Effectiveness of a self‐management support program for T hais with type 2 diabetes: Evaluation according to the RE‐AIM framework
Abstract
Delivering diabetes self-management support is an enormous challenge for healthcare providers with limited human resources. We conducted a cluster randomized controlled trial to assess the effectiveness of a DSMS program incorporating the computer-assisted instruction. The RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework was applied to evaluate the DSMS program. Ten Public Health Centers in Bangkok, Thailand were randomized into either DSMS program or usual care. Forty eligible patients with type 2 diabetes in each Public Health Center were randomly selected. Totally, 403 patients (200 controls and 203 interventions) participated. About 93.8% participants completed the six-month follow-up. Over six months, adjusted mean changes of hemoglobin A1c (-0.14%, 95% confidence interval = -0.02 to -0.26, fasting plasma glucose (-6.37 mg/dL, -1.95 to -10.78), health behaviors (3.31 score, 2.27 to 4.34), and quality of life (1.41 score, 0.69 to 2.12) were significantly improved in intervention compared to control group. In conclusion, the DSMS program facilitates Public Health Centers to accomplish their support for people with diabetes.
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Seventeen studies targeting diabetes reported mean changes in HbA1c, with seven reporting significant improvements in the intervention compared with usual care.
“Seventeen studies targeting diabetes reported mean changes in HbA1c, with seven reporting significant improvements in the intervention compared to usual care”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [56]
Physical, mental or social functioning were measured in 25 RCTs.
“Physical, mental or social functioning were measured in 25 RCTs”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [56]
Eight studies reported significant improvements in HRQOL.
“Eight studies reported significant improvements in HRQOL”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [56]
Twenty-four RCTs examined the impact of interventions on health-related quality of life (HRQOL).
“Twenty-four RCTs examined the impact of interventions on HRQOL”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [56]
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- Authors
- Jaipakdee, J., Jiamjarasrangsi, W., Lohsoonthorn, V., & Lertmaharit, S.
- Affiliations
- Chulalongkorn University (TH)
- Corresponding author
- Jiamjarasrangsi, Wiroj
- Venue
- Nursing & Health Sciences
- Publisher
- Wiley
- Published
- 2015-03-30
- Volume
- 17
- Issue
- 3
- Pages
- 362-369
- ISSN
- 1441-0745 (ISSN-L)
- 1442-2018
- OpenAlex
- W1843428540
- Cited by
- 35
- References
- 6
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 1 · 2019: 9 · 2018: 1 · 2017: 2 · 2016: 3
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nursing and Health Sciences (publishedVersion)
- PubMed (publishedVersion)
- Funders
- the National Health Security Office (NHSO) of Thailand, Region 13 Bangkok (GUC7/2551/23-04-2551)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- type 2 diabetes, diabetes self-management support, computer-assisted instruction, RE-AIM framework, public health centers, HbA1c, fasting blood glucose, health behavior, quality of life, primary care, Thailand
- MeSH terms
- Adult, Computer-Assisted Instruction, Demography, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Quality of Life, Self Care, Thailand, Program Evaluation
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