Effectiveness Of A Community Based Diabetes Self Management Program On Health Status

1570 Words Oct 7th, 2016 7 Pages
Study Findings and its Implications Lorig, Ritter, Villa, and Arnas (2010) conducted a randomized longitudinal study to understand the effectiveness of a community-based diabetes self-management program on health status such as hemoglobin A1C, weight, depression, fatigue, self-related health, frequency of hyperglycemia and hypoglycemia symptoms; self-management behaviors; and self-efficacy. The study revealed that there was statistically significant improvement in depression, symptoms of hypoglycemia, communication with physicians, healthy eating, patient activation, reading food levels, and self-efficacy. However, there was no significant changes in hemoglobin A1C and health care utilization.
There was no difference in A1C between the intervention and control group as the study included participants with low A1C levels (Lorig et al., 2010). The mean baseline A1C of the participant was 6.72 and the target for A1C among people with diabetes is less than 7% (National Diabetes Education Initiative, 2016). Hence, the participants in this study had well-controlled A1C and reached a floor effect, which left little or no space for improvement. In addition, the baseline A1C of both participants in intervention and control group was shared with their physicians. The participants with high A1C from both groups might have received treatment (adjustment with medication dose) from their physician to manage their symptoms outside of the self-management program. This might have led to no…

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