A health-based coaching program for diabetes self-management (DSM) practice: A sequential exploratory mixed-method approach
| Autor: | Kanittha Chamroonsawasdi, Rian Adi Pamungkas, Paranee Vatanasomboon, Phitaya Charupoonphol |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism media_common.quotation_subject Embarrassment Health Promotion behavioral disciplines and activities Coaching 03 medical and health sciences 0302 clinical medicine Endocrinology Intervention (counseling) Severity of illness medicine Humans 030212 general & internal medicine Glycemic media_common Motivation Nutrition and Dietetics business.industry Self-Management Mentoring Feeling Diabetes Mellitus Type 2 Family medicine Social exclusion business Psychology 030217 neurology & neurosurgery Qualitative research |
| Zdroj: | Endocrinología, Diabetes y Nutrición (English ed.). 68:489-500 |
| ISSN: | 2530-0180 |
| DOI: | 10.1016/j.endien.2021.11.003 |
| Popis: | Background Diabetes self-management (DSM) is crucial for glycemic control among type-2 diabetic (T2D) people. Method This was a sequential exploratory mixed-method approach to assess whether a health-based coaching program designed to fit the unmet needs of T2D was the best intervention for improving DSM practice. Twenty-eight participants from different backgrounds were involved in phase 1 (Qualitative study) to explore DSM knowledge and practice, any difficulties obstructing such knowledge and practice, and the feasibility of implementing an intervention program nationwide. Sixty patients were recruited for phase 2 (Quasi-experimental study). A health-based coaching program, constructed to fit the unmet needs from phase 1 was implemented among thirty patients in an experimental group. By comparison, 30 patients in the control group received their usual care. Diabetes and DSM knowledge, DSM practice, and health outcomes were measured and compared between the two groups at baseline and after the 12th week of the intervention. Results The following problems were found: (1) a low perception of susceptibility to and severity of illness, (2) inadequate DSM knowledge and skills, (3) a lack of motivation to perform DSM practice, and (4) social exclusion and feelings of embarrassment. After the implementation of the program among the experimental group, all the variables improved relative to baseline and to the control group. Conclusion A health-based coaching program can improve DSM knowledge and practice and health outcomes. A nationwide program is recommended to promote DSM practice among Indonesian communities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect