PTOtherFrontiers in rehabilitation sciences2024

Effects of a comprehensive structured patient education intervention on disease-related knowledge and behaviour change among people living with type 2 diabetes in the Philippines.

Maria Rosan Trani, Imelda Bilocura, Shazna Bersabal and 6 others

PMID 38481977

WHAT IT FOUND

People with diabetes attending cardiac rehabilitation or diabetes clinic care reported higher knowledge, more steps, and more fruit and vegetables after a comprehensive online education program.

Health literacy did not change.

Key findings

01Disease-related knowledge increased after the intervention, including all five knowledge areas.

02Device-measured steps, exercise minutes, and fruit and vegetable servings increased, but no participant reached 10,000 steps per day.

03Health literacy did not change.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study had no comparison group, so improvements cannot be separated from cardiac rehabilitation, clinic visits, exercise, nutrition orientation, counseling, or usual education. There were no follow-up assessments after the intervention, so the gains may not have lasted. Participants were a convenience sample and were mostly highly educated, so results may not apply to people with less education or people not attending these clinics. Physical activity and diet were partly self-reported, and the health literacy measure was brief and may not capture nuanced change. Medication adherence and glycemic control were not measured.

Declared interests

The authors declare financial support for the research, authorship, or publication. Funds to conduct the work were received by Sun Life Financial.

The easy way to misread this

Do not read the reported gains as evidence that the education program alone caused them. The study had no comparison group, and participants also received cardiac rehabilitation or diabetes clinic care, so the contribution of any single component cannot be separated.

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