Jayasuriya, R. and Pinidiyapathirage, M. J. and Jayawardena, R. and Kasturiratne, A. and de Zoysa, P. and Godamunne, P. and Gamage, S. and Wickremasinghe, A. R. (2015) Translational research for diabetes self-management in Sri Lanka: a randomized controlled trial. Primary Care Diabetes, 9 (5). pp. 338-345. ISSN 1751-9918
Abstract
Aims: The study tested the hypothesis that a theory driven Diabetes Self-Management (DSM)intervention delivered by trained nurses would result in a clinically significant improvement in glycaemic control.
Methods: Patients with an HbA1c >7.5% (58 mmol/mol) and free of diabetes complications were enrolled into a randomized controlled trial (n = 85). Intervention consisted of four sessions and monthly follow up for 6 months. Biochemical tests, and diet and physical activity assessments were done in both groups. Analysis of covariance was used to test the effectiveness of the intervention.
Results: At 6 months, there was a significant difference (P = 0.001) in HbA1c between the groups controlling for baseline values and other variables. Based on the primary outcome,28% in the intervention group achieved the target value of 6.5% HbA1c, compared to 8% in the “usual
care” group (P < 0.001; η² = 0.65). The reduction in total energy intake and increase in physical activity was significant in the intervention group between baseline and follow up.
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| Item Type: | Article (Commonwealth Reporting Category C) |
|---|---|
| Refereed: | Yes |
| Item Status: | Live Archive |
| Additional Information: | Permanent restricted access to published version in accordance with the copyright policy of the publisher. |
| Faculty/School / Institute/Centre: | Historic - Institute for Agriculture and the Environment |
| Faculty/School / Institute/Centre: | Historic - Institute for Agriculture and the Environment |
| Date Deposited: | 18 Apr 2016 23:53 |
| Last Modified: | 18 Jul 2016 05:20 |
| Uncontrolled Keywords: | diabetes self-management; randomized controlled trial; Sri Lanka |
| Fields of Research : | 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111717 Primary Health Care |
| Socio-Economic Objective: | C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health |
| Identification Number or DOI: | 10.1016/j.pcd.2015.01.014 |
| URI: | http://eprints.usq.edu.au/id/eprint/28694 |
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