Uncontrolled type 2 diabetes mellitus Nurse-led telehealth DSMES health literacy self-management fasting blood glucose HbA1c type 2 diabetes mellitus
Conditions
Interventions
The DSMES program content was comprehensive and structured around seven core aspects of SM. The DSMES program was delivered in five distinct stages of the DSMES process, taking approximately 60 minute
Experimental Behavioral,No Intervention Behavioral
DSMES and telehealth monitoring program,Routine care
Sponsors
Chun Hospital, Phayao Public Health Office
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age of 18 years or older and voluntarily consenting to participate in the study, 2. An HbA1c level greater than or equal to 7.0 (indicative of poorly controlled T2DM), 3. Ability to communicate coherently (e.g., no severe cognitive impairment affecting communication), 4. Access to a mobile phone or smartphone for telehealth monitoring, or reachable by telephone, 5. Continuous receipt of care at the clinic for at least the preceding six months without missing appointments, and 6. No severe acute exacerbation of comorbidities or complications requiring hospitalization at the time of recruitment (e.g., ketoacidosis, severe hypoglycemia).
Exclusion criteria
Exclusion criteria: 1. Presence of severe comorbid conditions requiring hospitalization at baseline, 2. Inability to participate in the study procedures, and 3. Planned relocation during the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health literacy at 12 and 24 weeks after intervention Thai Health Literacy Scale,Self-management at 12 and 24 weeks after intervention Thai Type 2 Diabetes Mellitus Self-Management | — |
Secondary
| Measure | Time frame |
|---|---|
| Fating Blood Glucose at 12 and 24 weeks after intervention Fating blood glucose level measured by the hospital's laboratory,HbA1C at 12 and 24 weeks after intervention Hemoglobin A1C level measured by the hospital's laboratory | — |
Countries
Thailand
Contacts
Public ContactSupranee Yossala
Chun Hospital
Outcome results
None listed