Type 2 diabetes mellitus, uncontrolled diabetes Diabetes Mellitus, Type 2
Conditions
Interventions
Participants will receive 12 weeks DSMES program. The program begins with a one day onsite education session based on the AADE7 Self Care Behaviors framework. Participants will be instructed to record
Experimental Behavioral,No Intervention No treatment
Tele-nursing DSMES,Usual care
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
20 Years to 85 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: 1. People with T2DM 2. Adults (age 20-64) and older adults (65 and above) 3. Uncontrolled diabetes, as determined by physician based on the diagnostic criteria of HbA1C more than 7% 4. Can read and write 5. Own a smartphone 6. Having internet connectivity 7. Able to receive a video call or with assistance from a caregiver
Exclusion criteria
Exclusion criteria: Exclusion criteria: 1. insulin-dependent patients 2. cognitive or mobility impairments , as assessed by the Thai Mental State Examination (TMSE). A TMSE score below 24 was considered indicative of cognitive impairment. 3. requiring special nursing care, such as patients with severe diabetic complications or those who are bedridden. 4. previous extensive DSMES exposure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility outcomes 12 weeks Participation rate, completion rate, and adherence level, were analyzed using descriptive statistics under the per-protocol (PP) approach | — |
Secondary
| Measure | Time frame |
|---|---|
| HbA1C baseline, 12 weeks measured using standard laboratory methods obtained from medical records,Body Mass Index baseline, 12 weeks Body weight (kg) and height (cm) will be measured using standard calibrated equipment, and body mass index (BMI) will be calculated as weight in kilograms divided by height in meters squared (kg/m2),Knowledge of diabetes baseline, 6 weeks, 12 weeks using the Thai version of Diabetes Knowledge Scale (DIAKS),Positive Coping behavior baseline, 6 weeks, 12 weeks using the Short Thai Stress Test (ST-5),A self-care behavior baseline, 6 weeks, 12 weeks using the Thai Diabetes Self-Management Questionnaire-Revised (T-DSMQ-R),Quality of life baseline, 6 weeks, 12 weeks using the Thai version of the Audit of Diabetes- Dependent Quality of Life (ADDQoL19),Health care costs 12 weeks include direct medical costs and non-medical costs through a detailed review of medical and financial records for each participant.,All-cause mortality risk 12 weeks hospital refer or admissions, and mortality data from hospital records,frequency of acute care use 12 weeks emergency visits from hospital records,Fasting blood glucose baseline, 12 weeks measured using standard laboratory methods obtained from medical records,Blood pressure baseline, 12 weeks measured using a standard blood pressure monitoring device and obtained from health assessment records | — |
Countries
Thailand
Contacts
Public ContactRamida Subpaiboonkit
Chiang Mai University, Taipei medical university
Outcome results
None listed