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      Educational interventions for knowledge on the disease, treatment adherence and control of diabetes mellitus

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          Abstract

          Objective:

          to assess the effect of educational interventions for knowledge on the disease, medication treatment adherence and glycemic control of diabetes mellitus patients.

          Method:

          evaluation research with "before and after" design, developed in a sample of 82 type 2 diabetes mellitus patients. To collect the data, the Brazilian version of the Diabetes Knowledge Scale (DKN-A), the Measure of Adherence to Treatments and the electronic system at the place of study were used. The data were collected before and after the end of the educational interventions. The educational activities were developed within 12 months, mediated by the Diabetes Conversation Maps, using the Cognitive Social Theory to conduct the interventions.

          Results:

          the knowledge on the disease (p<0.001), the medication treatment (oral antidiabetics) (p=0.0318) and the glycated hemoglobin rates (p=0.0321) improved significantly.

          Conclusion:

          the educational interventions seem to have positively contributed to the participants' knowledge about diabetes mellitus, the medication treatment adherence and the glycated hemoglobin rates.

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          Most cited references42

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          Social Learnig Theory

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            Adherencia a los tratamientos a largo plazo: pruebas para la acción

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              Mediating the effect of self-care management intervention in type 2 diabetes: a meta-analysis of 47 randomised controlled trials.

              To perform a meta-analysis assessing the effects of self-care management interventions in improving glycaemic control in type 2 diabetes by analysing the impact of different study characteristics on the effect size. A literature search in eight scientific databases up to November 2007 included original studies of randomised controlled trials involving adult patients diagnosed with type 2 diabetes and evaluating a self-care management intervention. The 47 included studies yielded 7677 participants. The analysis showed a 0.36% (95% CI 0.21-0.51) improvement in glycaemic control in people who received self-care management treatment. In the univariate meta-regression sample size (effect size 0.42%, p=0.007) and follow-up period (effect size 0.49%, p=0.017) were identified to have significant effect on the effect size in favour of small studies and short follow-up. For type of intervention and duration of intervention there was a non-significant effect on effect size in favour of educational techniques and short interventions. In type 2 diabetes, there are improvements in glycaemic control in people who receive self-care management treatment with a small advantage to intervention with an educational approach. Further research on frequency and duration of intervention may provide useful information to identify the most effective regime. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
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                Author and article information

                Journal
                Rev Lat Am Enfermagem
                Rev Lat Am Enfermagem
                rlae
                Revista Latino-Americana de Enfermagem
                Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
                0104-1169
                1518-8345
                20 April 2017
                2017
                : 25
                : e2863
                Affiliations
                [2 ]MSc, RN, Prefeitura Municipal de Lorena, Lorena, SP, Brazil.
                [3 ]PhD, Professor, Centro Universitário da Fundação Educacional Guaxupé, Guaxupé, MG, Brazil. Professor, Faculdade Pitágoras de Poços de Caldas, Poços de Caldas, MG, Brazil.
                [4 ]MSc, Professor, Faculdade de Taquaritinga, Taquaritinga, SP, Brazil.
                [5 ]PhD, Associate Professor, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
                [6 ] PhD, Associate Professor, Escola de Enfermagem de Ribeirão Preto, WHO Collaborating Centre for Nursing Research Development, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
                Author notes
                Corresponding Author: Ana Emilia Pace Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Av. Bandeirantes, 3900 Bairro: Monte Alegre CEP: 14040-902, Ribeirão Preto, SP, Brasil E-mail: aepace@ 123456eerp.usp.br
                Article
                00327
                10.1590/1518-8345.1648.2863
                5423761
                28443992
                9048991c-4426-46d8-b88e-8b5403cc07f0

                This is an open-access article distributed under the terms of the Creative Commons Attribution License

                History
                : 27 May 2016
                : 16 January 2017
                Page count
                Figures: 3, Tables: 9, Equations: 0, References: 25, Pages: 1
                Categories
                Original Article

                diabetes mellitus,health education,knowledge,medication adherence,patient compliance

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