Key result
Health locus of control-based education is linked to improved self-management and lower HbA1c in T2D.
Why the study?
The study was conducted to assess the effects of a health locus of control-based education programme on self-management, health locus of control, and HbA1c in patients with type 2 diabetes mellitus.
Does a health locus of control-based education programme improve self-management and HbA1c in patients with type 2 diabetes?
Does a health locus of control-based education programme improve self-management and HbA1c in patients with type 2 diabetes?
Absolute Event Rate: 23.12% vs 18.64%
p-value: p=<0.001
A health locus of control-based education program significantly improves self-management behaviors and reduces HbA1c in patients with type 2 diabetes.
Hypothesis-generating for psychological education in type 2 diabetes; should not yet change routine care pending randomized confirmation.
AIM: To assess the effects of health locus of control-based education programme (HLCEP) on self-management, health locus of control and glycated haemoglobin (HbA1c) among type 2 diabetes mellitus (T2DM). DESIGN: Quasi-experimental study. METHODS: The study recruited 120 T2DM participants from May-September 2020. The control group received one-week in-hospital care and 12-week follow-up. The intervention group received additional HLCEP. The self-management and the health locus of control were measured by using the Summary of Diabetes Self-care Activities and the Multidimensional Health Locus of Control at baseline and the 4th and 12th week after discharge. The HbA1c was collected at baseline and the 12th week after discharge. The generalized estimating equation analysis was performed to assess the intervention effects. RESULTS: The intervention group has statistically significantly higher scores on the overall level of self-management, dietary management, foot care, medication management and internal health locus of control, while a lower HbA1c level than the control group.
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Zhu et al. (2021) studied Type 2 diabetes mellitus (n=120). Health locus of control-based education programme (HLCEP) vs. Routine care was evaluated on Self-management (Summary of Diabetes Self-Care Activities score at 12 weeks) (p=<0.001). A health locus of control-based education programme significantly improved overall self-management scores and reduced HbA1c levels compared to routine care in patients with type 2 diabetes.
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