Comparison of education group strategies and home visits in type 2 diabetes mellitus: clinical trial

• Main Authors: Jéssica Caroline dos Santos, Daniel Nogueira Cortez, Maísa Mara Lopes Macedo, Edna Afonso Reis, Ilka Afonso Reis, Heloísa Carvalho Torres
• Format: Article
• Language: English
• Published: Universidade de São Paulo 2017-12-01
• Series: Revista Latino-Americana de Enfermagem
• Subjects: Descritores: Educação em Saúde; Autocuidado; Diabetes Mellitus; Visita Domiciliar; Atenção Primária à Saúde; Ensaio Clínico
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692017000100409&lng=en&tlng=en

ABSTRACT Objective: to compare the adherence and empowerment of patients with type 2 diabetes mellitus for self-care practices and glycemic control in group education strategies and home visits. Method: Clinical trial with ten randomized clusters, performed with 238 patients with type 2 diabetes mellitus distributed in group education, home visit, and control group. Socio-demographic data, glycated hemoglobin and those obtained from the self-care and empowerment questionnaires were collected. Statistical analysis was performed separately by educational strategy. Results: the mean age of the patients was 57.8 years old (SD = 9.4 years old), with a predominantly female participation (66.4%). Both strategies presented similar results regarding adherence to self-care practices and patient empowerment. There was also a reduction in glycated hemoglobin levels; however, only in the education group, the difference presented statistical significance (p <0.001). Conclusion: the strategies were effective; however, group education presented better glycemic control results in relation to the home visit. International registry: NCT02132338 and national: RBR-92j38t in the clinical trials registry.