PATIENT EMPOWERMENT - RESULTS OF A RANDOMIZED CONTROLLED TRIAL

被引:530
|
作者
ANDERSON, RM
FUNNELL, MM
BUTLER, PM
ARNOLD, MS
FITZGERALD, JT
FESTE, CC
机构
[1] UNIV MICHIGAN,SCH MED,DIABET OUTPATIENT EDUC PROGRAM,ANN ARBOR,MI 48109
[2] UNIV MICHIGAN,SCH MED,MICHIGAN DIABET RES & TRAINING CTR,ANN ARBOR,MI 48109
[3] UNIV MICHIGAN,SCH MED,OFF EDUC RESOURCES & RES,ANN ARBOR,MI 48109
[4] HUMEDICO,EDEN PRAIRIE,MN
关键词
D O I
10.2337/diacare.18.7.943
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE-The purpose of this study was to determine if participation in a patient empowerment program would result in improved psychosocial self-efficacy and attitudes toward diabetes, as well as a reduction in blood glucose levels. RESEARCH DESIGN AND METHODS-This study was conducted as a randomized, wait-listed control group trial. The intervention group received a six-session (one session per week) patient empowerment education program; the control group was assigned to a wait-list. At the end of 6 weeks, the control group completed the six-session empowerment program. Six weeks after the program, both groups provided follow-up data. RESULTS-The intervention group showed gains over the control group on four of the eight self-efficacy subscales and two of the five diabetes attitude subscales. Also, the intervention group showed a significant reduction in glycated hemoglobin levels. Within groups, analysis of data from all program participants showed sustained improvements in all of the self-efficacy areas and two of the five diabetes attitude subscales and a modest improvement in blood glucose levels. CONCLUSIONS-This study indicated that patient empowerment is an effective approach to developing educational interventions for addressing the psychosocial aspects of living with diabetes. Furthermore, patient empowerment is conducive to improving blood glucose control. In an ideal setting, patient education would address equally blood glucose management and the psychosocial challenges of living with diabetes.
引用
收藏
页码:943 / 949
页数:7
相关论文
共 50 条
  • [1] Effect of Patient Empowerment Model on Smoking Cessation: Randomized Controlled Trial
    Khafagy, Ghada M.
    Mahmoud, Mervat M.
    Soliman, Saeed S. A.
    KOREAN JOURNAL OF FAMILY MEDICINE, 2021, 42 (05): : 369 - 375
  • [2] The impact of an empowerment intervention on people with schizophrenia: Results of a randomized controlled trial
    Hasan, Abdalhadi
    Musleh, Mahmoud
    INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, 2017, 63 (03) : 212 - 223
  • [3] The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial
    Maryam Amiri
    Zahra Khademian
    Reza Nikandish
    BMC Medical Education, 18
  • [4] EMPOWERMENT OF THE OLDER PATIENT - A RANDOMIZED, CONTROLLED TRIAL TO INCREASE DISCUSSION AND USE OF ADVANCE DIRECTIVES
    SACHS, GA
    STOCKING, CB
    MILES, SH
    JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1992, 40 (03) : 269 - 273
  • [5] The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial
    Amiri, Maryam
    Khademian, Zahra
    Nikandish, Reza
    BMC MEDICAL EDUCATION, 2018, 18
  • [6] Empowerment group therapy for refugees with affective disorders: results of a multicenter randomized controlled trial
    Wiechers, Maren
    Strupf, Michael
    Bajbouj, Malek
    Boege, Kerem
    Karnouk, Carine
    Goerigk, Stephan
    Kamp-Becker, Inge
    Banaschewski, Tobias
    Rapp, Michael
    Hasan, Alkomiet
    Falkai, Peter
    Jobst-Heel, Andrea
    Habel, Ute
    Stamm, Thomas
    Heinz, Andreas
    Hoell, Andreas
    Burger, Max
    Bunse, Tilmann
    Hoehne, Edgar
    Mehran, Nassim
    Kaiser, Franziska
    Hahn, Eric
    Plener, Paul
    Uebleis, Aline
    Padberg, Frank
    EUROPEAN PSYCHIATRY, 2023, 66 (01)
  • [7] Empowerment Program for People With Prediabetes: A Randomized Controlled Trial
    Chen, Mei-Fang
    Hung, Shu-Ling
    Chen, Shu-Lin
    JOURNAL OF NURSING RESEARCH, 2017, 25 (02) : 99 - 110
  • [8] Improving patient-centered communication: Results of a randomized controlled trial
    Maatouk-Buermann, Barbara
    Ringel, Nadja
    Spang, Jochen
    Weiss, Carmen
    Moeltner, Andreas
    Riemann, Urs
    Langewitz, Wolf
    Schultz, Jobst-Hendrik
    Juenger, Jana
    PATIENT EDUCATION AND COUNSELING, 2016, 99 (01) : 117 - 124
  • [9] Effectiveness of an Interactive Website Aimed at Empowerment of Disability Benefit Claimants: Results of a Pragmatic Randomized Controlled Trial
    David Samoocha
    Ingrid A. K. Snels
    David J. Bruinvels
    Johannes R. Anema
    Allard J. van der Beek
    Journal of Occupational Rehabilitation, 2011, 21 : 410 - 420
  • [10] Evaluating a problem-based empowerment program for African Americans with diabetes: Results of a randomized controlled trial
    Anderson, RM
    Funnell, MM
    Nwankwo, R
    Gillard, ML
    Oh, M
    Fitzgerald, JT
    ETHNICITY & DISEASE, 2005, 15 (04) : 671 - 678