Effects of therapeutic education on self-efficacy, self-care activities and glycemic control of type 2 diabetic patients in a primary healthcare center in Lebanon

Background Diabetes type 2 is a chronic hyperglycemia, its control depends on the patient’s Self-efficacy and self-care activities. Therapeutic Patient Education (TPE) enhances the patient involvement and engagement in managing chronic diseases effectively by improving the health outcomes. It helps...

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Published in:Journal of diabetes and metabolic disorders 2020-12, Vol.19 (2), p.813-821
Main Author: ElGerges, Najwa S.
Format: Article
Language:English
Subjects:
Analysis
Care and treatment
Chronic diseases
Diabetes
Diabetes therapy
Diabetics
Endocrinology
Exercise
Glycosylated hemoglobin
Health aspects
Hyperglycemia
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Metabolic Diseases
Patient education
Primary health care
Research Article
Self-care, Health
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description Background Diabetes type 2 is a chronic hyperglycemia, its control depends on the patient’s Self-efficacy and self-care activities. Therapeutic Patient Education (TPE) enhances the patient involvement and engagement in managing chronic diseases effectively by improving the health outcomes. It helps the patients developing competencies of self-care, coping with diabetes and controlling glycaemia. Objective The objectives of this study are to assess the effects of TPE in type 2 Diabetic patients in Lebanon on their glycemic control, Diabetes Management Self-Efficacy Scale (DMSES) and their self-care activities (Summary of Diabetes Self-Care Activities SDSCA). Materials and methods A total of 100 diabetic patients (50 experimental, 50 control) were recruited from a primary care center according to inclusion and exclusion criteria. The experimental group followed the TPE by a multidisciplinary team. Glycemic control, DMSES and SDSCA were measured at baseline and after three months. The experimental group (EG) was followed up by phone calls every two weeks after the TPE. Results The results revealed that the experimental group showed significant improvement at the level of self-efficacy in managing their disease concerning general nutrition, specific nutrition, control of glycaemia, physical activity, weight control and medical control (α
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Therapeutic Patient Education (TPE) enhances the patient involvement and engagement in managing chronic diseases effectively by improving the health outcomes. It helps the patients developing competencies of self-care, coping with diabetes and controlling glycaemia. Objective The objectives of this study are to assess the effects of TPE in type 2 Diabetic patients in Lebanon on their glycemic control, Diabetes Management Self-Efficacy Scale (DMSES) and their self-care activities (Summary of Diabetes Self-Care Activities SDSCA). Materials and methods A total of 100 diabetic patients (50 experimental, 50 control) were recruited from a primary care center according to inclusion and exclusion criteria. The experimental group followed the TPE by a multidisciplinary team. Glycemic control, DMSES and SDSCA were measured at baseline and after three months. The experimental group (EG) was followed up by phone calls every two weeks after the TPE. Results The results revealed that the experimental group showed significant improvement at the level of self-efficacy in managing their disease concerning general nutrition, specific nutrition, control of glycaemia, physical activity, weight control and medical control (α&lt;0.01); the total score of DMSES had significantly increased from 5.02 to 8.28 in the EG (α&lt;0.01) compared to the control group (CG) that has decreased from 4.91 to 4.85 (α&lt;0.05). Moreover, regarding the SDSCA of the EG, the results highlighted that the activities related to general diet, specific diet, physical exercise, foot care, the measurement of glycaemia and the medication-taking had significantly improved (α&lt;0.05), whereas the CG didn’t improve his self-care activities (α&gt;0.05). In addition, the glycemic control HbA1c had improved in the EG after the intervention compared to the CG. Conclusion The findings of this study demonstrated that Therapeutic Patient Education is efficient in contributing to better glycemic control, better DMSES and SDSCA. Health professionals are best suited to help diabetic patients improve their self-efficacy in managing diabetes, controlling glycemia and improving their self-care.</description><identifier>ISSN: 2251-6581</identifier><identifier>EISSN: 2251-6581</identifier><identifier>DOI: 10.1007/s40200-020-00567-4</identifier><identifier>PMID: 33553013</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Analysis ; Care and treatment ; Chronic diseases ; Diabetes ; Diabetes therapy ; Diabetics ; Endocrinology ; Exercise ; Glycosylated hemoglobin ; Health aspects ; Hyperglycemia ; Medical research ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Metabolic Diseases ; Patient education ; Primary health care ; Research Article ; Self-care, Health</subject><ispartof>Journal of diabetes and metabolic disorders, 2020-12, Vol.19 (2), p.813-821</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Springer Nature Switzerland AG 2020.</rights><rights>COPYRIGHT 2020 BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c544t-3b9326acda18f1411a5d07652e5a8fe21331d630efea7b511854e05c0a80702a3</citedby><cites>FETCH-LOGICAL-c544t-3b9326acda18f1411a5d07652e5a8fe21331d630efea7b511854e05c0a80702a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7843904/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7843904/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33553013$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ElGerges, Najwa S.</creatorcontrib><title>Effects of therapeutic education on self-efficacy, self-care activities and glycemic control of type 2 diabetic patients in a primary healthcare center in Lebanon</title><title>Journal of diabetes and metabolic disorders</title><addtitle>J Diabetes Metab Disord</addtitle><addtitle>J Diabetes Metab Disord</addtitle><description>Background Diabetes type 2 is a chronic hyperglycemia, its control depends on the patient’s Self-efficacy and self-care activities. Therapeutic Patient Education (TPE) enhances the patient involvement and engagement in managing chronic diseases effectively by improving the health outcomes. It helps the patients developing competencies of self-care, coping with diabetes and controlling glycaemia. Objective The objectives of this study are to assess the effects of TPE in type 2 Diabetic patients in Lebanon on their glycemic control, Diabetes Management Self-Efficacy Scale (DMSES) and their self-care activities (Summary of Diabetes Self-Care Activities SDSCA). Materials and methods A total of 100 diabetic patients (50 experimental, 50 control) were recruited from a primary care center according to inclusion and exclusion criteria. The experimental group followed the TPE by a multidisciplinary team. Glycemic control, DMSES and SDSCA were measured at baseline and after three months. The experimental group (EG) was followed up by phone calls every two weeks after the TPE. Results The results revealed that the experimental group showed significant improvement at the level of self-efficacy in managing their disease concerning general nutrition, specific nutrition, control of glycaemia, physical activity, weight control and medical control (α&lt;0.01); the total score of DMSES had significantly increased from 5.02 to 8.28 in the EG (α&lt;0.01) compared to the control group (CG) that has decreased from 4.91 to 4.85 (α&lt;0.05). Moreover, regarding the SDSCA of the EG, the results highlighted that the activities related to general diet, specific diet, physical exercise, foot care, the measurement of glycaemia and the medication-taking had significantly improved (α&lt;0.05), whereas the CG didn’t improve his self-care activities (α&gt;0.05). In addition, the glycemic control HbA1c had improved in the EG after the intervention compared to the CG. Conclusion The findings of this study demonstrated that Therapeutic Patient Education is efficient in contributing to better glycemic control, better DMSES and SDSCA. Health professionals are best suited to help diabetic patients improve their self-efficacy in managing diabetes, controlling glycemia and improving their self-care.</description><subject>Analysis</subject><subject>Care and treatment</subject><subject>Chronic diseases</subject><subject>Diabetes</subject><subject>Diabetes therapy</subject><subject>Diabetics</subject><subject>Endocrinology</subject><subject>Exercise</subject><subject>Glycosylated hemoglobin</subject><subject>Health aspects</subject><subject>Hyperglycemia</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Medicine, Experimental</subject><subject>Metabolic Diseases</subject><subject>Patient education</subject><subject>Primary health care</subject><subject>Research Article</subject><subject>Self-care, Health</subject><issn>2251-6581</issn><issn>2251-6581</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9ks1q3DAQgE1paUKaF-ihCAqlhzjVr-VcCiGkaWGhl_YsZuXRroJX2kp2YF-nT1p5vQ27UGob-We--SyNpqreMnrNKNWfsqSc0roMNaWq0bV8UZ1zrljdqJa9PHo-qy5zfqTl0LptWfO6OhNCKUGZOK9-3zuHdsgkOjKsMcEWx8Fbgt1oYfAxkHJl7F2NznkLdnc1v1pISMAO_skPHjOB0JFVv7O4Kdk2hiHFfi_dbZFw0nlY4iTeFiuG8kMfCJBt8htIO7JG6If13mlLFNMUXuASQgxvqlcO-oyXh_tF9fPL_Y-7r_Xi-8O3u9tFbZWUQy2WN4I3YDtgrWOSMVAd1Y3iqKB1yJkQrGsERYegl4qxVkmkylJoqaYcxEX1efZux-UGu2keCXpzmKKJ4M1pJPi1WcUno1spbqgsgo8HQYq_RsyD2fhsse8hYByz4bLVkmspWEHfz-gKejQ-uFiMdsLNbVMQRrnmhbr-B1XObqpyDOh8-X6S8OEoYS5qjv04bWQ-BfkM2hRzTuiel8momfrLzP1lymD2_WWm9b07LtBzyt9uKoCYgVxCYYXJPMYxhbJp_9P-ARvT26k</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>ElGerges, Najwa S.</creator><general>Springer International Publishing</general><general>BioMed Central Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201201</creationdate><title>Effects of therapeutic education on self-efficacy, self-care activities and glycemic control of type 2 diabetic patients in a primary healthcare center in Lebanon</title><author>ElGerges, Najwa S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c544t-3b9326acda18f1411a5d07652e5a8fe21331d630efea7b511854e05c0a80702a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Analysis</topic><topic>Care and treatment</topic><topic>Chronic diseases</topic><topic>Diabetes</topic><topic>Diabetes therapy</topic><topic>Diabetics</topic><topic>Endocrinology</topic><topic>Exercise</topic><topic>Glycosylated hemoglobin</topic><topic>Health aspects</topic><topic>Hyperglycemia</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Medicine, Experimental</topic><topic>Metabolic Diseases</topic><topic>Patient education</topic><topic>Primary health care</topic><topic>Research Article</topic><topic>Self-care, Health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ElGerges, Najwa S.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of diabetes and metabolic disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ElGerges, Najwa S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of therapeutic education on self-efficacy, self-care activities and glycemic control of type 2 diabetic patients in a primary healthcare center in Lebanon</atitle><jtitle>Journal of diabetes and metabolic disorders</jtitle><stitle>J Diabetes Metab Disord</stitle><addtitle>J Diabetes Metab Disord</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>19</volume><issue>2</issue><spage>813</spage><epage>821</epage><pages>813-821</pages><issn>2251-6581</issn><eissn>2251-6581</eissn><abstract>Background Diabetes type 2 is a chronic hyperglycemia, its control depends on the patient’s Self-efficacy and self-care activities. Therapeutic Patient Education (TPE) enhances the patient involvement and engagement in managing chronic diseases effectively by improving the health outcomes. It helps the patients developing competencies of self-care, coping with diabetes and controlling glycaemia. Objective The objectives of this study are to assess the effects of TPE in type 2 Diabetic patients in Lebanon on their glycemic control, Diabetes Management Self-Efficacy Scale (DMSES) and their self-care activities (Summary of Diabetes Self-Care Activities SDSCA). Materials and methods A total of 100 diabetic patients (50 experimental, 50 control) were recruited from a primary care center according to inclusion and exclusion criteria. The experimental group followed the TPE by a multidisciplinary team. Glycemic control, DMSES and SDSCA were measured at baseline and after three months. The experimental group (EG) was followed up by phone calls every two weeks after the TPE. Results The results revealed that the experimental group showed significant improvement at the level of self-efficacy in managing their disease concerning general nutrition, specific nutrition, control of glycaemia, physical activity, weight control and medical control (α&lt;0.01); the total score of DMSES had significantly increased from 5.02 to 8.28 in the EG (α&lt;0.01) compared to the control group (CG) that has decreased from 4.91 to 4.85 (α&lt;0.05). Moreover, regarding the SDSCA of the EG, the results highlighted that the activities related to general diet, specific diet, physical exercise, foot care, the measurement of glycaemia and the medication-taking had significantly improved (α&lt;0.05), whereas the CG didn’t improve his self-care activities (α&gt;0.05). In addition, the glycemic control HbA1c had improved in the EG after the intervention compared to the CG. Conclusion The findings of this study demonstrated that Therapeutic Patient Education is efficient in contributing to better glycemic control, better DMSES and SDSCA. Health professionals are best suited to help diabetic patients improve their self-efficacy in managing diabetes, controlling glycemia and improving their self-care.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33553013</pmid><doi>10.1007/s40200-020-00567-4</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Analysis
Care and treatment
Chronic diseases
Diabetes
Diabetes therapy
Diabetics
Endocrinology
Exercise
Glycosylated hemoglobin
Health aspects
Hyperglycemia
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Metabolic Diseases
Patient education
Primary health care
Research Article
Self-care, Health
title Effects of therapeutic education on self-efficacy, self-care activities and glycemic control of type 2 diabetic patients in a primary healthcare center in Lebanon
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