1941-LB: Effect of the Community-Based Multicomponent Strategy for Diabetes Self-Care

• Published in: Diabetes (New York, N.Y.) Vol. 73; p. 1
• Main Authors: Song, Youngshin, Shin, Hyunkyung
• Format: Journal Article
• Language: English
• Published: New York American Diabetes Association 01-06-2024
• Subjects: Counseling; Diabetes; Diabetes mellitus; Health education; Health literacy; Intervention; Public health; Self-efficacy; Telemedicine
• ISSN: 0012-1797; 1939-327X
• DOI: 10.2337/db24-1941-LB

Introduction & Objective: Although there are many studies to confirm the effectiveness of single interventions for diabetes self-care, but patients' real world experiences are complex, including education, counseling, and access to mHealth. The purpose of this study is to identify the effect of multicomponent self-care strategy among various interventions applied to patients with diabetes in community. Methods: A matched sample study design was conducted. Participants were recruited at the Diabetes Registration and Education Center of Public Health Center in S-City of Korea. Three different A, B, C interventions (A: non-face to face health literacy education & tailored counseling, B: mHealth & motivational telephone counseling, C: conventional group education & telephone checkup) were applied to groups of 109 patients with diabetes in community for 3 months each. Diabetes self-care behaviors, knowledge, and self-efficacy were measured as outcome variables. Descriptive statistics, χ2-test, and F-test were used to analyze the differences between groups. Results: Homogeneity for demographics was confirmed among groups. The difference in diabetes self-care scores before and after intervention was significantly highest in group A, followed by groups B and C. In terms of knowledge, group A had the largest difference in scores before and after intervention, but not significant. In diabetes self-efficacy, the difference in scores before and after the intervention was larger in group B than in group A. Conclusion: Non-face to face health literacy education & counseling were most effective in community setting. Based on this, it is necessary to develop strategies that can be used in reality.