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Intensive Patient Education Improves Glycaemic Control in Diabetes Compared to Conventional Education: A Randomised Controlled Trial in a Nigerian Tertiary Care Hospital

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  • Okon Essien
  • Akaninyene Otu
  • Victor Umoh
  • Ofem Enang
  • Joseph Paul Hicks
  • John Walley

Abstract

Background: Diabetes is now a global epidemic, but most cases are now in low- and middle-income countries. Diabetes self-management education (DSME) is key to enabling patients to manage their chronic condition and can reduce the occurrence of costly and devastating complications. However, there is limited evidence on the effectiveness of different DSME programmes in resource limited settings. Methods: We conducted an unblinded, parallel-group, individually-randomised controlled trial at the University of Calabar Teaching Hospital (Nigeria) to evaluate whether an intensive and systematic DSME programme, using structured guidelines, improved glycaemic control compared to the existing ad hoc patient education (clinical practice was unchanged). Eligible patients (≥18 years, HbA1c > 8.5% and physically able to participate) were randomly allocated by permuted block randomisation to participate for six months in either an intensive or conventional education group. The primary outcome was HbA1c (%) at six-months. Results: We randomised 59 participants to each group and obtained six-month HbA1c outcomes from 53 and 51 participants in the intensive and conventional education groups, respectively. Intensive group participants had a mean six-month HbA1c (%) of 8.4 (95% CI: 8 to 8.9), while participants in the conventional education group had a mean six-month HbA1c (%) of 10.2 (95% CI: 9.8 to 10.7). The difference was statistically (P

Suggested Citation

  • Okon Essien & Akaninyene Otu & Victor Umoh & Ofem Enang & Joseph Paul Hicks & John Walley, 2017. "Intensive Patient Education Improves Glycaemic Control in Diabetes Compared to Conventional Education: A Randomised Controlled Trial in a Nigerian Tertiary Care Hospital," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-12, January.
    • Handle: RePEc:plo:pone00:0168835
    DOI: 10.1371/journal.pone.0168835
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    Cited by:

    1. Grainne O’Donoghue & Cliona O’Sullivan & Isabelle Corridan & Jennifer Daly & Ronan Finn & Kathryn Melvin & Casey Peiris, 2021. "Lifestyle Interventions to Improve Glycemic Control in Adults with Type 2 Diabetes Living in Low-and-Middle Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCT," IJERPH, MDPI, vol. 18(12), pages 1-16, June.
    2. Jason Hearn & Isaac Ssinabulya & Jeremy I Schwartz & Ann R Akiteng & Heather J Ross & Joseph A Cafazzo, 2019. "Self-management of non-communicable diseases in low- and middle-income countries: A scoping review," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-14, July.

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