DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20203394

Comparative study of diabetic self-care management “educational intervention among family members on diabetic individuals”, in rural field practicing area, a cluster randomization study

Hanumanthappa Kudachi, Venkatesh Gonibeedu, Suresh Ramappa, Sundar Muniswamy

Abstract


Background: To achieve optimal blood glucose levels educating diabetic patient alone may not be sufficient but the entire family must have access to proven preventive measure. The present study was done to assess the outcome of self-care management practices educational intervention among family member on diabetic individuals.

Methods: This prospective interventional cluster randomization study was conducted in rural field practice area, attached to department of Community medicine of Hassan Institute of Medical Sciences. Clusters were formed among the population based on the sub-centres and four clusters were randomly selected. Two clusters were assigned for family intervention and two clusters with individual intervention.

Results: Consuming 5 or more serving of fruits and vegetables for more than 5 days a week, increased in the FIC after education and the difference in increase was statistically significant (p<0.02). Physical activity with specific exercise sessions increase after the intervention and the increase was statistically significant in the FIC (p<0.08).  Adherence to medication and testing attained statistically significant increase in the FIC. Also washing of foot daily with luke-warm water increase was statistically significant in both the Intervention Clusters (p<0.0002). On subsequent follow up there was a significant improvement in BMI of family intervention cluster (p<0.03) as compared to individual intervention cluster.

Conclusions: Health education intervention activity at the community involving the supportive members of the family can drive-in to bring about behavioural change in the desired direction.

 


Keywords


Diabetes mellitus, Family based intervention, Health education, Self-care management

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References


World Health Organization. Global status report on non-communicable disease. Attaining the nine global non communicable diseases targets; a shared responsibility. 2014.

Sharma K. Burden of non-communicable diseases in India: Setting priority for action. Int J Med Sci Public Health. 2013;2(1):7-11.

Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047-53.

Harris MI, Klein R, Welborn TA, Knuiman MW. Onset of NIDDM occurs at least 4-7yrs before clinical diagnosis. Diabetes Care. 1992;5(7):815-9.

Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res. 2007;125(3);217-30.

Unwin N, Whiting D, Gan D, Jacqmain O, Ghyoot G. Diabetes education. Int Diab Federation. Diabetes Atlas. 2009;4:60.

Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, et al. Diabetes epidemiology study group in India high prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia. 2001;44(9):1094-101.

Anjana RM, Ali MK, Pradeepa R, Deepa M, Datta M, Unnikrishnan R, et al. The need for obtaining accurate nationwide estimates of diabetes prevalence in India - rationale for a national study on diabetes. Indian J Med Res. 2011;133(4):369-80.

Jalilian F, Motlagh FZ, Solhi M, Gharibnavaz H. Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. J Edu Health Prom. 2014;3(14):75-9.

Palaian S, Acharya LD, Rao PGM, Shankar PR, Nair NM, Nair NP. Knowledge, attitude, and practice outcomes: evaluating the impact of counseling in hospitalized diabetic patients in India. J Pharmacy and Therapeutics. 2006;31(7):383-92.

Somannavar S, Lanthorn H, Pradeepa R, Narayanan V, Rema M, Mohan V. Prevention awareness counselling and evaluation (PACE) diabetes project: a mega multi-pronged program for diabetes awareness and prevention in South India. J Assoc Physicians India. 2008;56:429-35.

Raithatha SJ, Shankar SU, Dinesh K. Self-care practices among diabetic patients in Anand District of Gujarat. ISRN Family Med. 2014;5:1-6.

Xu Y, Toobert D, Savage C, Pan W, Whitmer K. Factors influencing diabetes self-management in Chinese people with type 2 diabetes. Res Nurse Health. 2008;31(6):613-25.

Hu J, Amirehsani KA, Wallace DC, McCoy TP, Silva Z. A family-based, culturally tailored diabetes intervention for hispanics and their family members. Diabetes Educator. 2016;42(3):299-314.

Flood D, Hawkins J, Rohloff P. A home-based type 2 diabetes self-management intervention in rural Guatemala. Prev Chronic Dis. 2017;6:1-10.