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IRCT20141027019694N2 IRCT 2024-01-03 Hamedan University of Medical Sciences The effect of diabetes self-care education on diabetes management Investigating the effect of self-care training on the disease management of people with diabetes in prevention and health promotion clinics affiliated to Hamedan University of Medical Sciences in 2024 2024-01-31 anticipated 96 Complete https://irct.ir/trial/74245 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance. N/A Diabetes. Intervention 1: Intervention group: In the prevention and health promotion clinics, the specialists of the social medicine group provide face-to-face training for diabetic patients who refer to the centers after taking a comprehensive history, complete examinations and completing a comprehensive health file. The self-care education of patients in this study is direct and indirect. In direct education, social medical specialists teach patients the basic principles and how to self-care for diabetes in person and for one hour. Educational axes in the DSME approach with the aim of improving blood sugar control include reducing glycosylated hemoglobin and fasting blood sugar, as well as increasing patients' compliance in the correct use of medications and lifestyle modification in order to reduce complications and increase quality of life, and include the definition of the disease, a summary of the disease process, Complications of diabetes, ways to prevent complications, nutrition in diabetes, the need to exercise, how to perform physical activities, how and when to measure blood sugar by a diabetic person, medications and how to take them correctly and regularly, how to inject insulin and medication side effects, self-management of change Behavior and control of stress and quitting unhealthy behaviors from before such as smoking and alcohol consumption and the time and intervals of referrals to check eye, heart and kidney complications. Risk assessment is done for patients and preventive measures are recommended at different levels based on age and sex and risk level. Necessary screenings are also performed. In indirect education, manuals and pamphlets and approved online sites are introduced to patients with various subjects of self-care education to study at home (study duration is about 2.5-3 hours). The duration of teaching patients is about four hours in total. Intervention 2: Control group: This group is only monitored for three months without receiving self-care training by social medical specialists. Yes - There is a plan to make this available What will be shared: All data is potentially shareable after de-identifying individuals When: The access period starts 6 months after the results are published To whom: Researchers working in academic and scientific institutions Conditions: In order to compare with similar studies and perform meta-analysis Where to obtain: Azar PirDehghan, email: a.pirdehghan@umsha.ac.ir Erfan Rajabi, email: erfanrajabi542@gmail.com How to obtain: The requester will send a message to the email and a response will be given within one month. Comments:
public Erfan Rajabi
Number 35, Ghadir dead end, Sheghaiq Alley, Sanati St, Resalat Square
Hamedan Iran (Islamic Republic of) 6515798737 +98 81 3822 1862 erfanrajabi542@gmail.com Hamedan University of Medical Sciences scientific Azar Pirdehghan
Community medicine department, Medical school, Hamadan University of medical sciences, Hamadan, Iran.
Hamadan Iran (Islamic Republic of) ۶۵۱۷۸۳۸۷۳۶ +98 81 3838 0572 a.pirdehghan@umsha.ac.ir Hamedan University of Medical Sciences Iran (Islamic Republic of) Confirmation of diabetes by a doctor (type 1 or type 2 diabetes) At least 6 months have passed since the diagnosis of diabetes Being literate in reading and writing in the patient Age over ten years Willingness to participate in the study 10 years no limit Both Having a cognitive problem Suffering from serious and debilitating complications caused by diabetes, such as severe kidney failure, heart failure, blindness, etc Having concurrent diseases (comorbidity) Use of immunosuppressive drugs and corticosteroids E08 Diabetes mellitus due to underlying condition Behavior Behavior Intervention group: In the prevention and health promotion clinics, the specialists of the social medicine group provide face-to-face training for diabetic patients who refer to the centers after taking a comprehensive history, complete examinations and completing a comprehensive health file. The self-care education of patients in this study is direct and indirect. In direct education, social medical specialists teach patients the basic principles and how to self-care for diabetes in person and for one hour. Educational axes in the DSME approach with the aim of improving blood sugar control include reducing glycosylated hemoglobin and fasting blood sugar, as well as increasing patients' compliance in the correct use of medications and lifestyle modification in order to reduce complications and increase quality of life, and include the definition of the disease, a summary of the disease process, Complications of diabetes, ways to prevent complications, nutrition in diabetes, the need to exercise, how to perform physical activities, how and when to measure blood sugar by a diabetic person, medications and how to take them correctly and regularly, how to inject insulin and medication side effects, self-management of change Behavior and control of stress and quitting unhealthy behaviors from before such as smoking and alcohol consumption and the time and intervals of referrals to check eye, heart and kidney complications. Risk assessment is done for patients and preventive measures are recommended at different levels based on age and sex and risk level. Necessary screenings are also performed. In indirect education, manuals and pamphlets and approved online sites are introduced to patients with various subjects of self-care education to study at home (study duration is about 2.5-3 hours). The duration of teaching patients is about four hours in total. Control group: This group is only monitored for three months without receiving self-care training by social medical specialists. The self-care score in the diabetes self-care questionnaire. Timepoint: At the beginning of the study (before the start of the intervention) and 3 months after the self-care training. Method of measurement: Diabetic self-care questionnaire. Quality of life score. Timepoint: At the beginning of the study and three months after the self-care training. Method of measurement: Quality of life questionnaire. Foot care status. Timepoint: At the beginning of the study and three months after the self-care training. Method of measurement: Foot care status questionnaire. Adherence to the Mediterranean diet. Timepoint: At the beginning of the study and three months after the self-care training. Method of measurement: Mediterranean diet compliance questionnaire. Physical activity status. Timepoint: At the beginning of the study and three months after the self-care training. Method of measurement: Physical activity questionnaire. Medication adherence. Timepoint: At the beginning of the study and three months after the self-care training. Method of measurement: Medication compliance questionnaire. Hamedan University of Medical Sciences Approved 2023-11-05 Ethics committee of Hamedan University of Medical Sciences address: Hamadan University of Medical Sciences Headquarters, Shahid Fahmideh St. zip code: 6517838736 Hamedan Hamadan Iran (Islamic Republic of)