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 .
Group Education and Nurse-Telephone Follow-Up Effects on Blood Glucose Control and Adherence to Treatment in Type 2 Diabetes Patients
Background : Training and continuous dynamic communication between patients and health professionals in chronic diseases like diabetes , is important . The aim of this study is to evaluate the effects of diabetes self-care group education and nurse- telephone follow-up on glycemic control and compliance with treatment orders in patients with type 2 diabetes attending to diabetes clinic in khomein . Methods : In this clinical trial , 62 patients with type 2 diabetes who attending to the diabetes clinic selected and were r and omly assigned to experiment and control groups . Self-care group education was applied for case group ( n = 31 ) and they were followed up using telephone calls for 12 weeks by a nurse . The control group ( n = 31 ) received the conventional management .  Demographic characteristics , compliance with treatment recommendations ( diet , drug use , exercise ) and blood glucose control indices were recorded before and after interventions . Data were analyzed by SPSS software version 16 using independent t-test , paired t-test , Chi-square test , non-parametric tests , mixed model ( ANOVA + repeated measure ) and ANCOVA . Results : The mean age of intervention and control groups was 50.9 ± 7.3 and 55.1 ± 10.1 years , respectively . Blood glucose indices ( FBS , 2 hpp BS , Hb A1C ) were improved in both case and control group after intervention but it was only statistically significant in case group P > 0.0001 . During study , percentage of patients with very good compliance in control group decrease from 12.5 % to zero ( 0 % ) , whereas in experiment group these amounts increase from 6.5 % to 90.3 % P > 0.0001 . Conclusions : According to the results of the current study self-care group education and 12 weeks follow-up by a nurse using telephone causes significant improvement in metabolic parameters and adherence to treatment recommendations in diabetic patients
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 .