Translational research for diabetes self-management in Sri Lanka: a randomized controlled trial

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


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 / Department / School: Current - 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

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