2.50
Hdl Handle:
http://hdl.handle.net/10755/602053
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Effects of an Integrated Care Model (ICM) on People with Pre-Diabetes
Author(s):
Lin, Chiu-Chu; Tsai, Fu-Mian
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Chiu-Chu Lin, RN, chiuchu@kmu.edu.tw; Fu-Mian Tsai, MSN, RN
Abstract:
Session presented on Saturday, July 25, 2015: Purpose: This study aimed to develop an integrated care model (ICM) for people with pre-DM and to evaluate its effects on knowledge regarding pre-DM (K- pre-DM), dietary behaviors, health-promoting lifestyle, physical activity and pre-DM progression measures, including BW, BMI, fasting blood sugar, HbA1C, Tchol, HDL, LDL and TG. Methods: In this single-group, longitudinal study, participants underwent baseline pre-testing (T 0 ) and post-testing at 3 (T 1 ), 6 (T 2 ), and 12 (T 3 ) months after a 4-week group ICM program. Results: K- pre-DM was significantly increased (T 1 vs. T 0, p=.01; T 2 vs. T 0, p=.00; T 3 vs. T 0, p=.01) throughout the 12-month period. Compared with T 0, dietary behavior was significantly better at T 1 (p=.01), and health-promoting lifestyle was significantly improved at T 2 (p=.02) and T 3 (p=.01). BW and BMI were significantly lower at T 1 (p<.00, p=.00) and T 2 (p<.00, p=.00) than at T 0 . Fasting blood sugar was significantly lower than baseline at T 2 (p=.02) and T 3 (p=.02). The HbA1C level was significantly lower at T 1 (p<.00), T 2 (p<.00) and T 3 (p<.00) than at T 0 . The HDL level was significantly higher at T 2 (p<.00) than at T 0 . During the 12-month study period, physical activity was maintained at moderate intensity. In addition, Tchol, LDL, and TG were sustainably decreased throughout the study period.' Conclusion: The results of this study suggest that the ICM intervention is effective and may potentially prevent pre-DM progression. Practice implications: This study provides evidence-based data to support the potential effects of a theory-driven protocol in preventing disease progression in people with pre-diabetes. Health care providers may apply it to people at high risk of developing diabetes in clinical and community care.
Keywords:
integrated care model; behavior change, theory-based intervention; pre-DM
MeSH:
Health Behavior; Diabetes Mellitus, Type 2
CINAHL Headings:
Health�Care�Delivery,�Integrated; Behavioral Changes
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15PST259
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleEffects of an Integrated Care Model (ICM) on People with Pre-Diabetesen
dc.contributor.authorLin, Chiu-Chuen
dc.contributor.authorTsai, Fu-Mianen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsChiu-Chu Lin, RN, chiuchu@kmu.edu.tw; Fu-Mian Tsai, MSN, RNen
dc.identifier.urihttp://hdl.handle.net/10755/602053-
dc.description.abstractSession presented on Saturday, July 25, 2015: Purpose: This study aimed to develop an integrated care model (ICM) for people with pre-DM and to evaluate its effects on knowledge regarding pre-DM (K- pre-DM), dietary behaviors, health-promoting lifestyle, physical activity and pre-DM progression measures, including BW, BMI, fasting blood sugar, HbA1C, Tchol, HDL, LDL and TG. Methods: In this single-group, longitudinal study, participants underwent baseline pre-testing (T 0 ) and post-testing at 3 (T 1 ), 6 (T 2 ), and 12 (T 3 ) months after a 4-week group ICM program. Results: K- pre-DM was significantly increased (T 1 vs. T 0, p=.01; T 2 vs. T 0, p=.00; T 3 vs. T 0, p=.01) throughout the 12-month period. Compared with T 0, dietary behavior was significantly better at T 1 (p=.01), and health-promoting lifestyle was significantly improved at T 2 (p=.02) and T 3 (p=.01). BW and BMI were significantly lower at T 1 (p<.00, p=.00) and T 2 (p<.00, p=.00) than at T 0 . Fasting blood sugar was significantly lower than baseline at T 2 (p=.02) and T 3 (p=.02). The HbA1C level was significantly lower at T 1 (p<.00), T 2 (p<.00) and T 3 (p<.00) than at T 0 . The HDL level was significantly higher at T 2 (p<.00) than at T 0 . During the 12-month study period, physical activity was maintained at moderate intensity. In addition, Tchol, LDL, and TG were sustainably decreased throughout the study period.' Conclusion: The results of this study suggest that the ICM intervention is effective and may potentially prevent pre-DM progression. Practice implications: This study provides evidence-based data to support the potential effects of a theory-driven protocol in preventing disease progression in people with pre-diabetes. Health care providers may apply it to people at high risk of developing diabetes in clinical and community care.en
dc.subjectintegrated care modelen
dc.subjectbehavior change, theory-based interventionen
dc.subjectpre-DMen
dc.subject.meshHealth Behavioren
dc.subject.meshDiabetes Mellitus, Type 2en
dc.subject.cinahlHealth�Care�Delivery,�Integrateden
dc.subject.cinahlBehavioral Changesen
dc.date.available2016-03-17T13:02:46Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T13:02:46Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.