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Fukuda H, Muto T, Kawamori R. Evaluation of a diabetes patient education program consisting of a three-day hospitalization and a six-month follow-up by telephone counseling for mild type 2 diabetes and IGT. Environ Health Prev Med. 1999;4(3):122-9doi: 10.1007/BF02932267.
Fukuda, H., Muto, T., & Kawamori, R. (1999). Evaluation of a diabetes patient education program consisting of a three-day hospitalization and a six-month follow-up by telephone counseling for mild type 2 diabetes and IGT. Environmental health and preventive medicine, 4(3), 122-9. https://doi.org/10.1007/BF02932267
Fukuda, H, et al. "Evaluation of a diabetes patient education program consisting of a three-day hospitalization and a six-month follow-up by telephone counseling for mild type 2 diabetes and IGT." Environmental health and preventive medicine vol. 4,3 (1999): 122-9. doi: https://doi.org/10.1007/BF02932267
Fukuda H, Muto T, Kawamori R. Evaluation of a diabetes patient education program consisting of a three-day hospitalization and a six-month follow-up by telephone counseling for mild type 2 diabetes and IGT. Environ Health Prev Med. 1999 Oct;4(3):122-9. doi: 10.1007/BF02932267. PMID: 21432184; PMCID: PMC2723521.
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Environ Health Prev Med. 1999 Oct;4(3):122-9. doi: 10.1007/BF02932267.

Evaluation of a diabetes patient education program consisting of a three-day hospitalization and a six-month follow-up by telephone counseling for mild type 2 diabetes and IGT.

Environmental health and preventive medicine

H Fukuda, T Muto, R Kawamori

Affiliations

  1. Dept. of Public Health, School of Medicine, Juntendo University, 2-1-1 Hongo, 113-8421, Bunkyo-ku, Tokyo, Japan, [email protected].

PMID: 21432184 PMCID: PMC2723521 DOI: 10.1007/BF02932267

Abstract

The purpose of this study was to evaluate the efficacy and feasibility of a newly developed diabetes patient education program consisting of a three-day hospitalization and a six-month follow-up by telephone counseling for patients with mild type 2 diabetes or impaired glucose tolerance (IGT) by a randomized controlled trial (RCT) method. Fifty-two patients with mild type 2 diabetes or IGT (HbAlc<8) were randomly assigned to either an intervention group or a control group. The current care was continued for the control group and the new education program was provided in addition to the current care for the intervention group. Changes in weight, blood glucose in a 75g-oral glucose tolerance test (75g-OGTT), and HbAlc were measured in June 1997 as baseline data and again in Dec. 1997. Scores for knowledge of diabetes, dietary habits, physical activity, health practice index, diabetes quality of life (DQOL), and self-efficacy were also obtained. After six months, the intervention group showed a statistically significant weight loss and blood glucose reduction in the 75g-OGTT test, but the control group did not. A significant improvement in lifestyle was observed in the intervention group, especially in terms of dietary habits and physical activity. The knowledge test scores increased in both groups. There were no significant differences in HbAlc, DQOL, or self-efficacy between the two groups. The results of this study show that the combination of a three-day hospitalization and a six-month follow-up by telephone counseling is effective in metabolic control and improvement of lifestyle for patients with mild type 2 diabetes or IGT. The reasons for the effectiveness were considered to be that l)changes in lifestyle were based on autonomous decision-making; 2)regular, consistent counseling was provided by the nurse in charge of each patient; 3)extended follow-up is more effective than initial education in preventing a rebound of weight or metabolic control.

Keywords: IGT; patient education; randomized controlled trial; telephone counseling; type 2 diabetes

References

  1. Diabetes Res Clin Pract. 1994 Oct;24 Suppl:S279-86 - PubMed
  2. Diabet Med. 1993 Aug-Sep;10(7):672-5 - PubMed
  3. Br Med J (Clin Res Ed). 1985 Nov 9;291(6505):1330-2 - PubMed
  4. Health Educ Q. 1983 Spring;10(1):56-69 - PubMed
  5. Diabetes Educ. 1994 Nov-Dec;20(6):509-14 - PubMed
  6. Diabetes Care. 1994 Apr;17(4):267-74 - PubMed
  7. Diabetes Care. 1994 May;17(5):490-518 - PubMed
  8. J Gen Intern Med. 1995 Feb;10(2):59-66 - PubMed
  9. Med Clin North Am. 1982 Nov;66(6):1293-307 - PubMed
  10. Diabetes Care. 1992 Jul;15(7):864-9 - PubMed
  11. Diabetes Educ. 1995 Sep-Oct;21(5):426-31 - PubMed
  12. Diabetes Educ. 1993 Jan-Feb;19(1):25-30 - PubMed
  13. Diabetes Care. 1992 Nov;15(11):1477-83 - PubMed

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