TY - JOUR
T1 - How do multi-modality strategies affect outcomes in T2D using a randomized control trial?
AU - D'Souza, Melba Sheila
AU - Karkada, Subrahmanya Nairy
AU - Labrague, Leodoro Jabien
AU - Ali Ammouri, Ali Ahmad
N1 - Funding Information:
This study was supported by College of Nursing, Sultan Qaboos University grant ( IG/SQU/CN14/2 ). The views expressed in this study do not necessarily represent the views of the CON, SQU. We are grateful to the consultants, content validators, research assistants, bi-linguistics for translation and language editors. All participants gave informed consent for the research, and that their anonymity was preserved.
Funding Information:
This research received a grant ( IG/SQU/CN/14/2 ) from the Sultan Qaboos University . The sponsors played no role in the design, execution, analysis, data interpretation, writing reports or decision to submit the paper for publication. The two-arm RCT was registered in the International Standard Randomized Controlled Trial Number Trial ID: ISRCTN14410756.
Funding Information:
This study was supported by College of Nursing, Sultan Qaboos University grant (IG/SQU/CN/14/2). The views expressed in this study do not necessarily represent the views of the CON, SQU. We are grateful to the consultants, content validators, research assistants, bi-linguistics for translation and language editors. All participants gave informed consent for the research, and that their anonymity was preserved.This research received a grant (IG/SQU/CN/14/2) from the Sultan Qaboos University. The sponsors played no role in the design, execution, analysis, data interpretation, writing reports or decision to submit the paper for publication. The two-arm RCT was registered in the International Standard Randomized Controlled Trial Number Trial ID: ISRCTN14410756.
Publisher Copyright:
© 2019 INDIACLEN
PY - 2019/12
Y1 - 2019/12
N2 - Objective: A randomized clinical trial to examine the levels of body mass index, fasting blood glucose, blood pressure and glycemic control using multi-modality strategies among adults with type 2 diabetes. Methods: A randomized control trial (RCT), two-arm, prospective, and an interventional was designed with an intervention group (IG) and a control group (CG) using stratified block randomization and triple-blinding. Adults with T2D (N = 200) were randomly assigned to an intervention group (IG, n = 100) and a control group (CG, n = 100) in a single site trial. The adults with T2D in the IG were exposed to multi-modality strategies using an animated digital video, motivational interviewing, telephone counseling and the structured diabetes education by the diabetes nurse educator. Adults in the CG were only exposed to the structured diabetes education. Body mass index (BMI), fasting blood glucose (FBG), blood pressure (BP), and glycosylated hemoglobin (HbA1c) were measured as primary outcomes. Results: The adults with T2D in the IG had significant improvements in the HbA1c (2.4%), BMI (2.8 kg/m2), and a FBG (1.8 mmol/L); and they achieved lower HbA1c levels compared to the CG. Conclusion: Multi-modality strategies were effective for lowering HbA1c and reducing BMI among adults with T2D. Implications. Integration of cognitive behavioural educational using multi-modality strategies promoted better primary outcomes among adults with T2D.
AB - Objective: A randomized clinical trial to examine the levels of body mass index, fasting blood glucose, blood pressure and glycemic control using multi-modality strategies among adults with type 2 diabetes. Methods: A randomized control trial (RCT), two-arm, prospective, and an interventional was designed with an intervention group (IG) and a control group (CG) using stratified block randomization and triple-blinding. Adults with T2D (N = 200) were randomly assigned to an intervention group (IG, n = 100) and a control group (CG, n = 100) in a single site trial. The adults with T2D in the IG were exposed to multi-modality strategies using an animated digital video, motivational interviewing, telephone counseling and the structured diabetes education by the diabetes nurse educator. Adults in the CG were only exposed to the structured diabetes education. Body mass index (BMI), fasting blood glucose (FBG), blood pressure (BP), and glycosylated hemoglobin (HbA1c) were measured as primary outcomes. Results: The adults with T2D in the IG had significant improvements in the HbA1c (2.4%), BMI (2.8 kg/m2), and a FBG (1.8 mmol/L); and they achieved lower HbA1c levels compared to the CG. Conclusion: Multi-modality strategies were effective for lowering HbA1c and reducing BMI among adults with T2D. Implications. Integration of cognitive behavioural educational using multi-modality strategies promoted better primary outcomes among adults with T2D.
KW - Glycemic control
KW - Glycosylated hemoglobin
KW - Interventions
KW - Multi-media strategies
KW - Nursing
KW - Randomized clinical trial
KW - Type 2 diabetes mellitus
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U2 - 10.1016/j.cegh.2019.01.004
DO - 10.1016/j.cegh.2019.01.004
M3 - Article
AN - SCOPUS:85059683584
SN - 2213-3984
VL - 7
SP - 578
EP - 585
JO - Clinical Epidemiology and Global Health
JF - Clinical Epidemiology and Global Health
IS - 4
ER -