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A N EFFECTIVENESS OF A COMMUNITY - BASED GROUP EDUCATION FOR TYPE 2 DIABETIC PATIENTS Lampung Vonok.

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Presentation on theme: "A N EFFECTIVENESS OF A COMMUNITY - BASED GROUP EDUCATION FOR TYPE 2 DIABETIC PATIENTS Lampung Vonok."— Presentation transcript:

1 A N EFFECTIVENESS OF A COMMUNITY - BASED GROUP EDUCATION FOR TYPE 2 DIABETIC PATIENTS Lampung Vonok

2 C ONTENT Objective Background Methodology Sample size and sample calculation Data collection Data analysis Result Discussion Conclusion

3 O BJECTIVE OF THE STUDY To evaluate the effectiveness of a community-based group education for type 2 diabetic patients

4 B ACKGROUND (T HE NUMBER OF DIABETICS CASES : WORLD WIDE )

5 B ACKGROUND T HE DIABETES MORBIDITY RATE OF T HAILAND BETWEEN 2001 AND 2010 Source: Bureau of non-communicable disease, ministry of public health, Thailand

6 Source: http://www.epgonline.org

7 D IABETES CARE PROJECTS Diabetes Action Now program The National Standards for Diabetes Self- Management Education (DSME) Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND Screening program in Thailand

8 D IABETES EDUCATION PROGRAM Improved diabetes knowledge Self-care behaviour Dietary behaviour change Foot care Taking medicine Exercise Keeping appointment Improve foot care Improve a quality of life Reduce HbA1C level

9 M ETHODOLOGY Sample size based on t-test statistics = 42 + 10% lost follow up = 46 participants 68 DMt2 patients signed a consent form 61 of them were met a conclusion criteria 2 were found an exclusion criteria 59 patients took part in the program 1 st group 8-9 DMT2 48 participants took part until at the end of program 2 ND group 8-9 DMT2 3 RD group 8-9 DMT2 4 TH group 8-9 DMT2 5 TH group 8-9 DMT2 Before intervention Baseline measurement 1 st group education 1 month apart 2 nd group education 5 months after intervention 2 nd measurement

10 R ESULT : D EMOGRAPHIC DATA CharacteristicsNumber of patientsPercent All type 2 diabetes participants Gender Male Female 48 10 38 100 20.8 79.2 Education level Primary School Diploma degree Bachelor degree 46 1 95.8 2.1 Have an experience with diabetes education programme No Yes Be taking diabetes medications Yes No (diet control) 43 5 Average =1.6 yrs. Max=3 yrs. 45 3 89.6 10.4 SD=1.01 yrs. 1 yrs. 93.8 6.3 Age Average = 61 yrs. Max = 75 yrs. SD = 8.57 yrs. Min = 35 yrs. Diagnosed with Diabetes Mellitus Average = 7.94 yrs. Max = 28 yrs. SD = 5.93 yrs. Min = 1 yrs. Height Average = 158.31 cms. Max = 167 cms SD = 5.93cms. Min = 150 cms.

11 R ESULTS : M EAN CHANGE OF HBA 1 C COMPARE WITH 1% REDUCTION Mean of HbA1c Mean Change95% CIP-value Pre-interventionPost-intervention 8.368.170.19-0.11 – 0.48<0.001

12 D ISCUSSION Source:http://www.sciencedirect.com/science/article/pii/S1744188908001473

13 D ISCUSSION ( CONTINUE ) The result illustrated in the same direction with the hospital based diabetes education The trustworthiness of one-group pre-post test design

14 C ONCLUSION The community based group education program significantly reduce HbA1c over than 1% The control group will be needed in the future study

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