Interventions were generally effective on behavior change and patients ’ glycemic control in the short term ( ≤9 months ) .
Conclusions The limited studies available suggest that diabetes self-management education programs in developing countries are effective in the short term but must be tailored to conform to the cultural aspects of the target population
Purpose Although self-management education is a key factor in the care for diabetes patients , its implementation in developing countries is not well documented .
This systematic review considers the published literature on diabetes self-management education in high and low mortality developing countries .
The aim is to provide a state of the art of current practice s and assess program outcomes , cultural sensitivity , and accessibility to low literate patients .
Teach back and pictorial image educational strategies on knowledge about diabetes and medication/dietary adherence among low health literate patients with type 2 diabetes.
AIMS To explore the impact of pictorial image and teach back educational strategies on knowledge , adherence to medication and diet among patients with type 2 diabetes and low health literacy in Saqqez , Iran . METHODS In this r and omized controlled trial , 127 patients with type 2 diabetes who had low health literacy were r and omly allocated into three arms of the study ( pictorial image , teach back , and control groups ) . The two intervention groups received education within three weekly sessions , each lasting 20 min . The level of functional health literacy in adults ( TOFHLA ) , diabetes knowledge , and adherence to medication and diet were measured and compared in the three groups before and six weeks after the interventions . We used intention to treat analysis . Data were analyzed using ANOVA and Paired t test . RESULTS Mean scores of knowledge , adherence to medication and diet revealed significant differences between two intervention groups and control group ( P<0/001 ) six weeks after intervention . CONCLUSIONS Both educational strategies increased knowledge , as well as adherence to medications and diet among patients with type 2 diabetes and low health literacy . Both educational strategies seem to be effective for patients with low health literacy and are recommended to be used according to patients ' conditions
Interventions were generally effective on behavior change and patients ’ glycemic control in the short term ( ≤9 months ) .
Conclusions The limited studies available suggest that diabetes self-management education programs in developing countries are effective in the short term but must be tailored to conform to the cultural aspects of the target population
Purpose Although self-management education is a key factor in the care for diabetes patients , its implementation in developing countries is not well documented .
This systematic review considers the published literature on diabetes self-management education in high and low mortality developing countries .
The aim is to provide a state of the art of current practice s and assess program outcomes , cultural sensitivity , and accessibility to low literate patients .