Effectiveness of Tailored Care Program on Diabetes Self-Care Activity, Risk of Cardiovascular Disease and HbA1C among Patients with Diabetes in Indonesia: A Randomized Controlled Trial
DOI:
https://doi.org/10.31674/mjn.2023.v15i01.002Abstract
Background: A tailored care intervention program implemented related to diabetes self-care activity, HbA1c, and the risk of cardiovascular disease (CVD) complications was not undertaken in Indonesia. Thus, the purpose of this study was to evaluate the effectiveness of a tailored care intervention program for patients with diabetes in Indonesia. Methods: A randomized controlled trial (RCT) with pre- and post-testing was conducted from January to April 2021 with a total of 163 participants: 80 in the intervention group and 83 in the control group (undertaken at three months following baseline collection). The intervention group received a tailored care intervention program that included: (1) brief deducting teaching; (2) assessment for self-care activity and CVD risk; (3) brainstorming and support group; and (4) follow-up. The control group received standard education in the primary health care facilities (Moyo Hilir and Moyo Hulu Primary Health Care). Results: Improvements in diabetes self-care activity, HbA1c, and a lower risk of CVD among patients in the intervention group were the advantages of the tailored care intervention program after the three-month evaluation. Blood pressure, body weight, body mass index (BMI), triglycerides, blood glucose, cholesterol, and a triglyceride glucose index showed no differences in change over time between the intervention and control groups. Conclusion: The tailored care intervention program improved diabetes self-care activity, HbA1c, and decreased the percentage of CVD risk. Moreover, it is culturally acceptable to the Indonesian community with diabetes.
Keywords:
CVD Risk, Diabetes, Diabetes Self-Care Activity, Hba1c, Tailored CareDownloads
References
Alfian, S. D., Abdulah, R., Denig, P., van Boven, J. F., & Hak, E. (2020). Targeted and Tailored Pharmacist-Led Intervention to Improve Adherence to Antihypertensive Drugs Among Patients with Type 2 Diabetes in Indonesia: Study Protocol of a Cluster Randomised Controlled Trial. BMJ Open, 10(1), e034507. https://doi.org/10.1136/bmjopen-2019-034507
Bansal, P., Chaudhary, A., Wander, P., Satija, M., Sharma, S., Girdhar, S., ... & Gupta, V. K. (2016). Cardiovascular Risk Assessment Using WHO/ISH Risk Prediction Charts in A Rural Area of North India. Journal of Research in Medical and Dental Science, 4(2), 127-31. https://doi.org/10.5455/jrmds.20164210
Boussageon, R., Bejan-Angoulvant, T., Saadatian-Elahi, M., Lafont, S., Bergeonneau, C., Kassaï, B., ... & Cornu, C. (2011). Effect of Intensive Glucose Lowering Treatment on All-Cause Mortality, Cardiovascular Death, and Microvascular Events in Type 2 Diabetes: Meta-Analysis of Randomised Controlled Trials. BMJ, 343. https://doi.org/10.1136/bmj.d4169
Caro‐Bautista, J., Villa‐Estrada, F., Gómez‐González, A., Lupiáñez‐Pérez, I., Morilla‐Herrera, J. C., Kaknani‐Uttumchandani, S., ... & Morales‐Asencio, J. M. (2021). Effectiveness of A Diabetes Education Program Based on Tailored Interventions and Theory of Planned Behaviour: Cluster Randomized Controlled Trial Protocol. Journal of Advanced Nursing, 77(1), 427-438. https://doi.org/10.1111/jan.14580
Choi, T. S., Walker, K. Z., & Palermo, C. (2017). Culturally Tailored Diabetes Education for Chinese Patients: A Qualitative Case Study. Journal of Transcultural Nursing, 28(3), 315-323. https://doi.org/10.1177/1043659616677641
Cimo, A., & Dewa, C. S. (2019a). Tailoring Diabetes Education to Meet the Needs of Adults with Type 2 Diabetes and Mental Illness: Client and Health-Care Provider Perspectives from An Exploratory Pilot Study. Canadian Journal of Diabetes, 43(6), 421-428. https://doi.org/10.1016/j.jcjd.2018.09.008
Cimo, A., & Dewa, C. S. (2019b). Tailoring Diabetes Education to Meet the Needs of Adults with Type 2 Diabetes and Mental Illness: Client and Health-Care Provider Perspectives from an Exploratory Pilot Study. Canadian Journal of Diabetes, 43(6), 421-428. https://doi.org/10.1016/j.jcjd.2018.09.008
Cimo, A., Loong, D., & Dewa, C. S. (2020). Exploring the Outcomes of a Pilot Education Program Tailored for Adults with Type 2 Diabetes and Mental Illness in a Community Mental Health Care Setting. Canadian Journal of Diabetes, 44(6), 461-472. https://doi.org/10.1016/j.jcjd.2020.06.015
Cummings, D. M., Lutes, L. D., Littlewood, K., Solar, C., Carraway, M., Kirian, K., ... & Hambidge, B. (2019). Randomized Trial of a Tailored Cognitive Behavioral Intervention in Type 2 Diabetes with Comorbid Depressive and/or Regimen-Related Distress Symptoms: 12-Month Outcomes from COMRADE. Diabetes Care, 42(5), 841-848. https://doi.org/10.2337/dc18-1841
Dekkers, T., & Hertroijs, D. F. (2018). Tailored Healthcare: Two Perspectives on the Development and Use of Patient Profiles. Advances in Therapy, 35(9), 1453-1459. https://doi.org/10.1007/s12325-018-0765-2
Hailu, F. B., Moen, A., & Hjortdahl, P. (2019). Diabetes Self-Management Education (DSME)–Effect on Knowledge, Self-Care Behavior, and Self-Efficacy Among Type 2 Diabetes Patients in Ethiopia: A Controlled Clinical Trial. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 2489-2499. https://doi.org/10.2147/DMSO.S223123
Hertroijs, D. F., Elissen, A. M., Brouwers, M. C., Schaper, N. C., & Ruwaard, D. (2018). Relevant Patient Characteristics for Guiding Tailored Integrated Diabetes Primary Care: A Systematic Review. Primary Health Care Research & Development, 19(5), 424-447. https://doi.org/10.1017/S146342361800004X
Holmen, H., Wahl, A. K., Cvancarova Småstuen, M., & Ribu, L. (2017). Tailored Communication Within Mobile Apps for Diabetes Self-Management: A Systematic Review. Journal of Medical Internet Research, 19(6), e227. https://doi.org/10.2196/jmir.7045
Hu, J., Amirehsani, K. A., Wallace, D. C., McCoy, T. P., & Silva, Z. (2016). A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members. The Diabetes Educator, 42(3), 299-314. https://doi.org/10.1177/0145721716636961
Huang, S. J., Galárraga, O., Smith, K. A., Fuimaono, S., & McGarvey, S. T. (2019). Cost-Effectiveness Analysis of a Cluster-Randomized, Culturally Tailored, Community Health Worker Home-Visiting Diabetes Intervention Versus Standard Care in American Samoa. Human Resources for Health, 17(1), 1-9. https://doi.org/10.1186/s12960-019-0356-6
International Diabetes Federation (IDF) (2021). IDF Diabetes Atlas. (10th ed) Brussels, Belgium. www.diabetesatlas.org , Accessed on 24th February, 2023
Iovane, B., Cangelosi, A. M., Bonaccini, I., Mastrorilli, C., Di Mauro, D., Fainardi, V., ... & Vanelli, M. (2017). Effectiveness of a Tailored Medical Support to Overcome the Barriers to Education, Treatment and Good Metabolic Control in Children with Type-1 Diabetes from Ethnic Minorities. Acta Bio Medica: Atenei Parmensis, 88(4), 477. https://doi.org/10.23750/abm.v88i4.6779
Kim, H. Y. (2016). Statistical Notes for Clinical Researchers: Sample Size Calculation 1. Comparison of Two Independent Sample Means. Restorative Dentistry & Endodontics, 41(1), 74-78. https://doi.org/10.5395/rde.2016.41.1.74
Koetsenruijter, J., van Lieshout, J., Vassilev, I., Portillo, M. C., Serrano, M., Knutsen, I., ... & Wensing, M. (2014). Social Support Systems as Determinants of Self-Management and Quality of Life of People with Diabetes Across Europe: Study Protocol for An Observational Study. Health and Quality of Life Outcomes, 12, 1-9. https://doi.org/10.1186/1477-7525-12-29
Lutes, L. D., Cummings, D. M., Littlewood, K., Le, M. T., Kirian, K., Patil, S., ... & Hambidge, B. (2020). A Tailored Cognitive-Behavioural Intervention Produces Comparable Reductions in Regimen-Related Distress in Adults with Type 2 Diabetes Regardless of Insulin Use: 12-Month Outcomes From The COMRADE Trial. Canadian Journal of Diabetes, 44(6), 530-536. https://doi.org/10.1016/j.jcjd.2020.05.016
Navodia, N., Wahoush, O., Tang, T., Yost, J., Ibrahim, S., & Sherifali, D. (2019). Culturally Tailored Self-Management Interventions for South Asians with Type 2 Diabetes: A Systematic Review. Canadian Journal of Diabetes, 43(6), 445-452. https://doi.org/10.1016/j.jcjd.2019.04.010
O'Neil, P. M., Miller‐Kovach, K., Tuerk, P. W., Becker, L. E., Wadden, T. A., Fujioka, K., ... & Sora, N. D. (2016). Randomized Controlled Trial of a Nationally Available Weight Control Program Tailored for Adults with Type 2 Diabetes. Obesity, 24(11), 2269-2277. https://doi.org/10.1002/oby.21616
Osborn, C. Y., Amico, K. R., Cruz, N., O'Connell, A. A., Perez-Escamilla, R., Kalichman, S. C., ... & Fisher, J. D. (2010). A Brief Culturally Tailored Intervention for Puerto Ricans with Type 2 Diabetes. Health Education & Behavior, 37(6), 849-862. https://doi.org/10.1177/1090198110366004
Otgontuya, D., Oum, S., Buckley, B. S., & Bonita, R. (2013). Assessment of Total Cardiovascular Risk Using WHO/ISH Risk Prediction Charts in Three Low and Middle Income Countries In Asia. BMC Public Health, 13(1), 1-12.
Panagioti, M., Richardson, G., Small, N., Murray, E., Rogers, A., Kennedy, A., ... & Bower, P. (2014). Self-Management Support Interventions to Reduce Health Care Utilisation Without Compromising Outcomes: A Systematic Review and Meta-Analysis. BMC health services research, 14(1), 1-14. https://doi.org/10.1186/1472-6963-14-356
Papatheodorou, K., Banach, M., Bekiari, E., Rizzo, M., & Edmonds, M. (2018). Complications Of Diabetes 2017. Journal of Diabetes Research, 2018. https://doi.org/10.1155/2018/3086167
Papatheodorou, K., Banach, M., Bekiari, E., Rizzo, M., & Edmonds, M. (2018). Complications Of Diabetes 2017. Journal of Diabetes Research, 2018. https://doi.org/10.1155/2018/3086167
Patel, R. M., Misra, R., Raj, S., & Balasubramanyam, A. (2016). Effectiveness of a Group-Based Culturally Tailored Lifestyle Intervention Program on Changes in Risk Factors For Type 2 Diabetes Among Asian Indians In The United States. Journal of diabetes research, 2017. https://doi.org/10.1155/2017/2751980
Pranata, S., Vivienne Wu, S. F., Tiffany Wang, T. J., Liang, S. Y., Chuang, Y. H., Lu, K. C., & Khoiriyah, K. (2022). Discovering Elements and Developing Strategies to Implement the Tailored Care Education for Patients with Diabetes Through a Systematic Review. https://doi.org/10.14710/nmjn.v12i1.44336
Pranata, S., Wu, S. F. V., Chu, C. H., & Nugroho, K. H. (2021). Precision Health Care Strategies for Older Adults with Diabetes in Indonesia: A Delphi Consensus Study. Medical Journal of Indonesia, 30(3), 221-7. https://doi.org/10.13181/mji.oa.215525
Prato, S. D., LaSalle, J., Matthaei, S., Bailey, C. J., & Global Partnership for Effective Diabetes Management. (2010). Tailoring Treatment to The Individual in Type 2 Diabetes Practical Guidance from the Global Partnership for Effective Diabetes Management. International Journal of Clinical Practice, 64(3), 295-304. https://doi.org/10.1111/j.1742-1241.2009.02227.x
Raghu, A., Praveen, D., Peiris, D., Tarassenko, L., & Clifford, G. (2015). Implications Of Cardiovascular Disease Risk Assessment Using The WHO/ISH Risk Prediction Charts in Rural India. PLoS One, 10(8), e0133618. https://doi.org/10.1371/journal.pone.0133618
Sassen, B. (2018). Nursing: Health Education and Improving Patient Self-Management. Springer International Publishing. https://doi.org/10.1007/978-3-319-51769-8
Sherifali, D., Viscardi, V., Bai, J. W., & Ali, R. M. U. (2016). Evaluating the Effect of a Diabetes Health Coach in Individuals with Type 2 Diabetes. Canadian Journal of Diabetes, 40(1), 84-94. https://doi.org/10.1016/j.jcjd.2015.10.00
Sherwani, S. I., Khan, H. A., Ekhzaimy, A., Masood, A., & Sakharkar, M. K. (2016). Significance of Hba1c Test in Diagnosis and Prognosis of Diabetic Patients. Biomarker Insights, 11, BMI-S38440. https://doi.org/10.4137/Bmi.s38440
Solano, M., Garner, J., Diez, A., & Adams, I. (2020). A Culturally-Tailored Type 2 Diabetes (T2DM) Self-Management Program Improves Self-Management Practices and Glycemic Control of Latinos In Ohio. Journal of the Academy of Nutrition and Dietetics, 120(9), A73. https://doi.org/10.1016/j.jand.2020.06.044
Srikartika, V. M., Akbar, M. R., & Lingga, H. N. (2019)., 6(1), Evaluasi Intervensi Media Booklet Terhadap Tingkat Pengetahuan Dan Kepatuhan Pasien Diabetes Melitus Tipe 2 Di Puskesmas Banjarbaru Selatan. Jurnal Publikasi Kesehatan Masyarakat Indonesia 27-35. https://ppjp.ulm.ac.id/journal/index.php/JPKMI/article/view/6874
Suciana, F., Daryani, D., Marwanti, M., & Arifianto, D. (2019). Penatalaksanaan 5 Pilar Pengendalian Dm Terhadap Kualitas Hidup Pasien DM Tipe 2. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 9(4), 311-318. https://journal.stikeskendal.ac.id/index.php/PSKM/article/view/587 , Accessed on 23nd January, 2023
Sujana, T. (2019). The Role of Community Health Centers in Early Identification of Diabetes Mellitus in the Elderly. Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi, 19(1). https://ejurnal.universitas-bth.ac.id/index.php/P3M_JKBTH/article/view/453 , Accessed on 22nd December, 2022
Wahyuni, A., & Ramayani, D. (2020). The relationship between self-efficacy and self-care in type 2 diabetes mellitus patients. The Malaysian Journal of Nursing (MJN), 11(3), 68-75. https://doi.org/10.31674/mjn.2020.v11i03.011
World Self Medication Industry (WSMI). (2010). The Story of Self-Care and Self-Medication: 40 Years of Progress, 1970–2010. http://www.wsmi.org/wp-content/data/pdf/storyofselfcare%7B_%7Dbrochure.pdf
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