Showing 4 results for Interventions
Negin Masoudi Alavi, Fazl Allah Ghofranipour, Bagher Larijani, Fazl Allah Ahmadi, Asad Allah Rajab, Gholamhossein Babaei,
Volume 3, Issue 2 (6-2004)
Abstract
Background: Diabetes Mellitus is a common chronic disease with severe of complications. Proper glycaemic control can prevent these complications considerably. Evaluation of effectiveness of community based and patient centered interventions on glycaemic control, quality of life, patient satisfaction, patient knowledge and reported symptoms were the main aims of this research.
Methods: In a clinical trial, patients referring to Iranian Diabetes Association, who were more than 18 years old, divided to intervention and control group randomly. After three months of general interventions in both groups, including diabetes education and specific interventions including telephone calls, continuous corresponding and sending educational issues in intervention group, changes in variables were studied. Results: Among 52 patients in each group, 17 were male and 42 had type 2 diabetes. The average age was 49 in intervention and 51 in control group. Two groups had no significant difference in age, sex, type of diabetes, treatment method and duration of diabetes, other diseases and education. Both groups showed significant improvement in glycaemic control. The mean reduction in HbA1c was 1.45 in intervention and 0.86 percent in control group the difference is statistically significant (P= 0.02). Patient satisfaction increased in both groups. The satisfaction is significantly higher in intervention group (P=0.000). Knowledge has increased significantly in both groups the difference in groups is not significant. The improvement in Quality of Life was just significant in intervention group. The reported sign and symptoms have not changed in both groups.
Conclusion: Community based and patient centered interventions with emphasis on continuous education and support can improve glycemic control, quality of life, patient satisfaction and patient knowledge in diabetes mellitus.
Maryam Aalaa, Maryam Peimani, Hamid Reza Aghaei Meybodi,
Volume 13, Issue 3 (3-2014)
Abstract
Background: Today, the internet has been emerged as a potentially effective medium for information
exchange and in recent years, the use of web-based training programs has been steadily considered in
the prevention and management of chronic diseases such as diabetes. This technology provides an
opportunity to make health care more accessible for a large number of people and reduce costs. This
review provides a descriptive discussion of web-based behavioural interventions for the management
of type 2 diabetes mellitus.
Methods: Systematic literature searches were performed using Medline, Embase, Psycinfo, Web of
Science and Cochrane library to retrieve articles written in english and published between 2000 and
2012 which fulfilled all inclusion criteria. The search keywords were “diabetes” AND “intervention”
AND (“internet OR web”). Only randomised controlled trials and quasi experimental studies were
included in this review.
Results: A total of 15 studies were reviewed. Goal-setting, personalised coaching, interactive
feedback and online peer support groups were some of the successful approaches which were applied
in e-interventions to manage type 2 diabetes mellitus. Strong theoretical background, use of other
technologies and longer duration of intervention were proven to be successful strategies as well.
Conclusion: The web-based interventions have demonstrated some level of favourable outcomes,
provided they are further enhanced with proper e-research strategies.
Esmat Mosayebi, Maryam Sharifi, Mahgol Tavakoli,
Volume 13, Issue 5 (7-2014)
Abstract
Background: One of the important indicators of diabetes treatment and control is enhancement of quality of life in patients with diabetes. Therefore, in recent years, quality of life in these patients regarded by therapists and researchers and increased studies in this field. The aim of this study was collection and integration of these studies results to investigate the effect size of sport and psychological interventions on quality of life in patients with type 2 diabetes by meta-analysis method.
Methods: For this purpose, 25 acceptable studies (15 psychological interventions, 10 sport interventions) in terms of methodology (hypothesis, research method, statistic population, volume of sample, sampling method, instrument measure & statistic analysis method) selected, and meta-analysis performed on them. Research instrument was checklist of meta-analysis.
Results: The study findings showed that the rate of effect size of psychological interventions on quality of life in patients with type 2 diabetes was d=0.95 (p<0.00001) and the effect size of sport interventions on quality of life in this patients was d=2.2(p<0.00001). According to Cohen’s chart both effect sizes of sport and psychological interventions were high.
Conclusion: psychological and sport interventions can be effective on improvement of quality of life in patient with 2 diabetes.
Esmat Mosayebi, Maryam Sharifi, Ahmad Abedi,
Volume 15, Issue 4 (5-2016)
Abstract
Background: Diabetes is a chronic and prevalent disease. In recent years, its prevalence has increased because of lifestyle changes, immobility and subsequent obesity. The increase in diabetes prevalence has provoked multiple and scattered interventions by specialists and health care providers in order to control and regulate blood sugar and its related factors. The purpose of this study was to collect and integrate the results of these interventions in two fields of psychological and sport interventions and to investigate the impact of them on control of Glycosylated haemoglonin (HbA1c) in patients with diabetes by meta-analysis method.
Methods: For this purpose 38 acceptable studies (19 sport interventions and 19 psychological interventions), in terms of methodology, were selected and meta-analysis performed on them. This study is based on 38 effect sizes and research instrument is checklist of meta-analysis.
Results: The study findings showed that the effect size of psychological interventions on control of Glycosylated haemoglonbin is 0.67 (p<0.00001) and the effect size of sport interventions is 0.79 (p<0.00001).
Conclusion: according to Cohen’s chart, the effect size of both psychological and sport intervention on control of Glycosylated haemoglonin in patients with diabetes is medium. However, the effectiveness of sport interventions have been obtained more than the psychological intervention