Effect of Counteracting Lifestyle Barriers through Health Education in Egyptian Type 2 Diabetic Patients.

Barriers Egypt Health education Lifestyle Type 2 Diabetes

Journal

Open access Macedonian journal of medical sciences
ISSN: 1857-9655
Titre abrégé: Open Access Maced J Med Sci
Pays: North Macedonia
ID NLM: 101662294

Informations de publication

Date de publication:
15 Sep 2019
Historique:
received: 22 05 2019
revised: 16 07 2019
accepted: 17 07 2019
entrez: 18 12 2019
pubmed: 18 12 2019
medline: 18 12 2019
Statut: epublish

Résumé

Egypt is among the world top 10 countries in diabetes prevalence. It is the first country among the MENA region. Healthy lifestyle education and support help people with diabetes to improve health outcomes. Many physical and psychological barriers can hinder patients from following a healthy lifestyle. This study aimed to examine the effect of lifestyle modification educational sessions in helping Egyptian patients to overcome main barriers of diabetes self-management through improving nutritional behaviours, physical activity, medication compliance, and blood glucose monitoring. A cohort study included 205 patients with type 2 diabetes. Baseline assessment of patients' lifestyle behaviours and barriers using personal diabetes questionnaire of Louisville University, with both anthropometric and blood glucose assessment. Interventional lifestyle health education was provided weekly through multiple integrated techniques, followed by a post-intervention assessment to evaluate the effect of the health education sessions. Statistical analysis was done to identify any statistically significant difference before and after the health education intervention. There was a significant improvement of the post-education mean scores of the studied behaviours when compared with the pre-education scores of the participants' behaviours (p < 0.001). There was also a significant reduction in the barriers facing patients to diabetes self-management including nutritional barriers (P < 0.001), medication compliance barriers (P < 0.001) with a percent change (43%), physical activity barriers (p < 0.001), and blood glucose monitoring (p < 0.001) with a percent change (44%).There was a statistically significant positive correlation between improvement of medication compliance (P = 0.027), blood glucose monitoring(P = 0.045), and glycated haemoglobin of the study participants. lifestyle modification education of type 2 diabetic patients can overcome the main barriers of following a healthy lifestyle and improve their anthropometric measures and blood glucose level.

Sections du résumé

BACKGROUND BACKGROUND
Egypt is among the world top 10 countries in diabetes prevalence. It is the first country among the MENA region. Healthy lifestyle education and support help people with diabetes to improve health outcomes. Many physical and psychological barriers can hinder patients from following a healthy lifestyle.
AIM OBJECTIVE
This study aimed to examine the effect of lifestyle modification educational sessions in helping Egyptian patients to overcome main barriers of diabetes self-management through improving nutritional behaviours, physical activity, medication compliance, and blood glucose monitoring.
METHODS METHODS
A cohort study included 205 patients with type 2 diabetes. Baseline assessment of patients' lifestyle behaviours and barriers using personal diabetes questionnaire of Louisville University, with both anthropometric and blood glucose assessment. Interventional lifestyle health education was provided weekly through multiple integrated techniques, followed by a post-intervention assessment to evaluate the effect of the health education sessions. Statistical analysis was done to identify any statistically significant difference before and after the health education intervention.
RESULTS RESULTS
There was a significant improvement of the post-education mean scores of the studied behaviours when compared with the pre-education scores of the participants' behaviours (p < 0.001). There was also a significant reduction in the barriers facing patients to diabetes self-management including nutritional barriers (P < 0.001), medication compliance barriers (P < 0.001) with a percent change (43%), physical activity barriers (p < 0.001), and blood glucose monitoring (p < 0.001) with a percent change (44%).There was a statistically significant positive correlation between improvement of medication compliance (P = 0.027), blood glucose monitoring(P = 0.045), and glycated haemoglobin of the study participants.
CONCLUSION CONCLUSIONS
lifestyle modification education of type 2 diabetic patients can overcome the main barriers of following a healthy lifestyle and improve their anthropometric measures and blood glucose level.

Identifiants

DOI: 10.3889/oamjms.2019.624 PMID: 31844454 PMC: PMC6901843
pubmed: 31844454
doi: 10.3889/oamjms.2019.624
pii: OAMJMS-7-2886
pmc: PMC6901843
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2886-2894

Informations de copyright

Copyright: © 2019 Ammal Mokhtar Metwally, Mona Soliman, Aida M. Abdelmohsen, Wafaa A. Kandeel, Maha Saber, Dalia Mohamed Elmosalami, Noha Asem, Asmaa Mohamed Fathy.

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Auteurs

Ammal Mokhtar Metwally (AM)

Department of Community Medicine Research, Medical Division, National Research Centre, Giza, Egypt.

Mona Soliman (M)

Department of Public Health & Community Medicine, Faculty of Medicine, Cairo University, Giza, Egypt.

Aida M Abdelmohsen (AM)

Department of Community Medicine Research, Medical Division, National Research Centre, Giza, Egypt.

Wafaa A Kandeel (WA)

Biological Anthropology Department, Medical Division, National Research Centre, Giza, Egypt.
Theodor Bilharz Research Institute, Giza, Egypt.

Maha Saber (M)

Department of Complementary Medicine Research, Medical Division, National Research Centre, Giza, Egypt.
Medical Research Centre of Excellence (MRCE), Giza, Egypt.

Dalia Mohamed Elmosalami (DM)

Department of Community Medicine Research, Medical Division, National Research Centre, Giza, Egypt.

Noha Asem (N)

Department of Public Health & Community Medicine, Faculty of Medicine, Cairo University, Giza, Egypt.

Asmaa Mohamed Fathy (AM)

Department of Community Medicine Research, Medical Division, National Research Centre, Giza, Egypt.

Classifications MeSH