Educational attainment moderates the effect of a brief diabetes self-care intervention
| Autor: | Cathy A. Bykowski, Laura L. Mayhew, Kristi E. White, William P. Sacco |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Blood Glucose Counseling Male Gerontology medicine.medical_specialty Endocrinology Diabetes and Metabolism Psychological intervention Type 2 diabetes law.invention Endocrinology Randomized controlled trial law Intervention (counseling) Diabetes mellitus Internal Medicine Humans Medicine Glycemic Glycated Hemoglobin business.industry General Medicine Middle Aged medicine.disease Educational attainment Self Care Treatment Outcome Diabetes Mellitus Type 2 Physical therapy Educational Status Female Brief intervention business |
| Zdroj: | Diabetes Research and Clinical Practice. 95:62-67 |
| ISSN: | 0168-8227 |
| DOI: | 10.1016/j.diabres.2011.08.027 |
| Popis: | Aims Those with less education are at increased risk for developing diabetes and have a poorer prognosis. Intensive diabetes self-care interventions have been more effective at improving glycemic control in those with lower educational attainment. Due to limited resources, the focus has shifted to brief, cost-effective health interventions. This study examined whether educational attainment moderates the effect of a brief, telephone delivered self-care intervention on glycemic control in people with type 2 diabetes. Methods Randomized clinical trial. Participants (N = 62) were assigned to receive treatment as usual or treatment as usual plus a brief telephone intervention. The primary outcome measure was hemoglobin A1c. Results A significant education by intervention group interaction effect indicated that participants with higher educational attainment had greater improvement in glycemic control (A1c) than those with less educational attainment; whereas, educational attainment was unrelated to change in glycemic control (A1c) within the control group. Conclusions People with higher educational attainment may benefit to a greater extent from brief self-care interventions for diabetes, while those with lower educational attainment may require more intensive treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect