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Revista Cuidarte
Print version ISSN 2216-0973On-line version ISSN 2346-3414
Abstract
SEGURA CORTES, José Camilo and MORENO-FERGUSSON, María Elisa. Diabetes self-management in socioeconomically vulnerable people: A feasibility study. Rev Cuid [online]. 2023, vol.14, n.3, e15. Epub Dec 24, 2023. ISSN 2216-0973. https://doi.org/10.15649/cuidarte.3102.
Introduction:
Type 2 diabetes mellitus is a leading cause of morbidity and mortality worldwide, and its prevalence is even higher in middle- and low-income countries. Self-management is a strategy that has been shown to control chronic diseases.
Objective:
To determine the feasibility and preliminary efficacy of the AMAS + Vida educational intervention focused on health self-management in adults with type 2 diabetes in a primary health care facility in Neiva, Colombia.
Materials and Methods:
Feasibility study using a one-group pretest-posttest design to determine the preliminary efficacy of the intervention. Purposive sample of 36 adults with type 2 diabetes. The instruments used were a characterization form and the Partners in Health scale to measure self-management.
Results:
Thirty-one adults with diabetes completed the 3-month follow-up, most of whom were women with low socioeconomic and educational levels. The feasibility of the intervention was good. Participants significantly improved disease knowledge (p < 0.001), eating habits (p = 0.001), health self-management behaviors (p < 0.001), and decreased body mass index (p = 0.01). There were no significant changes in physical activity (p = 0.125).
Discussion:
Self-management-based interventions, structured according to the theory of adaptation to chronic illness, achieve health promoting changes in people with diabetes.
Conclusions:
The intervention showed preliminary efficacy in the study group with good feasibility. Further experimental studies are recommended.
Keywords : Diabetes Mellitus, Type 2; Nursing; Self-Management; Health Education; Feasibility Studies.