A brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes
Abstract
We assessed the effectiveness of a brief structured diabetes education programme based on the concept of self-efficacy on self-care and glycaemic control using single-blind study design. One hundred and sixty-four participants with poorly controlled diabetes from two settings were randomized using computer-generated list into control (n = 82) and intervention (n = 82) groups, of which 151 completed the study. Monthly interventions over 12 weeks addressed the self-care practices of diet, physical activity, medication adherence and self-monitoring of blood glucose (SMBG). These self-care practices were assessed at Weeks 0 and 12 using pre- and post-questionnaires in both groups together with glycated haemoglobin A1c (HbA1c) and diabetes knowledge. In the intention-to-treat analysis (n = 164), the intervention group improved their SMBG (P = <0.001), physical activity (P = 0.001), HbA1c (P = 0.03), diabetes knowledge (P = <0.001) and medication adherence. At Week 12, HbA1c difference adjusted for SMBG frequency, medication adherence and weight change remained significant (P = 0.03) compared with control group. For within group comparisons, diabetes knowledge (P = <0.001), HbA1c level (P = <0.001), SMBG (P = <0.001) and medication adherence (P = 0.008) improved from baseline in the intervention group. In the control group, only diabetes knowledge improved (P = <0.001). These findings can contribute to the development of self-management diabetes education in Malaysia.
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Confidence in one's ability to pursue goals affects how well people adhere to medication across many long-term illnesses.
“Self-efficacy or confidence in one’s ability to successfully engage in goal-directed behavior has been shown to influence medication adherence across many chronic illnesses.”
From Reliability and validity of a self‐efficacy instrument for hepatitis C antiviral treatment regimens (2012) · cites this paper as [23]
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- Authors
- Tan, M. Y., Magarey, J. M., Chee, S. S., Lee, L. F., & Tan, M. H.
- Affiliations
- The University of Adelaide (AU)
- University Malaya Medical Centre (MY)
- University of Michigan (US)
- Venue
- Health Education Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-06-29
- Volume
- 26
- Issue
- 5
- Pages
- 896-907
- ISSN
- 0268-1153 (ISSN-L)
- 1465-3648
- OpenAlex
- W2118986068
- Cited by
- 87
- References
- 39
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 10 · 2021: 8 · 2020: 3 · 2019: 10 · 2018: 3 · 2017: 6 · 2016: 10 · 2015: 12 · 2014: 8 · 2013: 7 · 2012: 4
- FWCI
- 5.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education Research (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- 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 education, self-care, glycemic control, self-efficacy, self-monitoring of blood glucose, medication adherence, physical activity, diet, HbA1c, diabetes knowledge, uncontrolled diabetes, self-management education, Malaysia
- MeSH terms
- Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Diet, Diabetic, Female, Glycated Hemoglobin, Humans, Health Knowledge, Attitudes, Practice, Malaysia, Male, Middle Aged, Motor Activity, Outcome and Process Assessment, Health Care, Patient Education as Topic, Self Care, Blood Glucose Self-Monitoring, Single-Blind Method, Self Efficacy, Medication Adherence
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