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. 2016 May 24:10:901-8.
doi: 10.2147/PPA.S95449. eCollection 2016.

Impact of "Conversation Maps" on diabetes distress and self-efficacy of Chinese adult patients with type 2 diabetes: a pilot study

Fan Li  1 , Ping Yao  2 , Cunyi Hsue  3 , Jin Xu  4 , Qingqing Lou  1
Affiliations

Impact of "Conversation Maps" on diabetes distress and self-efficacy of Chinese adult patients with type 2 diabetes: a pilot study

Fan Li et al. Patient Prefer Adherence. .

Abstract

The objective was to compare Diabetes Conversation Maps-based education and traditional education in Chinese patients with type 2 diabetes. A total of 53 outpatients were randomized to the intervention group (Diabetes Conversation Maps-based education) and control group (traditional education). In the intervention group, six 1-hour sessions covering diabetes overview, living with diabetes, risk factors and complications of diabetes, starting insulin treatment, foot care, and healthy eating and exercise were provided during 4 weeks. The participants had to attend at least four sessions, followed by a monthly follow-up telephone call in the subsequent 3 months. In the control group, six 1-hour diabetes classes covering similar topics as those in the intervention group were provided over 4 weeks. Each participant needed to attend at least four sessions. A1C was assessed at baseline, 3 months and 6 months after the last educational session/class. Psychosocial metrics and self-care activities were evaluated at baseline and 6 months after the last educational session/class. Forty-six participants finished the study. After 6 months, the total score of diabetes distress scale was significantly lower and total score of diabetes empowerment scale-short form was significantly higher in the intervention group than the control group. The 3 months A1C was significantly lower in the intervention group than the control group. However, the 6 months A1C did not reach a statistically significant difference between groups. Compared to traditional education, Diabetes Conversation Maps were more effective in improving psychosocial metrics and 3-month A1C.

Keywords: conversation map; education; psychosocial metrics; type 2 diabetes.

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Figures

Figure 1
Figure 1
Diabetes Conversation Map tools (Chinese edition). Notes: (A) Diabetes overview. (B) Living with diabetes. (C) Risk factors and complications of diabetes. (D) Starting insulin treatment. (E) Foot care. (F) Healthy eating and exercise.
Figure 2
Figure 2
Flow diagram of study enrollment.
Figure 3
Figure 3
Mean total score of diabetes distress scale (DDS) of patients with type 2 diabetes in the intervention group and control group before and 6 months after the learning period. Notes: **P<0.01 between the scores within one group. Error bars represent the standard deviation of total scores.
Figure 4
Figure 4
Mean total score of diabetes empowerment scale-short form (DES-SF) of patients with type 2 diabetes in the intervention group and control group before and 6 months after the learning period. Notes: **P<0.01 between the scores within one group. Error bars represent the standard deviation of total scores.
Figure 5
Figure 5
Trends for A1C values in both groups. Note: **P<0.01 between the values in two groups.
See this image and copyright information in PMC

References

    1. Xu Y, Wang L, He J, et al. Prevalence and control of diabetes in Chinese adults. JAMA. 2013;310(9):948–959. - PubMed
    1. Haas L, Maryniuk M, Beck J, et al. National standards for diabetes self-management education and support. Diabetes Care. 2013;36(Suppl 1):S100–S108. - PMC - PubMed
    1. Tang TS, Gillard ML, Funnell MM, et al. Developing a new generation of ongoing: Diabetes self-management support interventions: a preliminary report. Diabetes Educ. 2005;31(1):91–97. - PubMed
    1. Funnell MM, Nwankwo R, Gillard ML, Anderson RM, Tang TS. Implementing an empowerment-based diabetes self-management education program. Diabetes Educ. 2005;31(1):53, 55–61. - PubMed
    1. Rubin RR, Peyrot M, Saudek CD. The effect of a diabetes education program incorporating coping skills training on emotional well-being and diabetes self-efficacy. Diabetes Educ. 1993;19(3):210–214.

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