Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Is Web-Based Program Effective on Self-Care Behaviors and Glycated Hemoglobin in Patients With Type 2 Diabetes: A Randomized Controlled Trial Publisher



Eghtedari M1 ; Goodarzikhoigani M2 ; Shahshahani MS3 ; Javadzade H4 ; Abazari P5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Community Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran
  5. 5. Department of Adult Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Iranian Journal of Nursing and Midwifery Research Published:2023


Abstract

Background: Diabetes Self‑Management Education and Support (DSMES) as a framework focuses on seven self‑care behaviors. Moreover, technology‑assisted self‑care education is increasingly suggested for patients with Type 2 Diabetes Mellitus (T2DM). Therefore, we examined the effect of a web‑based program on self‑care behaviors and glycated hemoglobin values in patients with diabetes mellitus. Materials and Methods: This randomized controlled clinical trial was conducted at Alzahra Hospital in Isfahan, Iran, between April and November 2020 and included 70 patients with T2DM. Data were collected using a questionnaire that included a demographic information section and a diabetes self‑management section with 21 questions on a Likert scale. Fasting blood samples (2.50 ml) were collected before and after the interventions to measure HbA1c levels. The study intervention involved a web‑based program that included multimedia educational content (such as videos, lectures, educational motion graphics, text files, posters, and podcasts) presented in seven sections based on DSMES over a 21‑day period with monitoring by an instructor. Results: The mean scores for healthy eating (F = 3.48, p = 0.034) and medication adherence (F = 6.70, p < 0.001) significantly increased in the interventional group, while the mean scores for being active, monitoring, reducing risks, problem‑solving, and healthy coping did not significantly change. Additionally, the mean differences in HbA1c values significantly improved in the interventional group compared to the control (F = 5,1, p = 0.026). Conclusions: A web‑based program in accordance with DSMES improved HbA1c levels and increased scores for healthy eating and medication adherence in patients with T2DM. However, further research with larger sample sizes and qualitative interviews is needed. © 2023 Iranian Journal of Nursing and Midwifery Research | Published by Wolters Kluwer - Medknow
Related Docs
View other Related Docs
1. Effectiveness of a Web‑Based Program on Self‑Care Behaviors and Glycated Hemoglobin in Patients With Type 2 Diabetes: Study Protocol of a Randomized Controlled Trial, Journal of Education and Health Promotion (2023)
2. Restrictors of the Effectiveness of Diabetes Self-Management Education: A Qualitative Content Analysis, Journal of Education and Health Promotion (2021)
3. Assessment of the Psychometric Properties of the Persian Version of the Diabetes Self-Management Questionnaire (Dsmq) in Patients With Type 2 Diabetes, Journal of Diabetes and Metabolic Disorders (2022)
4. Effects of Blended Self-Management Training on Knowledge and Self-Care Behaviors of Patients With Type 2 Diabetes: A Randomized Clinical Trial, Clinical Diabetology (2023)
5. Identifying Features of a Mobile-Based Application for Self-Care of People Living With T2dm, Diabetes Research and Clinical Practice (2021)
6. Effect of Telephone Follow-Up by Nurses on Self-Care in Children With Diabetes, Iranian Journal of Nursing and Midwifery Research (2018)
7. Effectiveness of Educational Intervention Based on Psychological Factors on Achieving Health Outcomes in Patients With Type 2 Diabetes, Diabetology and Metabolic Syndrome (2018)
8. Effect of Education Based on Health Belief Model on Self-Care Behavior and Metabolic Indices in Patients With Type 2 Diabetes: A Clinical Research Trial, Journal of Mazandaran University of Medical Sciences (2021)
Experts (# of related papers)
View all Related Experts
Ahmadali Eslami (7)
Firoozeh Mostafavi (6)
Other Related Docs
9. Impact of Short Message System Education on Blood Sugar Control and Treatment Adherence in Patients With Type 2 Diabetes, Iranian Rehabilitation Journal (2022)
10. The Effect of Self-Care Training Based on E-Learning and Teach-Back Methods on the Performance of Patients With Type 2 Diabetes, Journal of Diabetes and Metabolic Disorders (2024)
11. Describing the Process and Outcome of Diabetes Self-Management Education and Support in Comprehensive Health Service Centers and Diabetes Clinics in Isfahan Province, Iranian Journal of Diabetes and Metabolism (2023)
12. Appraisal the Structure of Diabetes Self-Management Education and Support in Diabetes Education Units of Isfahan, Iran, Journal of Education and Health Promotion (2024)
13. Assessment of Some Predicting Factors of Self-Efficacy in Patients With Type 2 Diabetes, Iranian Journal of Endocrinology and Metabolism (2015)
14. Group Education and Nurse-Telephone Follow-Up Effects on Blood Glucose Control and Adherence to Treatment in Type 2 Diabetes Patients, International Journal of Preventive Medicine (2013)
15. Developing “Aryan:” Diabetes Self‑Care Mobile Application, International Journal of Preventive Medicine (2019)
16. The Effect of Home Visit Program on Self-Management Behaviors and Glycemic Control in Patients With Type 2 Diabetes Treated With Insulin, Journal of Isfahan Medical School (2020)
17. Impact of Health Literacy, Self-Efficacy, and Outcome Expectations on Adherence to Self-Care Behaviors in Iranians With Type 2 Diabetes, Oman Medical Journal (2016)
18. Development and Evaluation of a New Questionnaire to Assess Social Cognitive Factors of Self-Management in Patients With Type 2 Diabetes: A Psychometric Study, Journal of Diabetes and Metabolic Disorders (2022)
19. Influence of Walking Training on Haemoglobin Glucosile and Fasting Blood Sugar Levels in Women With Type 2 Diabetes, Koomesh (2010)
20. The Freestyle Libre Flash Glucose Monitoring System: How It Has Improved Glycaemic Control for People With Type 1 Diabetes in Eastern Cheshire, Uk, Cardiovascular Endocrinology and Metabolism (2020)
21. Effect of Theory Based Education on Blood Sugar Control in Type-2 Diabetic Patients, Iranian Journal of Endocrinology and Metabolism (2017)
22. Secondary Prevention by Enhancing Adherence in Diabetic Patients, International Journal of Preventive Medicine (2010)
23. Overcoming Challenges of Implementing Chronic Care Model in Diabetes Management: An Action Research Approach, International Journal of Preventive Medicine (2019)
24. The Effect of Home Care on Readmission and Mortality Rate in Patients With Diabetes Who Underwent General Surgeries, Journal of Education and Health Promotion (2021)
25. Assessment of Diabetic Distress and Disease Related Factors in Patients With Type 2 Diabetes in Isfahan: A Way to Tailor an Effective Intervention Planning in Isfahan-Iran, Journal of Diabetes and Metabolic Disorders (2012)
26. The Effect of Intelligence Self-Control Program on the Quality of Life of the Adolescents With Type I Diabetes, Iranian Journal of Nursing and Midwifery Research (2020)
27. Predictors of Physical Activity Among Adults With Type 2 Diabetes Mellitus, Isfahan, 2015: Structural Equation Modeling Approach, International Journal of Preventive Medicine (2018)
28. Determination of Empowerment Score in Type 2 Diabetes Patients and Its Related Factors, Journal of the Pakistan Medical Association (2012)
29. Descriptive Phenomenology Study of the Reasons for the Low Uptake of Free Health Service Package Among Type Ii Diabetic Patients, BMC Health Services Research (2022)
30. The Effect of Educational Program Walking Based on Health Belief Model on Control Suger in Woman by Type 2 Diabetics, Iranian Journal of Endocrinology and Metabolism (2010)
31. Incidence of Type 2 Diabetes by Hba1c and Ogtt: The Isfahan Diabetes Prevention Study, Acta Diabetologica (2012)
32. Impact of Pharmaceutical Care on Quality of Life in Patients With Type 2 Diabetes Mellitus, Journal of Research in Medical Sciences (2011)
33. The Effectiveness of Stress Management Training on Blood Glucose Control in Patients With Type 2 Diabetes, Diabetology and Metabolic Syndrome (2018)
34. Design and Development of a Mobile-Based Self-Care Application for Patients With Type 2 Diabetes, Journal of Diabetes Science and Technology (2022)
35. Weight Change, Blood Pressure, Lipids and Glycemic Control Among Patients With Type 2 Diabetes, Annals of Nutrition and Metabolism (2011)
36. Prevalence of Uncontrolled Diabetes and Its Predictors in Patients With Type 2 Diabetes Covered by Comprehensive Health Care Centers of Isfahan, Iranian Journal of Endocrinology and Metabolism (2022)
37. The Effectiveness of Nutritional Education on the Knowledge of Diabetic Patients Using the Health Belief Model, Journal of Research in Medical Sciences (2009)
38. Effectiveness of a Self-Care Education Program on Hypertension Management in Older Adults Discharged From Cardiac-Internal Wards, ARYA Atherosclerosis (2019)
39. Effect of Pharmacist-Led Patient Education on Glycemic Control of Type 2 Diabetics: A Randomized Controlled Trial, Journal of Research in Medical Sciences (2010)
40. Exploring Self Care in Tehran, Iran: A Population Based Study, Journal of Research in Medical Sciences (2012)
41. Facilitators of Adherence to Self-Management in Type 2 Diabetic Patients: A Phenomenological Study, Iranian Journal of Endocrinology and Metabolism (2009)
42. Social Support and Diabetes Control: A Study Among Patients Admitted to Specialized Clinic of Dr. Gharazi Hospital in Isfahan., Medicinski arhiv (2012)
43. Effect of Pharmacist-Led Patient Education on Glycemic Control of Type 2 Diabetics: A Randomized Controlled Trial, Journal of Research in Medical Sciences (2011)
44. The Effects of Formal Nutrition Education on Anthropometric Indices, Lipid Profile, and Glycemic Control of Patients With Type 2 Diabetes: A Systematic Review and Meta-Analysis, International Journal of Diabetes in Developing Countries (2022)
45. The Most Prominent Problems of Diabetes Education in Iran: A Qualitative Content Analysis, Journal of Education and Health Promotion (2021)
46. The Relationship of Laboratory Results and Cognitive Function in Patient With Type I and Type Ii Diabetes Mellitus, Journal of Isfahan Medical School (2013)
47. Development and Primary Evaluation of a Smartphone Application for Blood Glucose Control in Hospitalized Patients, Advanced Biomedical Research (2019)
48. Current Status of Glucose, Blood Pressure and Lipid Management in Type 2 Diabetes Clinic Attendees in Isfahan, Iran, Journal of Diabetes Investigation (2015)
49. Global Variation in Diabetes Diagnosis and Prevalence Based on Fasting Glucose and Hemoglobin A1c, Nature Medicine (2023)
50. Adherence to Glyburide and Metformin and Associated Factors in Type 2 Diabetes in Isfahan, Iran, Iranian Journal of Pharmaceutical Research (2011)