Educational intervention on perceived stress among adults with type 2 diabetes and metabolic syndrome: a non-randomized clinical trial.
Wilkslam Alves de Araújo, Isleide Santana Cardoso Santos, Randson Souza Rosa and 6 others
PMID 39083815WHAT IT FOUND
Nurse-led monthly education lowered perceived stress in adults with diabetes and metabolic syndrome.
Blood glucose and HDL-c changes were not the main result, and metabolic syndrome criteria did not clearly decrease.
Key findings
01The nurse-led educational program significantly lowered perceived stress scores compared with control (p=0.028).
02Stressed intervention participants showed a reported blood glucose decrease of 31.59 mg/dL and an HDL-c increase of 6.46 mg/dL.
03The average number of metabolic syndrome criteria did not significantly decrease (p=0.068).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The allocation was not random, so baseline differences cannot be fully ruled out. Only 51 of 70 allocated adults were analysed after 9 intervention dropouts and 10 control dropouts. The planned sample was 80 for 80% statistical power, but the analysed sample was 51. The six-month follow-up is short, and the small sample prevented sex-specific analysis. Women predominated, and post-menopause effects were not assessed. The intervention combined many topics and professionals, so the effect of any single component cannot be separated. Blood glucose and HDL-c results were subgroup or interaction analyses, so they are not the main evidence.
Declared interests
Funding was provided by the Bahia State Research Support Foundation (Fapesb, Process No. BOL0549/2019).
The easy way to misread this
Do not conclude that the program clearly improved metabolic syndrome criteria. The stress result was significant, but the metabolic syndrome criteria change was not significant (p=0.068), and the blood glucose and HDL-c findings were subgroup or interaction analyses.