Indian Journal of Community Medicine

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 44  |  Issue : 2  |  Page : 107--112

Structured diabetes education program for improving self-care behavior in primary care settings of Puducherry: Evidence from a randomized controlled trial


Mamta Gehlawat, Subitha Lakshminarayanan, Sitanshu Sekhar Kar 
 Department of Preventive and Social Medicine, JIPMER, Puducherry, India

Correspondence Address:
Dr. Subitha Lakshminarayanan
Department of Preventive and Social Medicine, IV Floor, Administrative Block, JIPMER, Gorimedu, Puducherry - 605 006
India

Context: Diabetes self-management education plays a critical role in improving patients' clinical outcome and quality of life. Aims: This study aims to study the effectiveness of a structured diabetes educational program on improvement of self-care behavior among type 2 diabetics in urban Primary Health Centres (PHCs) of Puducherry. Settings and Design: A community-based open-label parallel-arm randomized controlled trial was conducted in two randomly selected urban PHCs of Puducherry during December 2015–February 2017. Subjects and Methods: Using systematic random sampling, 157 eligible participants were recruited in intervention and control PHCs each. Sociodemographic, disease characteristics, and anthropometric measures were captured using a pretested questionnaire at baseline. Self-care behavior was recorded with Summary of Diabetes Self-Care Activities scale. Intervention consisted of structured diabetes education sessions with distribution of information leaflets and self-care kits to the intervention-arm participants, while control arm received standard care. At the end of 6 months, endline assessment was done for both groups. Data were analyzed by intention-to-treat, per-protocol, and difference-in-difference analysis using STATA. Results: Footcare increased significantly by 1.95 days/week compared to control arm, while a moderate change of 0.49 days/week in diet compliance and a minimal change of 0.10 days/week in physical activity were observed. Medication adherence, regular blood sugar testing, and smoking behavior also showed improvement in intervention arm. Conclusions: A structured education program that is culturally tailored showed an overall improvement in self-care behavior. This research supports the need for structured education program for diabetics to empower them and improve self-care practices. Trial registration: CTRI/2017/06/008772


How to cite this article:
Gehlawat M, Lakshminarayanan S, Kar SS. Structured diabetes education program for improving self-care behavior in primary care settings of Puducherry: Evidence from a randomized controlled trial.Indian J Community Med 2019;44:107-112


How to cite this URL:
Gehlawat M, Lakshminarayanan S, Kar SS. Structured diabetes education program for improving self-care behavior in primary care settings of Puducherry: Evidence from a randomized controlled trial. Indian J Community Med [serial online] 2019 [cited 2020 Mar 29 ];44:107-112
Available from: http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2019;volume=44;issue=2;spage=107;epage=112;aulast=Gehlawat;type=0