2.50
Hdl Handle:
http://hdl.handle.net/10755/156033
Type:
Presentation
Title:
Cognitive-Educative Model for Mexican Adults with Type 2 Diabetes
Abstract:
Cognitive-Educative Model for Mexican Adults with Type 2 Diabetes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Gallegos, Esther C., PhD
P.I. Institution Name:Universidad Autonoma de Nuevo Leon
Title:Associate Professor
Co-Authors:Bertha Cecilia Salazar, PhD; Marco Vinicio Gomez, PhD; Eduardo Garza, MD
[Research Presentation] Purpose: Describe the effect of intervening variables upon the effectiveness of a controlled intervention as reflected on diabetes knowledge. Describe the predictive capacity of empowerment and self-care on a measure of glycaemic control on adults with DMT2. Methods: A two group quasi experimental repeated measures design was applied. Participants were recruited from two underserved communities in Monterrey, Mexico, age 20-60 yrs (16 M-96 W), assigning each community group to the experimental and control conditions. Subjects with renal failure, less than 19 in MMSE were excluded. Type 2 Diabetes BASICS curriculum was the intervention fundament, delivered in four sessions distributed within a six months period. Content included, 1) symptoms, complications and carbohydrates management; 2) glucose self-monitoring and decision making, 3) self-management, 4) problem solving strategies. Measurements included four instruments and biochemical variables. Measures were performed at basal, 6, 12, and 18 months. Results: Participants were similar (p .06) in age, gender, education, BMI, and psychosocial variables, except in HbA1c where the control group had a lower value than the experimental (6.75 VS 7.71%). 1. Effect of the intervening variables upon diabetes knowledge was significant at the 18 months measurement (F 2,41 = 4.26, p = .021; adjusted R2 = .132. A backward regression model showed urine protein and Trail Making A test as the contributors to significance. 2. On the 18 months measurement self-care, empowerment and its interaction, were significant predictors of HbA1c (F 3, 41 = 3.58,  p = .026; adjusted R2 = .15). Covariates were evaluated at Self-care 47.48, and empowerment 80.25, mean values. Conclusion: Diabetes knowledge is affected by disease complications as well as by cognitive factors. Intervention was effective improving diabetes knowledge, self-care and empowerment which at the time improved HbA1c values; however the self-care scores were much lower than the empowerment ones, suggesting patients overestimate their power.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCognitive-Educative Model for Mexican Adults with Type 2 Diabetesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156033-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Cognitive-Educative Model for Mexican Adults with Type 2 Diabetes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gallegos, Esther C., PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Universidad Autonoma de Nuevo Leon</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">egallego@fe.uanl.mx</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Bertha Cecilia Salazar, PhD; Marco Vinicio Gomez, PhD; Eduardo Garza, MD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: Describe the effect of intervening variables upon the effectiveness of a controlled intervention as reflected on diabetes knowledge. Describe the predictive capacity of empowerment and self-care on a measure of glycaemic control on adults with DMT2. Methods: A two group quasi experimental repeated measures design was applied. Participants were recruited from two underserved communities in Monterrey, Mexico, age 20-60 yrs (16 M-96 W), assigning each community group to the experimental and control conditions. Subjects with renal failure, less than 19 in MMSE were excluded. Type 2 Diabetes BASICS curriculum was the intervention fundament, delivered in four sessions distributed within a six months period. Content included, 1) symptoms, complications and carbohydrates management; 2) glucose self-monitoring and decision making, 3) self-management, 4) problem solving strategies. Measurements included&nbsp;four instruments and biochemical variables. Measures were performed at basal, 6, 12, and 18 months. Results: Participants were similar (p&nbsp;.06) in age, gender, education, BMI, and psychosocial variables, except in HbA1c where the control group had a lower value than the experimental (6.75 VS 7.71%). 1. Effect of the intervening variables upon diabetes knowledge was significant at the 18 months measurement (F 2,41 = 4.26, p = .021; adjusted R2 = .132. A backward regression model showed urine protein and Trail Making A test as the contributors to significance. 2. On the 18 months measurement self-care, empowerment and its interaction, were significant predictors of HbA1c (F 3, 41 = 3.58, &nbsp;p = .026; adjusted R2 = .15). Covariates were evaluated at Self-care 47.48, and empowerment 80.25, mean values. Conclusion: Diabetes knowledge is affected by disease complications as well as by cognitive factors. Intervention was effective improving diabetes knowledge, self-care and empowerment which at the time improved HbA1c values; however the self-care scores were much lower than the empowerment ones, suggesting patients overestimate their power.</td></tr></table>en_GB
dc.date.available2011-10-26T14:23:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:23:26Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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