Málaga-Valle del Guadalhorce Primary Healthcare District, Andalusian Public Health System, Málaga, Spain.
Instituto de Investigación Biomédica de Málaga-IBIMA, Málaga, Spain.
J Adv Nurs. 2021 Jan;77(1):427-438. doi: 10.1111/jan.14580. Epub 2020 Oct 3.
To measure the Effectiveness of a Diabetes Education Program for people with T2DM, based on Tailored interventions and the Theory of Planned Behaviour.
Cluster randomized controlled clinical trial.
This multicentre study will be carried out at 30 primary healthcare centres, where 436 persons with Type 2 Diabetes Mellitus (T2DM), aged between 18-75 years, will be recruited. The experimental educational program to be applied is modelled using components obtained from a systematic review and prior qualitative analysis. In addition, a taxonomy of nursing practice is used to standardize the program, based on the Theory of Planned Behaviour as a conceptual model. The intervention will be carried out by community nurses, using ADAPP-Ti , an application developed with FileMaker Pro v.18. The control group will receive usual care and data will be collected at 6, 12, and 18 months, for both groups. The primary outcome considered will be glycosylated haemoglobin and cardiovascular factors, while the secondary ones will be tobacco consumption, body mass index, barriers to self-care, health-related quality of life, and lifestyle modification. The protocol was approved by the Ethics Committee of the Province of Malaga (Spain) in November 2014.
The degree of metabolic control in T2DM is not always associated with healthy lifestyles and significant levels of medication are often prescribed to achieve clinical objectives. An intervention focused on needs, based on the best available evidence and a solid conceptual framework, might successfully consolidate appropriate self-care behaviour in this population.
The study will result in the publication of an educational program featuring well-defined interventions and activities that will enable clinicians to tailor health care to the individual's needs and to combat treatment inertia in attending this population.
基于定制干预措施和计划行为理论，评估针对 2 型糖尿病患者的糖尿病教育计划的效果。
集群随机对照临床试验。
这项多中心研究将在 30 个基层医疗中心进行，招募 436 名年龄在 18-75 岁之间的 2 型糖尿病患者。将要应用的实验性教育计划是使用系统评价和先前的定性分析获得的组件建模的。此外，还使用基于计划行为理论的护理实践分类法来对该计划进行标准化，作为概念模型。干预措施将由社区护士使用 ADAPP-Ti 进行，ADAPP-Ti 是使用 FileMaker Pro v.18 开发的应用程序。对照组将接受常规护理，并且将在 6、12 和 18 个月时对两组收集数据。主要考虑的结果是糖化血红蛋白和心血管因素，次要结果将是烟草使用、体重指数、自我护理障碍、健康相关生活质量和生活方式改变。该方案于 2014 年 11 月获得马拉加省（西班牙）伦理委员会的批准。
2 型糖尿病的代谢控制程度并不总是与健康的生活方式相关，并且通常会开具大量药物来实现临床目标。基于最佳现有证据和坚实的概念框架的针对需求的干预措施可能会成功地在该人群中巩固适当的自我护理行为。
该研究将导致发布一个具有明确定义的干预措施和活动的教育计划，使临床医生能够根据个人的需求调整医疗保健，并克服治疗惰性，以治疗该人群。
