Diabetes self-management in socioeconomically vulnerable people: A feasibility study
DOI:
https://doi.org/10.15649/cuidarte.3102Keywords:
Diabetes Mellitus, Type 2, Nursing, Self-Management, Health Education, Feasibility StudiesAbstract
Introduction: Type 2 diabetes mellitus is a leading cause of morbidity and mortality worldwide, and its prevalence is even higher in middle- and low-income countries. Self-management is a strategy that has been shown to control chronic diseases. Objective: To determine the feasibility and preliminary efficacy of the AMAS + Vida educational intervention focused on health self-management in adults with type 2 diabetes in a primary health care facility in Neiva, Colombia. Materials and Methods: Feasibility study using a one-group pretest-posttest design to determine the preliminary efficacy of the intervention. Purposive sample of 36 adults with type 2 diabetes. The instruments used were a characterization form and the Partners in Health scale to measure self-management. Results: Thirty-one adults with diabetes completed the 3-month follow-up, most of whom were women with low socioeconomic and educational levels. The feasibility of the intervention was good. Participants significantly improved disease knowledge (p < 0.001), eating habits (p = 0.001), health self-management behaviors (p < 0.001), and decreased body mass index (p = 0.01). There were no significant changes in physical activity (p = 0.125). Discussion: Self-management-based interventions, structured according to the theory of adaptation to chronic illness, achieve health-promoting changes in people with diabetes. Conclusions: The intervention showed preliminary efficacy in the study group with good feasibility. Further experimental studies are recommended.
How to cite this article: Segura Cortes José Camilo, Moreno-Fergusson María Elisa. Automanejo de la diabetes en personas socioeconómicamente vulnerables: estudio de factibilidad. Revista Cuidarte. 2023;14(3):e3102. http://dx.doi.org/10.15649/cuidarte.3102
References
Federación Internacional de Diabetes. Atlas de la Diabetes de la FID [Internet]. Atlas de la Diabetes de la FID. 2021. [Consulta: octubre 1, 2021] 1–141 p. https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf
Cuenta de alto costo. Situación de la enfermedad renal crónica, la hipertensión arterial y la diabetes mellitus en Colombia 2021 [Internet]. 2021 [Consulta: octubre 15, 2021] 190 p. https://cuentadealtocosto.org/site/wp-content/uploads/2022/12/FINAL_LIBRO_ERC_2021.pdf
Romero G, Sandra L; Parra, Dora I.; Sánchez R. JM, Rojas LZ. Adherencia terapéutica de pacientes con hipertensión arterial y diabetes mellitus tipo 2 de Bucaramanga, Colombia. Rev la Univ Ind Santander Salud. 2017;49(1):37–44. http://dx.doi.org/10.18273/revsal.v49n1-2017004
Grady PA, Gough LL. El automanejo de las enfermedades crónicas: un método integral de atención. Am J Public Health. 2018;108:437–44. https://doi.org/10.2105/AJPH.2014.302041s
Chatterjee S, Davies MJ, Heller S, Speight J, Snoek FJ, Khunti K. Diabetes structured self-management education programmes: a narrative review and current innovations. Lancet Diabetes Endocrinol. 2018;6(2):130–42. https://doi.org/10.1016/S2213-8587(17)30239-5
García AA, Brown SA, Horner SD, Zuñiga J, Arheart KL. Home-Based Diabetes Symptom Self-Management Education for Mexican Americans with Type 2 Diabetes. Health Educ Res. 2015;30(3):484–96. http://dx.doi.org/10.1093/her/cyv018
Pamungkas RA, Chamroonsawasdi K. Self-management based coaching program to improve diabetes mellitus self-management practice and metabolic markers among uncontrolled type 2 diabetes mellitus in Indonesia: A quasi-experimental study. Diabetes Metab Syndr Clin Res Rev. 2020;14(1):53–61. https://doi.org/10.1016/j.dsx.2019.12.002
Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Hess Fischl A, et al. Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2015;115(8):1323–34. https://doi.org/10.1016/j.jand.2015.05.012
Roy C, Buckner E, Hayden S. Generating Middle Range Theory: From Evidence to Practice. 2014. 277–307 p.
Moreno-Fergusson ME, Rodriguez Prieto IE, Sotelo Díaz LI, Palacios Moreno AM, Casas Correa OM, Segura Cortes JC, et al. Intervención educativa (AMAS + Vida) para el automanejo de la salud en personas con diabetes mellitus tipo 2. Chía, Cundinamarca; 2021. Universidad de La Sabana, Facultad de Enfermería y Rehabilitación. Proyecto de Investigación ENF-33,2019.
Orsmond GI, Cohn ES. The Distinctive Features of a Feasibility Study: Objectives and Guiding Questions. OTJR (Thorofare N J). 2015;35(3):169–77. https://doi.org/10.1177/1539449215578649
Lewis M, Bromley K, Sutton CJ, McCray G, Myers HL, Lancaster GA. Determining sample size for progression criteria for pragmatic pilot RCTs: the hypothesis test strikes back! Pilot Feasibility Stud. 2021;7(1):40. https://doi.org/10.1186/s40814-021-00770-x
Forero AY, Hernández JA, Rodríguez SM, Romero JJ, Morales GE, Ramírez GÁ. La alimentación para pacientes con diabetes mellitus de tipo 2 en tres hospitales públicos de Cundinamarca, Colombia. Biomédica. 2018;38(3):355–62. https://dx.doi.org/10.7705/biomedica.v38i3.3816
Mantilla S, Gomez Conesa A. El Cuestionario Internacional de Actividad Física. Un instrumento adecuado en el seguimiento de la actividad física poblacional. Rev Iberoam Fisioter y Kinesiol. 2007;10(1):48–52. https://doi.org/10.1016/S1138-6045(07)73665-1
Hu J, Amirehsani KA, McCoy TP, Wallace DC, Coley SL, Zhan F. Reliability and Validity of the Spoken Knowledge in Low Literacy in Diabetes in Measuring Diabetes Knowledge Among Hispanics With Type 2 Diabetes. Diabetes Educ. 2020;46(5):465–74. https://doi.org/10.1177/0145721720941409
Peñarrieta-de Córdova I, Barrios FF, Gutierrez-Gomes T, del Socorro Piñonez-Martinez M, Quintero-Valle LM, Castañeda-Hidalgo H. Self-management in chronic conditions: partners in health scale instrument validation. Nurs Manage. 2014;20(10):32–7. https://doi.org/10.7748/nm2014.02.20.10.32.e1084
Association American Diabetes. Standards of Medical Care in Diabetes—2020 Abridged for Primary Care Providers. Vol. 38, Clinical Diabetes. American Diabetes Association; 2020. 10–38 p. https://dx.doi.org/10.2337/cd20-as01
Siedlecki SL. Research intervention fidelity: Tips to improve internal validity of your intervention studies. Clin Nurse Spec. 2018;32(1):12–4. https://doi.org/10.1097/NUR.0000000000000342
Segura Cortes JC, Moreno-Fergusson ME. Base de datos. Intervención Automanejo a Personas con DM2 Neiva. Mendeley Data V1. 2023. https://dx.doi.org/10.17632/8m4cpwzjkn.1
Ministerio de Salud C. Resolución Número 8430 de 1993 [Internet]. 1993 [Consulta: enero 12, 2022] p. 1–19. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Sekhon M, Cartwright M, Francis JJ. Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Serv Res. 2017;17(1):88. https://doi.org/10.1186/s12913-017-2031-8
Olry de Labry Lima A, Bermúdez Tamayo C, Pastor Moreno G, Bolívar Muñoz J, Ruiz Pérez I, Johri M, et al. Efectividad de una intervención para mejorar los resultados clínicos con autogestión de la diabetes en pacientes con bajo nivel educativo. Gac Sanit. 2017;31(1):40–7. https://dx.doi.org/10.1016/j.gaceta.2016.05.017
Fernández Fernández I. Día mundial de la diabetes mellitus 2017. Ministerio de Salud y Protección Social de Colombia. [Internet] 2017 [Consulta: noviembre 25, 2021];30(8). https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ET/dia-mundial-diabetes-2017.pdf
Quiñones Á, Ugarte C, Chávez C, Mañalich J. Variables psicológicas asociadas a adherencia, cronicidad y complicaciones en pacientes con diabetes mellitus tipo 2. Rev Med Chil. 2018;146(10):1151–8. http://dx.doi.org/10.4067/S0034-98872018001001151
Llorente Columbié Y, Enrique Miguel-Soca P, Rivas Vázquez D, Borrego Chi Y. Risk factors associated to ocurrence of type 2 diabetes mellitus in adults. Rev Cuba Endocrinol. 2016;27(2):123–33. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532016000200002&lng=es
Mendoza-Catalán G, Chaparro-Díaz L, Gallegos-Cabriales E, Carreno-Moreno S. Automanejo en diabetes mellitus tipo 2 desde un enfoque de género: revisión integrativa. Enfermería Univ. 2018;15(1):90–102. https://doi.org/10.22201/eneo.23958421e.2018.1.63276
House A, Bryant L, Russell AM, Wright-Hughes A, Graham L, Walwyn R, et al. Randomized controlled feasibility trial of supported self-management in adults with Type 2 diabetes mellitus and an intellectual disability: OK Diabetes. Diabet Med. 2018;35(6):776–88. https://doi.org/10.1111/dme.13626
von Storch K, Graaf E, Wunderlich M, Rietz C, Polidori MC, Woopen C. Telemedicine-Assisted Self-Management Program for Type 2 Diabetes Patients. Diabetes Technol Ther. 2019;21(9):514–21. https://doi.org/10.1089/dia.2019.0056
Captieux M, Pearce G, Parke HL, Epiphaniou E, Wild S, Taylor SJC, et al. Supported self-management for people with type 2 diabetes: a meta-review of quantitative systematic reviews. BMJ Open. 2018;8(12). https://doi.org/10.1136/bmjopen-2018-024262
Garcia AA, Zuniga J, Reynolds R, Cairampoma L, Sumlin L. Evaluation of the Spoken Knowledge in Low Literacy in Diabetes Scale for Use With Mexican Americans. J Transcult Nurs. 2015;26(3):279–86. https://dx.doi.org/10.1177/1043659614524246
Amer FA, Mohamed MS, Elbur AI, Abdelaziz SI, Elrayah ZA. Influence of self-efficacy management on adherence to self-care activities and treatment outcome among diabetes mellitus type 2 Sudanese patients. Pharm Pract (Granada). 2018;16(4):1274. https://dx.doi.org/10.18549/pharmpract.2018.04.1274
Asante E. Interventions to promote treatment adherence in type 2 diabetes mellitus. Br J Community Nurs. 2013;18(6):267–74. https://doi.org/10.12968/bjcn.2013.18.6.267
Dolores Mondéjar Barrios M, Orlando Rosas Durand L, Morgado Rodríguez A, Hernández Martínez N, Junco Martínez G. Intervención educativa para elevar el nivel de conocimientos en adultos mayores con diabetes mellitus sobre el autocuidado. 2013. https://www.medigraphic.com/pdfs/mediciego/mdc-2013/mdcs132h.pdf
Domínguez Gallardo LA, Ortega Filártiga E. Factores asociados a la falta de adherencia al tratamiento en pacientes con diabetes mellitus tipo 2. Rev Virtual la Soc Paraguaya Med Interna. 2019;6(1):63–74. https://doi.org/10.18004/rvspmi/2312-3893/2019.06(01)63-074
Carolina Vintimilla E, Vintimilla Molina JR, del Rocío Parra C, Martínez Santander DA, Martínez Santander CJ, del Rocío Andrade Coronel N, et al. Factores de riesgo cardiovascular en pacientes con diabetes mellitus tipo 2. Rev Latinoam Hipertens. 2018;13(4):356. https://www.redalyc.org/journal/1702/170263336009/170263336009.pdf
Medina-Fernández IA, Gallegos-Torres R, Candila-Celis J. Adaptación del modo de autoconcepto en usuarios con diabetes tipo 2 de una unidad de primer nivel. Enfermería Univ. 2018;15(4). https://dx.doi.org/10.22201/eneo.23958421e.2018.4.532
Kavuran E, Yurttaş A. Effects of Education Based on Roy Adaptation Model on Diabetes Care Profile of Patients with Type 2 Diabetes Mellitus. Iran Red Crescent Med J. 2018;20(4). https://dx.doi.org/10.5812/ircmj.64635
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