The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial

Xin-Jun Jiang,1– 5 Hua Jiang,2 Yuan Chen,6 Xiao-An Wu,7 Xue-Lian Yu,8 Lei Liu,9 Ming-Zi Li2 1Department of Adults Nursing, School of International Nursing, Hainan Medical University, Haikou, People’s Republic of China; 2Department of Medical & Surgical Nursing, School of...

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Autores principales:	Jiang XJ, Jiang H, Chen Y, Wu XA, Yu XL, Liu L, Li MZ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	diabetes mellitus type 2 self efficacy education Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/f47643c70dfd48a4ac8ac903b1ddad80
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id	oai:doaj.org-article:f47643c70dfd48a4ac8ac903b1ddad80
record_format	dspace
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes mellitus type 2 self efficacy education Specialties of internal medicine RC581-951
spellingShingle	diabetes mellitus type 2 self efficacy education Specialties of internal medicine RC581-951 Jiang XJ Jiang H Chen Y Wu XA Yu XL Liu L Li MZ The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial
description	Xin-Jun Jiang,1– 5 Hua Jiang,2 Yuan Chen,6 Xiao-An Wu,7 Xue-Lian Yu,8 Lei Liu,9 Ming-Zi Li2 1Department of Adults Nursing, School of International Nursing, Hainan Medical University, Haikou, People’s Republic of China; 2Department of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing, People’s Republic of China; 3Key Laboratory of Emergency and Trauma Ministry of Education, Hainan Medical University, Haikou, People’s Republic of China; 4Key Laboratory of Trauma of Hainan Medical University, Hainan Medical University, Haikou, People’s Republic of China; 5Key Laboratory of Tropical Cardiovascular Diseases Research of Hainan Province, The First Affiliated Hospital of Hainan Medical University, Haikou, People’s Republic of China; 6Department of Endocrinology, Wuyishan Municipal Hospital, Wuyishan, People’s Republic of China; 7Department of Endocrinology, People’s Hospital of Leping City, Leping, People’s Republic of China; 8Department of Endocrinology, Yanhua Hospital, Beijing, People’s Republic of China; 9Department of Health Education, Jimenli Primary Hospital, Beijing, People’s Republic of ChinaCorrespondence: Ming-Zi LiDepartment of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing, People’s Republic of ChinaTel +86-10-82805230Email limingzi@bjmu.edu.cnBackground and Objective: The 12-month follow-up effect of the self-efficacy-focused structured education program (SSEP) requires in-depth confirmation. This study aims to verify whether the benefits of SSEP can be maintained in 12 months.Materials and Methods: A multicenter randomized controlled trial with 12-month follow-up conducted among 265 type 2 diabetes patients not on insulin from 4 hospitals in mainland China. The intervention group (n = 133) was administrated with SSEP, and the control group (n = 132) received the routine education. The indicators of metabolic and psychosocial aspects of the patients were assessed at baseline and 12 months.Results: As opposed to the control group, the primary outcomes of HbA1c in the intervention group were improved obviously in the 12th month during the 12-month follow-up (− 1.13%, P < 0.001). The secondary outcomes (ie, waist circumference, total cholesterol, low-density lipoprotein cholesterol, diabetes self-efficacy, diabetes self-management behaviors, diabetes knowledge and diabetes distress) were improved significantly in the intervention group as compared with the control group in the 12th month during the 12-month follow-up (− 3.14 cm, P = 0.001; − 0.30 mmol/L, P = 0.032; − 0.25 mmol/L, P = 0.008; 0.87, P < 0.001; 10.67, P < 0.001; 3.42, P < 0.001; − 4.97, P < 0.001). The non-significant difference in the secondary outcomes (ie, systolic pressure, diastolic pressure, triglycerides and high-density lipoprotein cholesterol) was identified between the two groups in the 12th month during the 12-month follow-up (P > 0.05).Conclusion: The SSEP provided sustainable benefits in outcomes of HbA1c, waist circumference, total cholesterol, low-density lipoprotein cholesterol, diabetes knowledge, diabetes distress, diabetes self-efficacy and diabetes self-management behaviors for type 2 diabetes patients not on insulin in the 12th month during the 12-month follow-up. Thus, it will be an effective education model capable of being generalized nationwide, and it can be referenced for the nations and regions under consistent conditions.Clinical Trial Registry: Chinese Clinical Trial Registry (ChiCTR‐IOR‐17011007).Keywords: diabetes mellitus, type 2, self efficacy, education
format	article
author	Jiang XJ Jiang H Chen Y Wu XA Yu XL Liu L Li MZ
author_facet	Jiang XJ Jiang H Chen Y Wu XA Yu XL Liu L Li MZ
author_sort	Jiang XJ
title	The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial
title_short	The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial
title_full	The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial
title_fullStr	The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial
title_full_unstemmed	The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial
title_sort	effectiveness of a self-efficacy-focused structured education program (ssep) in improving metabolic control and psychological outcomes of type 2 diabetes patients: a 12-month follow-up of a multicenter randomized controlled trial
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/f47643c70dfd48a4ac8ac903b1ddad80
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spelling	oai:doaj.org-article:f47643c70dfd48a4ac8ac903b1ddad802021-12-02T15:24:16ZThe Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial1178-7007https://doaj.org/article/f47643c70dfd48a4ac8ac903b1ddad802021-01-01T00:00:00Zhttps://www.dovepress.com/the-effectiveness-of-a-self-efficacy-focused-structured-education-prog-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Xin-Jun Jiang,1– 5 Hua Jiang,2 Yuan Chen,6 Xiao-An Wu,7 Xue-Lian Yu,8 Lei Liu,9 Ming-Zi Li2 1Department of Adults Nursing, School of International Nursing, Hainan Medical University, Haikou, People’s Republic of China; 2Department of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing, People’s Republic of China; 3Key Laboratory of Emergency and Trauma Ministry of Education, Hainan Medical University, Haikou, People’s Republic of China; 4Key Laboratory of Trauma of Hainan Medical University, Hainan Medical University, Haikou, People’s Republic of China; 5Key Laboratory of Tropical Cardiovascular Diseases Research of Hainan Province, The First Affiliated Hospital of Hainan Medical University, Haikou, People’s Republic of China; 6Department of Endocrinology, Wuyishan Municipal Hospital, Wuyishan, People’s Republic of China; 7Department of Endocrinology, People’s Hospital of Leping City, Leping, People’s Republic of China; 8Department of Endocrinology, Yanhua Hospital, Beijing, People’s Republic of China; 9Department of Health Education, Jimenli Primary Hospital, Beijing, People’s Republic of ChinaCorrespondence: Ming-Zi LiDepartment of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing, People’s Republic of ChinaTel +86-10-82805230Email limingzi@bjmu.edu.cnBackground and Objective: The 12-month follow-up effect of the self-efficacy-focused structured education program (SSEP) requires in-depth confirmation. This study aims to verify whether the benefits of SSEP can be maintained in 12 months.Materials and Methods: A multicenter randomized controlled trial with 12-month follow-up conducted among 265 type 2 diabetes patients not on insulin from 4 hospitals in mainland China. The intervention group (n = 133) was administrated with SSEP, and the control group (n = 132) received the routine education. The indicators of metabolic and psychosocial aspects of the patients were assessed at baseline and 12 months.Results: As opposed to the control group, the primary outcomes of HbA1c in the intervention group were improved obviously in the 12th month during the 12-month follow-up (− 1.13%, P < 0.001). The secondary outcomes (ie, waist circumference, total cholesterol, low-density lipoprotein cholesterol, diabetes self-efficacy, diabetes self-management behaviors, diabetes knowledge and diabetes distress) were improved significantly in the intervention group as compared with the control group in the 12th month during the 12-month follow-up (− 3.14 cm, P = 0.001; − 0.30 mmol/L, P = 0.032; − 0.25 mmol/L, P = 0.008; 0.87, P < 0.001; 10.67, P < 0.001; 3.42, P < 0.001; − 4.97, P < 0.001). The non-significant difference in the secondary outcomes (ie, systolic pressure, diastolic pressure, triglycerides and high-density lipoprotein cholesterol) was identified between the two groups in the 12th month during the 12-month follow-up (P > 0.05).Conclusion: The SSEP provided sustainable benefits in outcomes of HbA1c, waist circumference, total cholesterol, low-density lipoprotein cholesterol, diabetes knowledge, diabetes distress, diabetes self-efficacy and diabetes self-management behaviors for type 2 diabetes patients not on insulin in the 12th month during the 12-month follow-up. Thus, it will be an effective education model capable of being generalized nationwide, and it can be referenced for the nations and regions under consistent conditions.Clinical Trial Registry: Chinese Clinical Trial Registry (ChiCTR‐IOR‐17011007).Keywords: diabetes mellitus, type 2, self efficacy, educationJiang XJJiang HChen YWu XAYu XLLiu LLi MZDove Medical Pressarticlediabetes mellitustype 2self efficacyeducationSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 305-313 (2021)

The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial

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