Effects of a structured educational intervention on metabolic control of type-1 diabetes mellitus patients
AbstractBackground 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 parentsâ€™ (P<0.05) and patientsâ€™ knowl-
edge (P<0.05). Patientsâ€™ diabetes-related knowledge had a mod-
erate correlation (r=-0.632; P=0.02) , but parentsâ€™ 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 parentsâ€™ and patientsâ€™ diabetes-related knowl-
edge significantly. Patientsâ€™ diabetes-related knowledge had a sig-
nificant correlation with metabolic control
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