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2009, Number 1

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Gac Med Mex 2009; 145 (1)

Estudio piloto de dos diferentes estrategias para reforzar conductas de autocuidado y adherencia al tratamiento en pacientes de bajos recursos económicos con diabetes tipo 2

Lerman I, López-Ponce A, Villa AR, Escobedo M, Caballero EA, Velasco ML, Gómez-Pérez FJ, Rull-Rodrigo JA

Language: Spanish
References: 29
Page: 15-20
PDF size: 77.27 Kb.


ABSTRACT

Long term diabetes self-management behaviors, and strict glycemic control are difficult to achieve in clinical practice. Objective: Asesss two different reinforcement strategies for diabetes self care management, psychological distress and glycemic control in a one year follow up study. Methods: 70 consecutive type 2 diabetic patients, were recruited and randomly assigned to three study groups. Subjects in the control group (CG) continued with their normal treatment schedule. The second group received a reinforcement course at 6 months (RCG) and in the third group, patients were contacted monthly by phone (PHCG) to promote self-management attitudes and address problems as they arose. A battery of questions and laboratory work-up were obtained at baseline and at one year follow-up. Results: At one year follow-up, the three groups significantly increased their diabetes-related knowledge. Both experimental groups displayed improved treatment compliance and had better adherence to the recommended meal plan (p= 0.06 and 0.003). In addition, the PHCG significantly increased (p‹0.0001) their adherence to pharmacological treatment. No significant differences were observed in glycemic control, prevalence of depression or diabetes related distress. Conclusions: Follow-up patient reinforcement strategies improve strategic diabetes self-care management behaviors. Further studies are needed to demonstrate the positive impact of these benefits on diabetes related outcomes.


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