449–1451 modest reductions in weight, better QoL,912,1451,1452 and lower mortality risk,1453 while at the same time leading to a reduction in health care costs.1454,1455”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1455]
The paper’s Discussion reports improved A1C and foot-examination practices, but does not report a reduction in health care costs. Searches for costs, expenditures, savings, and health care utilization found no passage addressing that claim. (LLM, conf=0.76)
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- Authors
- Paz-Pacheco, E., Sandoval, M. A., Ardena, G. J. R., Paterno, E., Juban, N., Lantion-Ang, F. L., Jimeno, C., Patal, P., & Bongon, J.
- Affiliations
- Philippine General Hospital (PH)
- University of the Philippines Manila
- University of the Philippines Manila (PH)
- Corresponding author
- Sandoval, Mark Anthony
- Venue
- Primary Health Care Research & Development
- Publisher
- Cambridge University Press (CUP)
- Published
- 2016-09-19
- Volume
- 18
- Issue
- 1
- Pages
- 35-49
- ISSN
- 1463-4236 (ISSN-L)
- 1477-1128
- OpenAlex
- W2518684644
- Cited by
- 56
- References
- 18
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 9 · 2023: 5 · 2022: 9 · 2021: 13 · 2020: 8 · 2019: 6 · 2018: 2
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Primary Health Care Research & Development (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- University of the Philippines
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- diabetes self-management education, type 2 diabetes, rural agricultural communities, glycemic control, HbA1c, peer educators, foot examination, health behavior, medication use, community-based intervention
- MeSH terms
- Self-Management, Community Health Workers, Diabetes Mellitus, Type 2, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Patient Education as Topic, Peer Group, Philippines, Prospective Studies, Rural Health, Program Evaluation, Prevalence
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