Efficacy of a health education technology program in improving adherence to self-management behaviors and quality of life among adults with type 2 diabetes: A randomized controlled trial

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2024-09-01 DOI:10.1016/j.pcd.2024.08.003

Lee-Wen Pai , Chin-Tun Hung , Li-Li Chen , Ro-Lin Lin , Craig Lockwood

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引用次数: 0

Abstract

Aim

This study examined the efficacy of a health education technology program on self-management adherence behavior and quality of life among people with type 2 diabetes (T2D).

Methods

A randomized experimental study design was employed. A total of 110 subjects was recruited. The experimental group received a novel technology education program plus routine shared care. The control group received routine shared care alone. Quality of life and adherence to self-management behavior questionnaires were used to measure outcomes. A linear mixed-effects model was used to analyze changes in quality of life after controlling for pre-test effects. The odds ratio was calculated for differences in adherence behavior between the two groups.

Results

The between-group mean difference in quality of life scores and adherence to physical activity comparing pre-test at 3 months follow-up showed significant progress at 3 months post-test compared with the control group. However, the increase in mean quality of life scores and adherence behavior at 6 months did not demonstrate a sustained between-group difference.

Conclusion

The results showed adherence to physical activity and improved quality of life in patients with T2D at 3 months post intervention. Therefore, the program can be used as an intensive model for diabetes shared care.

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健康教育技术项目在提高 2 型糖尿病成人患者自我管理行为的依从性和生活质量方面的效果：随机对照试验。

目的：本研究探讨了健康教育技术项目对 2 型糖尿病（T2D）患者自我管理行为和生活质量的影响：方法：采用随机实验研究设计。方法：采用随机实验研究设计，共招募了 110 名受试者。实验组接受新技术教育项目和常规共同护理。对照组只接受常规共同护理。采用生活质量和自我管理行为依从性问卷来测量结果。在控制测试前效应后，采用线性混合效应模型分析生活质量的变化。计算了两组间坚持行为差异的几率：与对照组相比，组间生活质量评分和坚持体育锻炼的平均差异在测试后 3 个月的随访中与测试前相比有显著进步。然而，在 6 个月时，生活质量平均得分和坚持体育锻炼行为的增加并未显示出持续的组间差异：结果表明，干预后 3 个月，T2D 患者坚持体育锻炼并提高了生活质量。因此，该计划可作为糖尿病共同护理的强化模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.