TAILIEUCHUNG - Báo cáo khoa hoc:" Applying the Stages of Change model to Type 2 diabetes care in Trinidad: A randomised trial"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Applying the Stages of Change model to Type 2 diabetes care in Trinidad: A randomised trial | Partapsingh et al. Journal of Negative Results in BioMedicine 2011 10 13 http content 10 1 13 r M 1 JOURNAL OF NEGATIVE RESULTS IN BIOMEDICINE RESEARCH Open Access Applying the Stages of Change model to Type 2 diabetes care in Trinidad A randomised trial VA Partapsingh1 RG Maharaj2 and JM Rawlins2 Abstract Objective To improve glycaemic control among Type 2 diabetics using patient-physician consultations guided by the Stages of Change SOC model. Design and Methods A randomised trial was conducted. After ensuring concealment of allocation Type 2 diabetics were randomly assigned to receive the intervention or the control. The intervention consisted of identifying each patient s Stage of Change for managing their diabetes by diet exercise and medications and applying personalised stage-specific care during the patient-physician consultations based on the SOC model. Patients in the control group received routine care. The variables of interest were effect on glycaemic control measured by the difference in HbA1c levels and patients readiness to change measured by identifying patients SOC for managing their diabetes by diet exercise and medications . Results Participants were primarily over age 50 male and Indo-Trinidadian. Most had received only a primary school education and over 65 had a monthly income of 320 USD month or less. Sixty-one Type 2 diabetics participated in each arm. Three patients were lost to follow-up in the intervention arm. After 48 weeks there was an overall increase in HbA1c of SE and SE for both the intervention and control groups respectively. There was a relative reduction in HbA1c of 95 CI with the intervention group compared to the control p . For exercise and diet there was an overall tendency for participants in the intervention arm to move to a more favourable SOC but little change was noted with regards medication use. Conclusions The result suggests a tendency to a worsening of .

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