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.
Sigma Membership
Lambda Beta at-Large
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
integrated care model, behavior change, theory-based intervention, pre-DM
Recommended Citation
Lin, Chiu-Chu and Tsai, Fu-Mian, "Effects of an Integrated Care Model (ICM) on People with Pre-Diabetes" (2016). INRC (Congress). 149.
https://www.sigmarepository.org/inrc/2015/posters_2015/149
Conference Name
26th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
San Juan, Puerto Rico
Conference Year
2015
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Acquisition
Proxy-submission
Effects of an Integrated Care Model (ICM) on People with Pre-Diabetes
San Juan, Puerto Rico
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.