Campbell Tina, Dunt D, Fitzgerald J L, Gordon I
Melbourne School of Population Health, Centre for Health Policy, Programs and Economics, The University of Melbourne, Level 4, 207 Bouverie Street, Melbourne, VIC, Australia
Melbourne School of Population Health, Centre for Health Policy, Programs and Economics, The University of Melbourne, Level 4, 207 Bouverie Street, Melbourne, VIC, Australia.
Health Promot Int. 2015 Sep;30(3):438-48. doi: 10.1093/heapro/dat058. Epub 2013 Aug 28.
A randomized-controlled trial (RCT) was conducted from September 2009 to June 2011. National Diabetes Services Scheme registrants diagnosed with type 2 diabetes and aged 30-70 years were invited to participate in a 3-week intervention programme with follow-up at 4 weeks and 6 months. Data were collected using self-report questionnaires in the participant's homes. The intervention group received diabetes factsheets and a DVD comprising patient stories (narratives) of type 2 diabetes management. The control group (CG) received factsheets only. The RCT evaluated the impact of patient narratives on the study outcomes, self-efficacy and self-care, using the Aust/English Diabetes Management Self-efficacy Scale and the Summary Diabetes Self-care Activities measure. Participants were randomly assigned to the intervention or CG using block randomization. The study was not blinded. Six hundred and seventy people enrolled into the study with 335 allocated to each group. At 4 weeks, data were available for 598 participants. t-tests were used to analyse the results. The mean difference between the groups for self-efficacy was 7.2 units (P < 0.001, 95% Confidence Interval (CI) 3.8, 10.7) favouring the intervention group. Change in self-care behaviours during the previous 7 days was also significantly greater for the intervention group: general diet (0.31 days, 95% CI 0.13, 0.48), specific diet (0.26 days, 95% CI 0.05, 0.46), exercise (0.51 days, 95% CI 0.23, 0.80), blood glucose (0.52 days, 95% CI 0.19, 0.85) and foot care (0.38 days, 95% CI 0.06, 0.71). Narrative communication shows promise as a valuable component of type 2 diabetes self-management programmes.
ACTRN 12609000210279.
2009年9月至2011年6月进行了一项随机对照试验（RCT）。邀请国家糖尿病服务计划中确诊为2型糖尿病且年龄在30至70岁之间的登记参与者参加为期3周的干预计划，并在4周和6个月时进行随访。通过在参与者家中使用自我报告问卷收集数据。干预组收到糖尿病情况说明书和一张包含2型糖尿病管理患者故事（叙述）的DVD。对照组（CG）仅收到情况说明书。该随机对照试验使用澳大利亚/英语糖尿病管理自我效能量表和糖尿病自我护理活动总结测量法，评估患者叙述对研究结果、自我效能和自我护理的影响。参与者通过区组随机化被随机分配到干预组或对照组。该研究未设盲。670人参与了该研究，每组分配335人。在4周时，有598名参与者的数据可用。使用t检验分析结果。两组之间自我效能的平均差异为7.2个单位（P<0.001，95%置信区间（CI）3.8，10.7），干预组占优。干预组在前7天自我护理行为的变化也显著更大：一般饮食（0.31天，95%CI 0.13，0.48））），特定饮食（0.26天（，95%CI 0.05，0.46））），运动（0.51天，95%CI 0.23，0.80））），血糖（0.52天，95%CI 0.19，0.85）））和足部护理（0.38天，95%CI 0.06，0.71）））。叙事沟通显示出作为2型糖尿病自我管理计划的一个有价值组成部分的前景。
ACTRN 12609000210279。
