Aims

This study was conducted to examine the effect of telephone counseling based on the Information, Motivation, Behavioral Skills (IMB) Model on HbA1c and self-management in patients with type 2 diabetes mellitus (T2DM).

Methods

This study was conducted between January 2019 and September 2019 with a total of 63 (31 interventions, 32 controls) T2DM patients. The intervention group was followed-up for a total of 12 weeks, after 45−60 min of patient training based on IMB, a weekly reminder message and a phone call every two weeks. No intervention was made to the control group. Data were collected at the beginning of the study and at the end of the 12th week. The data were obtained using a Patient Information Form, the Type 2 Diabetes Self-Efficacy Scale, the Diabetes Self-Management Questionnaire (DSMQ), the Perceived Diabetes Self Management Scale (PDSMS) and glycemic control (HbA1c).

Results

Participants were on average 54 years old and the majority were female (58.1%). According to the results of the covariance analysis (ANCOVA), there was a statistically significant difference between the pre-post-test HbA1c (F:13.589; p < 0.001), weight (F:32.176; p < 0.001) and systolic blood pressure (F:7.109; p = 0.01). However, there was no significant difference in diastolic blood pressure between the intervention and control groups (F:2.686; p = 0.106). Also, after three months of follow-up, self-efficacy (F:26.632; p < 0.001), self-management (F:44.487; p < 0.001) and self-management perceptions (F:71.132; p < 0.001) were significantly higher in the intervention group.

Conclusion

The researchers concluded that telephone counseling based on the IMB model could be a suitable method to improve glycemic control and self-care behaviors in patients with type 2 diabetes.

中文翻译：

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基于模型的电话咨询对 2 型糖尿病患者 HbA1c 和自我管理的影响：一项随机对照试验

目标

本研究旨在检验基于信息、动机、行为技能 (IMB) 模型的电话咨询对 2 型糖尿病 (T2DM) 患者 HbA1c 和自我管理的影响。

方法

该研究于 2019 年 1 月至 2019 年 9 月期间进行，共有 63 名（31 名干预措施，32 名对照）T2DM 患者。在基于 IMB 的 45-60 分钟患者培训、每周提醒消息和每两周一次电话后，干预组共随访 12 周。对照组不做任何干预。在研究开始时和第 12 周结束时收集数据。使用患者信息表、2 型糖尿病自我效能量表、糖尿病自我管理问卷 (DSMQ)、感知糖尿病自我管理量表 (PDSMS) 和血糖控制 (HbA1c) 获得数据。

结果

参与者平均年龄为 54 岁，大多数为女性（58.1%）。根据协方差分析 (ANCOVA) 的结果，测试前 HbA1c ( F :13.589; p < 0.001)、体重 ( F :32.176; p < 0.001) 和收缩压之间存在统计学显着差异（F：7.109；p = 0.01）。然而，干预组和对照组之间的舒张压没有显着差异（F：2.686；p = 0.106）。此外，经过三个月的随访，自我效能（F：26.632；p < 0.001）、自我管理（F:44.487; p < 0.001）和自我管理感知（F：71.132；p < 0.001）在干预组中显着更高。

结论

研究人员得出结论，基于 IMB 模型的电话咨询可能是改善 2 型糖尿病患者血糖控制和自我保健行为的合适方法。