Effectiveness of an education intervention associated with an exercise program in improving disease-related knowledge and health behaviours among diabetes patients

•Patient education is an essential part of diabetes care.•The education intervention was effective in improving patients’ knowledge.•The education intervention was effective in improving physical activity, food intake and self-efficacy.•Health literacy improved as a result of this education interven...

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Published in:Patient education and counseling 2020-09, Vol.103 (9), p.1790-1797
Main Authors: Ghisi, Gabriela Lima de Melo, Aultman, Crystal, Konidis, Renee, Foster, Evelyn, Tahsinul, Anam, Sandison, Nicole, Sarin, Michael, Oh, Paul
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
cardiac rehabilitation
diabetes
Diabetes Mellitus - psychology
Diabetes Mellitus - therapy
Exercise
Exercise Therapy - methods
Female
Health Behavior
Health Knowledge, Attitudes, Practice
Health Literacy
Humans
Longitudinal Studies
Male
Middle Aged
Nursing
Patient education
Patient Education as Topic - methods
Prediabetic State - psychology
Prediabetic State - therapy
Self Care - psychology
Self Efficacy
Surveys and Questionnaires
Treatment Outcome
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Summary:•Patient education is an essential part of diabetes care.•The education intervention was effective in improving patients’ knowledge.•The education intervention was effective in improving physical activity, food intake and self-efficacy.•Health literacy improved as a result of this education intervention. to assess the effectiveness of an education intervention associated with an exercise program in improving knowledge and health behaviours among diabetes patients. Diabetes and prediabetes patients were exposed to an evidence- and theoretically-based comprehensive education intervention over 24 weeks. Patients completed surveys assessing knowledge, physical activity, food intake, self-efficacy, and health literacy. Functional capacity was measured by oxygen uptake. All outcomes were assessed pre- and post-CR. Satisfaction about the education provided was assessed at post-CR. Paired t-tests, Pearson correlation coefficients, and linear regression models were computed to investigate the effectiveness of this intervention. 84 patients consented to participate, of which 47(56.0%) completed post-CR assessments. There was a significant improvement in patients’ overall knowledge pre- to post-CR, as well as in physical activity, food intake, self-efficacy, and health literacy (p 
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2020.04.007