A Tailored Intervention for Improving Diabetes Self-care Among Adults With Visual Impairment: A Pilot Study

IF 2.3 4区医学 Q3 ENDOCRINOLOGY & METABOLISM Canadian Journal of Diabetes Pub Date : 2024-08-01 DOI:10.1016/j.jcjd.2024.05.002

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Abstract

Objectives

Our aim in this study was to develop and evaluate a tailored intervention for improving diabetes self-care among people with visual impairment (TID-VI) in South Korea.

Methods

The TID-VI program was designed around the barriers, resources, and perceptual factors to promote diabetes self-care in those with visual impairment (VI). A single-arm pilot study was conducted to evaluate the feasibility and preliminary effects of the intervention. Diabetes self-efficacy, self-care behaviours, depression, health-related quality of life, and clinical outcomes (fasting blood glucose, glycated hemoglobin [A1C], lipids, and blood pressure) were measured before and up to 2 months after the 12-week intervention.

Results

All 14 participants completed TID-VI. Diabetes self-efficacy, diabetes self-care behaviours, depression, and health-related quality of life showed improvement from baseline that was sustained at 2 months. Although high- and low-density lipoprotein also improved, there were no differences in blood glucose, A1C, total cholesterol, or blood pressure at 2 months.

Conclusions

A theory-driven, tailored intervention specific to the needs of adults with VI can produce substantial improvements in patient-reported quality of life and health status outcomes, although the benefits are yet to be confirmed in a controlled study.

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改善视力障碍者糖尿病自我护理的定制干预：试点研究

方法 TID-VI 计划是围绕促进视力障碍（VI）患者糖尿病自我护理的障碍、资源和感知因素而设计的。为评估该干预措施的可行性和初步效果，我们开展了一项单臂试点研究。在为期 12 周的干预前和干预后 2 个月内，对糖尿病自我效能、自我护理行为、抑郁、与健康相关的生活质量和临床结果（空腹血糖、糖化血红蛋白 [A1C]、血脂和血压）进行了测量。与基线相比，糖尿病自我效能、糖尿病自我护理行为、抑郁以及与健康相关的生活质量均有所改善，且在两个月后仍能保持。尽管高密度和低密度脂蛋白也有所改善，但在 2 个月时，血糖、A1C、总胆固醇或血压均无差异。结论针对成人 VI 患者的需求进行理论驱动的定制干预，可显著改善患者报告的生活质量和健康状况，但其益处仍有待对照研究证实。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

4.80

自引率

4.00%

发文量

130

审稿时长

54 days

期刊介绍： The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.