Translational research for diabetes self-management in Sri Lanka: a randomized controlled trial

Article

Jayasuriya, R., Pinidiyapathirage, M. J., Jayawardena, R., Kasturiratne, A., de Zoysa, P., Godamunne, P., Gamage, S. and Wickremasinghe, A. R.. 2015. "Translational research for diabetes self-management in Sri Lanka: a randomized controlled trial." Primary Care Diabetes. 9 (5), pp. 338-345. https://doi.org/10.1016/j.pcd.2015.01.014
Article Title

Translational research for diabetes self-management in Sri Lanka: a randomized controlled trial

ERA Journal ID124554
Article CategoryArticle
AuthorsJayasuriya, R. (Author), Pinidiyapathirage, M. J. (Author), Jayawardena, R. (Author), Kasturiratne, A. (Author), de Zoysa, P. (Author), Godamunne, P. (Author), Gamage, S. (Author) and Wickremasinghe, A. R. (Author)
Journal TitlePrimary Care Diabetes
Journal Citation9 (5), pp. 338-345
Number of Pages8
Year2015
Place of PublicationNetherlands
ISSN1751-9918
Digital Object Identifier (DOI)https://doi.org/10.1016/j.pcd.2015.01.014
Web Address (URL)http://www.sciencedirect.com/science/article/pii/S1751991815000157
Abstract

Aims: The study tested the hypothesis that a theory driven Diabetes Self-Management (DSM)intervention delivered by trained nurses would result in a clinically significant improvement in glycaemic control.
Methods: Patients with an HbA1c >7.5% (58 mmol/mol) and free of diabetes complications were enrolled into a randomized controlled trial (n = 85). Intervention consisted of four sessions and monthly follow up for 6 months. Biochemical tests, and diet and physical activity assessments were done in both groups. Analysis of covariance was used to test the effectiveness of the intervention.
Results: At 6 months, there was a significant difference (P = 0.001) in HbA1c between the groups controlling for baseline values and other variables. Based on the primary outcome,28% in the intervention group achieved the target value of 6.5% HbA1c, compared to 8% in the “usual
care” group (P < 0.001; η² = 0.65). The reduction in total energy intake and increase in physical activity was significant in the intervention group between baseline and follow up.

Keywordsdiabetes self-management; randomized controlled trial; Sri Lanka
ANZSRC Field of Research 2020420319. Primary health care
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Byline AffiliationsUniversity of New South Wales
Queensland University of Technology
University of Kelaniya, Sri Lanka
University of Colombo, Sri Lanka
University of Peradeniya, Sri Lanka
Institution of OriginUniversity of Southern Queensland
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