Uncontrolled diabetes in elderly patients requires effective self-management strategies involving both the patients and their families Individual and Family Self-management, Self-management behaviors, Hemoglobin A1C Level, Older Persons with Uncontrolled Diabetes Mellitus.
Conditions
Interventions
The intervention tool consisted of a program to promote individual and family self-management. This program employed activities designed to educate and train participants in self-management skills bas
2) enhancing self-control skills by improving goal setting, self-monitoring, reflection, decision-making, planning, implementation, self-evaluation, and emotional management
and 3) encouraging the utilization of social support by highlighting the family'
s role in enhancing self-management, including skills in negotiation and persuasion. The program was delivered to small groups of 4-6 families over four weeks. Weeks 1 and 2 focused on active particip
2) a manual for diabetes knowledge and behavioral management lesson plans for controlling blood glucose levels
3) self-management lesson plans for individuals and families to control blood glucose levels (hemoglobin A1c)
4) a self-monitoring logbook
5) video clips of older adults'
Experimental Behavioral,No Intervention Behavioral
Individual and Family Self-Management Promotion Program ,standard care
Sponsors
Faculty of Nursing Chiang Mai University, Thailand
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. having a family member available and willing to participate in the study activities 2. the ability to perform activities of daily living independently, as assessed using the Assessment of Ability to Perform Daily Activities tool developed by the Department of Medical Services, Ministry of Public Health (2014) with a score of 12 points or higher 3.having average intelligence and cognition, assessed using the Short Intelligence and Cognition Assessment Form of the Chiang Mai Province Public Health Office (2018) with a score of 8 or higher 4. the elderly participant or a family member could use a mobile phone to participate in video calls via the LINE application.
Exclusion criteria
Exclusion criteria: 1) glycated hemoglobin A1C level less than 7% at baseline; 2) self-management behavior score greater than 94; 3) conditions affecting hemoglobin A1C levels, such as thalassemia, G-6PD deficiency, significant blood loss within the past three months, or HIV infection; 4) treatments affecting hemoglobin A1C levels, such as hemodialysis, blood transfusion within the past three months, or erythropoietin therapy; and 5) diabetes-related complications, including ophthalmic, renal, and chronic foot ulcers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| self-Management Behaviors at 1 months after end of the intervention self-Management Behaviors Questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemoglobin A1C Level at 3 months after end of the intervention the Cobas Mira automated analyzer at the Maharaj Nakorn Chiang Mai Hospital laboratory. | — |
Countries
Thailand
Contacts
Public ContactThiranai songpimai
Faculty of Nursing, Chiang Mai University
Outcome results
None listed