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Effectiveness of a self‐management support program for Thais with type 2 diabetes: Evaluation according to the RE‐AIM framework

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  • Jamabhorn Jaipakdee
  • Wiroj Jiamjarasrangsi
  • Vitool Lohsoonthorn
  • Somrat Lertmaharit

Abstract

Delivering diabetes self‐management support is an enormous challenge for healthcare providers with limited human resources. We conducted a cluster randomized controlled trial to assess the effectiveness of a DSMS program incorporating the computer‐assisted instruction. The RE‐AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework was applied to evaluate the DSMS program. Ten Public Health Centers in Bangkok, Thailand were randomized into either DSMS program or usual care. Forty eligible patients with type 2 diabetes in each Public Health Center were randomly selected. Totally, 403 patients (200 controls and 203 interventions) participated. About 93.8% participants completed the six‐month follow‐up. Over six months, adjusted mean changes of hemoglobin A1c (−0.14%, 95% confidence interval = −0.02 to −0.26, fasting plasma glucose (−6.37 mg/dL, −1.95 to −10.78), health behaviors (3.31 score, 2.27 to 4.34), and quality of life (1.41 score, 0.69 to 2.12) were significantly improved in intervention compared to control group. In conclusion, the DSMS program facilitates Public Health Centers to accomplish their support for people with diabetes.

Suggested Citation

  • Jamabhorn Jaipakdee & Wiroj Jiamjarasrangsi & Vitool Lohsoonthorn & Somrat Lertmaharit, 2015. "Effectiveness of a self‐management support program for Thais with type 2 diabetes: Evaluation according to the RE‐AIM framework," Nursing & Health Sciences, John Wiley & Sons, vol. 17(3), pages 362-369, September.
    • Handle: RePEc:wly:nuhsci:v:17:y:2015:i:3:p:362-369
    DOI: 10.1111/nhs.12198
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    References listed on IDEAS

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    1. Russell E. Glasgow, 2010. "Interactive Media for Diabetes Self-Management: Issues in Maximizing Public Health Impact," Medical Decision Making, , vol. 30(6), pages 745-758, November.
    2. Bruno Giraudeau & Philippe Ravaud, 2009. "Preventing Bias in Cluster Randomised Trials," PLOS Medicine, Public Library of Science, vol. 6(5), pages 1-6, May.
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    Cited by:

    1. Lisa Korsbakke Emtekær Hæsum & Lars Ehlers & Ole K. Hejlesen, 2016. "Interaction between functional health literacy and telehomecare: Short‐term effects from a randomized trial," Nursing & Health Sciences, John Wiley & Sons, vol. 18(3), pages 328-333, September.
    2. David Flood & Jessica Hane & Matthew Dunn & Sarah Jane Brown & Bradley H Wagenaar & Elizabeth A Rogers & Michele Heisler & Peter Rohloff & Vineet Chopra, 2020. "Health system interventions for adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 17(11), pages 1-19, November.
    3. Wanicha Pungchompoo & Saowaros Parinyajittha & Sirirat Pungchompoo & Paweena Kumtan, 2020. "Effectiveness of a self‐management retraining program improving the quality of life of people receiving continuous ambulatory peritoneal dialysis," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 406-415, June.

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