Type 2 Diabetes
Conditions
Keywords
Emirati Adults, United Arab Emirates, Lifestyle Intervention, Type 2 Diabetes
Brief summary
The Skills for Change Diabetes Nutrition Education Program was a one-year, community-based conducted in Ambulatory Health Care Services health centers in Al Ain. The project involved nutrition education to improve blood glucose control, diet and physical activity levels of Emirati adults with type 2 diabetes.
Detailed description
Despite the high prevalence of diabetes and its complications in the UAE, very few diabetes education intervention studies have been conducted in a representative population in the country. The Skills for Change Program was a one-year, community-based, cluster randomized study involving Emirati adults with type 2 diabetes. We implemented a behavioral lifestyle intervention to improve glycemic control, food choices, and physical activity levels and to decrease sedentarity. The project was culturally adapted to Emirati adults with type 2 diabetes and was driven by theoretical principles of behavior change and education to enhance intervention effectiveness.
Interventions
BEHAVIORALBehavioral Lifestyle Intervention
In addition to usual care in the health center, the intervention included 7 visits with the health center dietitian for individual nutrition counseling, invitation for group nutrition education (5 sessions), individual counseling for physical activity, invitation for a 6-weekly structured group physical activity, DVD on physical activity to perform physical activity at home.
BEHAVIORALUsual Care
Patients received usual care including education as part of the diabetes management from their healthcare professionals (physicians and nurses), normally every 2-3 months. Visits with the health center dietitian were arranged as per physician referral.
Sponsors
Ambulatory Healthcare Services, Al Ain, UAE
Sheikh Hamdan bin Rashid Al Maktoum Award for Medical Sciences
United Arab Emirates University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Cluster Randomized Trial
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* United Arab Emirates national * Type 2 diabetes * Adults: Male and female * Age: 20-70 years * Attending one of the 7 health centers in Al Ain managed by the Ambulatory Healthcare Services.
Exclusion criteria
* Type 1 diabetes * Age \>70 Years * Medical conditions that prevent active participation in the program, based on recommendation of the attending physicians * Participating in other nutrition intervention programs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in HbA1c | 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Dietary Intake (Total Calories, Saturated Fat, Cholesterol, Dietary Fiber and Sodium) | 12 months | Dietary intake was assessed using 24 hour recall with USDA Multiple Pass Method |
| Change in Physical Activity (total METs and total duration) | 12 months | Physical Activity was assessed using International Physical Activity Questionnaire Short Form. |
| Change in Sitting time (minutes) | 12 months | Sitting time was assessed using International Physical Activity Questionnaire Short Form. |
| Change in Total Cholesterol, LDL, HDL and Triglycerides | 12 months | — |
| Change in BMI | 12 months | — |
| Change in Nutrition Knowledge | 12 months | Questionnaire was used to assess knowledge of food sources of carbohydrates and dietary fiber |
| Change in Diabetes Treatment Satisfaction Score | 12 months | Diabetes Treatment Satisfaction Questionnaire (Bradley,C) was used |
| Change in Weight | 12 months | — |
Countries
United Arab Emirates
Outcome results
None listed