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http://repository.kln.ac.lk/handle/123456789/9255
Title: | Translational research for diabetes self-management in Sri Lanka: A randomized controlled trial |
Authors: | Jayasuriya, R. Pinidiyapathirage, M.J. Jayawardena, R. Kasturiratne, A. de Zoysa, P. Godamunne, P. Gamage, S. Wickremasinghe, A.R. |
Keywords: | Diabetes Self-Management |
Issue Date: | 2015 |
Publisher: | Elsevier |
Citation: | Primary Care Diabetes.2015;pii:S1751-9918(15)00015-7 |
Abstract: | AIMS: The study tested the hypothesis that a theory driven Diabetes Self-Management (DSM) intervention delivered by trained nurses would result in a clinically significant improvement in glycaemic control. METHODS: Patients with an HbA1c >7.5% (58mmol/mol) and free of diabetes complications were enrolled into a randomized controlled trial (n=85). Intervention consisted of four sessions and monthly follow up for 6 months. Biochemical tests, and diet and physical activity assessments were done in both groups. Analysis of covariance was used to test the effectiveness of the intervention. RESULTS: At 6 months, there was a significant difference (P=0.001) in HbA1c between the groups controlling for baseline values and other variables. Based on the primary outcome, 28% in the intervention group achieved the target value of 6.5% HbA1c, compared to 8% in the "usual care" group (P<0.001; η2=0.65). The reduction in total energy intake and increase in physical activity was significant in the intervention group between baseline and follow up. CONCLUSIONS: The DSM intervention has resulted in a clinically significant impact on glycaemia, change in diet and physical activity, and has demonstrated the feasibility of using it within existing care arrangements in a developing country setting. Copyright © 2015 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved. |
Description: | Indexed in MEDLINE |
URI: | http://repository.kln.ac.lk/handle/123456789/9255 |
ISSN: | 1751-9918 (Print) 1878-0210 (Electronic) 1878-0210 (Linking) |
Appears in Collections: | Journal/Magazine Articles |
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