Effects of One-Year Follow-up of a Group-Based Type 2 Diabetes Health Education Program and Motivational Interviewing Intervention on Lipid Profile Among Type 2 Diabetes Patients

Article Sidebar

PDF
Published: Dec 7, 2020
Keywords:
Total Cholesterol Health Education Program Motivational Interviewing Intervention

Main Article Content

Thanyawat Homsombat
Faculty of Sport Science and health, Thailand National Sports University

Abstract

The 1 year quasi-experimental study aimed to investigate the effect of one-year follow-up of a group-based type 2 diabetes health education therapy and motivational interviewing intervention on lipid profile among type 2 diabetes patients. Subjects were 70 type 2 diabetes mellitus (DM) patients at Nongnakham primary care unit, Muang District, Udon Thani Province. Initially, the routine of participants came to primary care unit for medication every 2 months. First of all, all participants had drawn blood sampling by nurse to test total cholesterol (TC), triglycerides (TRI), high-density lipoprotein cholesterol (HDL-c) and low-density lipoprotein cholesterol level (LDL-c) (pre-intervention and post-intervention) followed by received face to face health education and the standardize of the followed health education program and motivational interviewing for changing behavior. Descriptive statistics were frequency, percentage, mean, standard deviation (S.D.) and paired t-test.


            The results showed that, among 70 DM participants, most of them were 62 female (88.57%), age average 60 years old (S.D. = 6.70), 34 DM participants had BMI in over weight level (48.57%, gif.latex?\bar{X} = 25.03, S.D. = 4.10), 12 female patients had over waist circumference (19.05%). Participants had DM underlying and take meditation for 1-12 years (gif.latex?\bar{X} = 6.4 years), of those, most of them had DM underlying and take meditation for lower 3 years (40.00%) followed by 10-12 years (25.71%). The results of lipid profile level are consisted of total cholesterol, triglycerides, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol level compare between pre-intervention and post- intervention found that all variables were not significantly different. (p=0.67, p=0.43, p=0.81, and p=55 respectively).

Article Details

Issue
Vol. 18 No. 3 (2020): September - December 2020
Section
บทความวิจัย (Research Articles)

References

Abdullah A, Peeters A, de Courten M, Stoelwinder J. (2010). The magnitude of association between overweight and obesity and the risk of diabetes: A meta-analysis of prospective cohort studies. Diabetes Res Clin Pr. 89(7): 309-19.
American Diabetes Association. (2016). Standards of medical care in diabetes-2016 . Diabetes Care. 39(1): S1-119. 2 .
American Association of Clinical Endocrinologists and American College of Endocrinology. (2015). Clinical practice guidelines for developing a diabetes mellitus comprehensive care plan. Endocr Pract. 21(1): S1-87.
Bantle JP, Wylie-Rosett J, Albright AL, et al. (2008). Nutrition recommendationsand interventions for diabetes: a position statement of the American
Diabetes Association. Diabetes Care. 31(1): S61–S78.
Bennett CM, Guo M, Dharmage SC. (2007). HbA1c as a screening tool for detection of type 2 diabetes: a systematic review. Diabetic Med. 24(4): 333-43.
Bonora E, Calcaterra F, Lombardi S, Bonfante N, Formentini G, Bonadonna RC, et al. (2001). Plasma glucose levels throughout the day and HbA1C interrelationships in type 2 diabetes: implications for treatment and monitoring of metabolic control. Diabetes Care. 24(11): 2023-9.
Boren, S. A., Fitzner, K. A. Panhalkar, P. S. and Specker, J. E. (2009). Costs and benefits associated with diabetes education: a review of the literature. The Diabete Educator. 35(1): 72–96.
Centers for Disease Control and Prevention. (2016). National Vital StatisticsReport; 2014. Available from: http://www.cdc.gov/nchs/data/nvsr/
nvsr60/nvsr60_03.pdf. Accessed September 1,
Chavier-Roper RG, Alick-Ortiz S, Davila-Plaza G and Morales-Quinones AG. (2014). The Relationship between diabetes mellitus and body mass index: primary care facility in Puerto Rico. Bol Asoc Med PR. 106(5): 17-21.
Dungan KM. (2008). 1,5-anhydroglucitol (GlycoMark) as a marker of short-term glycemic control and glycemic excursions. Expert Rev Mol Diagn. 8:9–19.
Franz MJ, et al. (1995). Effectiveness of medical nutrition therapy provided by dietitians in the management of non-insulin-dependent diabetes mellitus: a randomized, controlled clinical trial. J Am Diet Assoc; 95(9): 1009-17.
Grundy SM. et. al. (2018). Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation; 139(25). 1-11.
Haghighatpanah M, NejadASM,Haghighatpanah M, Thunga G, Mallayasamy S. (2018). Factors that Correlate with Poor Glycemic Control in Type 2 Diabetes Mellitus Patients with Complications.Osong Public Health Res Perspect. 9(4): 167−174.
Hemmati Maslakpak H., Razmara S., and Niazkhani Z. (2017). Effects of face-to-face and telephone-based family-oriented education on self-care behavior and patient outcomes in type 2 diabetes: a randomized controlled trial. Journal of Diabetes Research, 11(7); 1-7.
Koro CE, Bowlin SJ, Bourgeois N, et al. (2004). Glycemic control from 1988 to 2000 among US adults diagnosed with type 2 diabetes a preliminary report. Diabetes Care. 27(1):17-20.
Lane C, Huws-Thomas M, Hood K, Rollnick S, Edwards K, Robling M. (2005). Measuring adaptations of motivational interviewing: the development and validation of the behavior change counseling index (BECCI). Patient Educ Couns. 56: 166–73.
Lindsey CC, Carter AW, Mangum S, Greene D, Richardson A, Brown SJ, et al. (2004). A prospective, randomized, multicentered controlled trial to compare the annual glycemic and quality outcomes of patients with diabetes mellitus monitored with weekly fructosamine testing versus usual care. Diabetes Technol Ther. 6:370–7.
Miller ST. ana Akohoue SA. (2017). Two-year follow-up study of a group-based diabetes medical nutrition therapy and motivational interviewing intervention among African American women. Patient Relat Outcome Meas. 8. 57-61.
Miller WR and Rollnick S. (2002). Motivational interviewing: preparing people for change. New York: Guilford Press.
Miller ST. (2011). Diabetes and psychological profile of younger rural African American women with type 2 diabetes. J Health Care Poor Underserved. 22(4): 1239–1252.
Ministry of public health. (2018). Thailand Noncommunicable Disease and Injury Behavior Risk Surveillance Survey. http://ghdx.healthdata.org/record/thailand-noncommunicable-disease-and-injury-behavior-risk-surveillance-survey-2018
Nongnakham primary care unit. Statistics of patients. (2018). Nongnakham primary care unit, Muang district, Udon Thani province. Department of control disease, Ministry of public health. Retrived september 23, 2018, from http://www.thaincd.com/2016/mission/documents.php?tid=32&gid=1020&searchText=& pn= 2.
Resnicow K, McMaster F, Bocian A, Harris D, Zhou Y, Snetselaar L, et al. (2015). Motivational interviewing and dietary counseling for obesity in primary care: an RCT. Pediatrics; 135(4): 649-57.
Stratton IM, Adler AI, Neil HAW, et al. (2000). Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ. 321(7258): 405-12.
Toobert DJ, Hampson SE, Glasgow RE. (2000). The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 23(7): 943–950.
Whittemore R, Melkus GD, Sullivan A, Grey M. (2004). A nurse-coaching intervention for women with type 2 diabetes. Diabetes Educ. 30: 795–804.