Work

Effectiveness of a community-based diabetes self-management education (DSME) program in a rural agricultural setting

Year: 2016

Type: article

Abstract: 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.

Source: Primary Health Care Research & Development

DOI: 10.1017/s1463423616000335