Effects of a structured educational intervention on metabolic control of type-1 diabetes mellitus patients

  • Bernie Endyarni
  • Jose RL Batubara
  • I Boediman
Keywords: type-1 diabetes, HbA1c, metabolic control, education


Background Children with type-1 diabetes face not only short-
term complications but also long-term microvascular and
macrovascular complications. Therefore, a continuing medical care
and education to reach blood glucose near normal range is abso-
lutely required. An addition of behavioral educational intervention
to intensive diabetes management resulted in improved metabolic
control and quality of life.
Objective To determine the effects of a structured educational
intervention to parents and patients with type-1 diabetes mellitus
on their knowledge and patient metabolic control.
Methods In this interventional study with pretest-posttest design
at Department of Child Health, Medical School, University of Indo-
nesia, a total of 21 patients with the age between 8 and 18 years
and their parents were assigned to follow a structured educational
program over period of 6 months. During the 6 intervention ses-
sions, some procedures were applied: obtaining HbA1c at initial,
3 rd and 6 th month using HPLC procedure, classroom teaching pro-
gram, small group discussions, role-playing and pre-posttests.
Results The mean HbA1c level in the 21 children and adoles-
cents at initial, 3 rd and 6 th month were 10.05% (SD 2.67%), 10.28%
(SD 2.23%) and 10.01% (SD 2.67%), which showed no significant
changes (P>0.05). After 6 educational sessions, the result showed
significant changes in both parents’ (P<0.05) and patients’ knowl-
edge (P<0.05). Patients’ diabetes-related knowledge had a mod-
erate correlation (r=-0.632; P=0.02) , but parents’ diabetes-related
knowledge had no significant correlation (r=-0.348; P=0.122) with
patient mean HbA1c level.
Conclusion A structured educational intervention used in this study
is able to improve parents’ and patients’ diabetes-related knowl-
edge significantly. Patients’ diabetes-related knowledge had a sig-
nificant correlation with metabolic control

Author Biographies

Bernie Endyarni
Department of Child Health, Medical School, University of
Indonesia, Jakarta, Indonesia.
Jose RL Batubara
Department of Child Health, Medical School, University of
Indonesia, Jakarta, Indonesia.
I Boediman
Department of Child Health, Medical School, University of
Indonesia, Jakarta, Indonesia.


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How to Cite
Endyarni B, Batubara J, Boediman I. Effects of a structured educational intervention on metabolic control of type-1 diabetes mellitus patients. PI [Internet]. 18Oct.2016 [cited 25Sep.2022];46(6):260-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/954
Received 2016-10-17
Accepted 2016-10-17
Published 2016-10-18