Pre-/-post-analyses of a feasibility study of a peer-based club intervention among people living with type 2 diabetes in Vietnam's rural communities.

Autor: Dang NT; Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Phong Vu T; Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., M Gammeltoft T; Department of Anthropology, University of Copenhagen, Copenhagen K, Denmark., Christian Bygbjerg I; Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen K, Denmark., W Meyrowitsch D; Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen K, Denmark., Søndergaard J; The Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Nov 28; Vol. 18 (11), pp. e0290355. Date of Electronic Publication: 2023 Nov 28 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0290355
Abstrakt: Objectives: Insufficient self-management is a significant barrier for people with type 2 diabetes (T2D) to achieve glycemic control and consequently reduce the risk of acute and long-term diabetes complications, negatively affecting their quality of life and increasing their risk of diabetes-related death. This pre-post study aimed to evaluate whether a peer-based club intervention might reduce glycated hemoglobin from baseline to post-intervention and enhance self-management among people living with T2D in two rural communities in Vietnam.
Methods: A pre-post study was implemented with 222 adults with T2D residing in two rural communities in Vietnam. We used a structured questionnaire, clinical examination, and glycated hemoglobin to evaluate the possible effects of a diabetes club intervention by comparing Glycated Hemoglobin (HbA1c), Body Mass Index (BMI), Blood Pressure (BP), and diabetes-related self-management behaviors at baseline and post-intervention. The data were analyzed using SPSS 20, applying two related sample tests (Wilcoxon and McNemar test) and a paired-sample t-test at a significance level of less than 0.05.
Results: The findings indicated that after implementation of the intervention, there were no significant statistical differences when comparing pre-and post-intervention levels of the primary outcome HbA1c, but some components of diabetes self-management showed statistically significant improvement.
Conclusions: After the peer support intervention in a Vietnamese rural community, there was no significant reduction in the primary outcome proportion of patients having an HbA1c less than 7%, but foot care knowledge and practice had improved.
Trial Registration: ClinicalTrials.gov NCT05602441.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Dang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje