The purpose of this study is to evaluate the impact of an educational program for people with diabetes mellitus based on the family social support.
H0: The person with diabetes who participates in the educational group whose family member/caregiver receives educational interventions hasn't greater glycemic control. HA: The person with diabetes who participates in the educational group whose family member/caregiver receives educational interventions has greater glycemic control.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
SINGLE
Enrollment
264
For family members/caregivers: telephone contacts will be conducted in day and time which family member/caregiver prefers, and he/she may make collect calls to the researcher always he/she judges it necessary during the period of study. Phone contacts will be recorded to ensure the registration of orientation given, using a digital phone recorder PCTEL. And they will be arranged with the technique of motivational interviewing that includes the skills to ask, listen and inform. For this, protocols based on these skills, which the covered topics will be those worked in group sessions through Diabetes Conversation Maps. Voice quality related to the tone, volume and clarity as well as the skills and strategies to listen to the interviews will be worked under the guidance of an audiologist
For people with diabetes mellitus: educational interventions will be conducted in accordance with the assumptions of the Social Cognitive Theory, through Diabetes Conversation Maps , whose use is consistent with this theory (ADA, 2007). Diabetes Conversation Maps are a tool which involves people in the learning process about the disease, to make them able to process information more effectively and use them in making daily decisions in the management of diabetes mellitus (DM). It is recommended that this tool is used in small groups of three to ten people, in order to provide dynamic discussions among the participants (ADA, 2007). Currently, the maps that cover the following learning contexts: How the Body and Diabetes Work, Healthy Eating and Physical Activity, and Medication Treatment and Monitoring of Blood Glucose; Achieving the Goals with the Insulin and Weather Map of Diabetic Foot are available for the Brazilian Portuguese language.
Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
Ribeirão Preto, São Paulo, Brazil
RECRUITINGglycated hemoglobin
Time frame: 21 mounths
fasting plasma glucose
Time frame: 21 mounths
triglycerides
Time frame: 21 mounths
total cholesterol and fractions
Time frame: 21 mounths
microalbuminuria
Time frame: 21 mounths
urea
Time frame: 21 mounths
creatinine
Time frame: 21 mounths
body mass index
Time frame: 21 mounths
waist circumference
Time frame: 21 mounths
blood pressure
Time frame: 21 mounths
Perceived Self-Efficacy: Diabetes Management Self-efficacy Scale for Patients with Type 2 Diabetes Mellitus
Time frame: 21 mounths
Knowledge about diabetes mellitus: Diabetes Mellitus knowledge (DKN-A)
Time frame: 21 mounths
Adherence to medication treatment: Self-Reported Measure of Medication Adherence (Measure of Treatment Adherence - MTA)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 21 mounths
Adherence to self care: Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) ( Diabetes Self-Care Activities Questionnaire)
Time frame: 21 mounths
Perception of stress: Perceived Stress Scale (Perceived Stress Scale)
Time frame: 21 mounths
Ways of coping: Ways of Coping Scale (Ways of Coping Scale)
Time frame: 21 mounths
Acceptance of Illness (Acceptance of Illness Scale)
Time frame: 21 mounths
Perception of social support: The Social Support Network Inventory
Time frame: 21 mounths
Self-monitoring of blood glucose
Time frame: 21 mounths