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Effectiveness of a Nurse-Led Integrative Health and Wellness (NIHaW) Programme on Behavioural, Psychosocial and Biomedical Outcomes among Individuals with Newly Diagnosed Type 2 Diabetes: A Randomised Controlled Trial /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Effectiveness of a Nurse-Led Integrative Health and Wellness (NIHaW) Programme on Behavioural, Psychosocial and Biomedical Outcomes among Individuals with Newly Diagnosed Type 2 Diabetes: A Randomised Controlled Trial // Xingfeng Yu.
Author:	Yu, Xingfeng,
Description:	1 electronic resource (540 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 80-08, Section: B.
Contained By:	Dissertations Abstracts International80-08B.
Subject:	Endocrinology. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13837937
ISBN:	9780438852358

Effectiveness of a Nurse-Led Integrative Health and Wellness (NIHaW) Programme on Behavioural, Psychosocial and Biomedical Outcomes among Individuals with Newly Diagnosed Type 2 Diabetes: A Randomised Controlled Trial /
Yu, Xingfeng,

Effectiveness of a Nurse-Led Integrative Health and Wellness (NIHaW) Programme on Behavioural, Psychosocial and Biomedical Outcomes among Individuals with Newly Diagnosed Type 2 Diabetes: A Randomised Controlled Trial /Xingfeng Yu. - 1 electronic resource (540 pages)

Source: Dissertations Abstracts International, Volume: 80-08, Section: B.

The alarming prevalence and incidence of diabetes have introduced tremendous burdens to individuals with the condition, their families, and the healthcare system worldwide. Diabetes education is one of the effective solutions to improve diabetes-related knowledge, self-management awareness and behaviours, and the glycaemic control among individuals with diabetes. International and national guidelines suggest providing structured education to individuals with diabetes once the diagnosis of diabetes is made. However, programmes investigating the effectiveness of structured education among individuals with diabetes are limited, and, to date, no eligible structured education programme is identified for Chinese individuals with diabetes. The objectives of this multi-phase study were to: 1) develop a nurse-led, culturally tailored, integrative health and wellness programme for Chinese individuals with newly diagnosed type 2 diabetes; 2) investigate the effectiveness of such programme on behavioural, psychosocial and biomedical outcomes among individuals with newly diagnosed type 2 diabetes. The phase I of this study included two systematic reviews, examining the effectiveness of structured education and TCM-based lifestyle interventions, respectively, in individuals with type 2 diabetes. One systematic review was conducted to synthesise the best available evidence on the effectiveness of structured education for individuals with type 2 diabetes. The analysis of the seven eligible studies showed that structured education tended to be effective in improving the control over HbA1c, and the level of diabetes knowledge, self-efficacy and self-management in individuals with type 2 diabetes. The review also showed that structured education may be effective in lowering SBP among those individuals whose SBP value was higher than the normal range (SBP ≥ 130 mmHg), and no effectiveness in lowering DBP was identified. Conclusion on the effects of structured education on FBG, weight management, depression and QOL cannot be drawn due to the limited number of trials that measured such variables. Another systematic review with meta-analysis was conducted to synthesise the best available evidence on the effectiveness of traditional Chinese medicine (TCM)-based lifestyle interventions for individuals with type 2 diabetes. The pooled analysis of the 24 eligible studies showed tai chi practice for at least 150 minutes per week was beneficial in lowering HbA1c level (mean difference, -1.48%; 95% CI, -2.58% to - 0.39%; p < 0.001), FBG (mean difference, -1.14 mmol/L; 95% CI, -1.78 to -0.50 mmol/L; p < 0.001), BMI (mean difference, -0.62; 95% CI, -1.14 to -0.11; p = 0.02), and improving quality of life. The pooled analysis also demonstrated beneficial effects of ba duan jin on HbA1c (mean difference, -0.77 mmol/L; 95% CI, -0.97 to -0.56; p < 0.001) and FBG (mean difference, -0.82 mmol/L; 95% CI, -1.05 to -0.59; p < 0.001) levels, BMI (MD, -2.77; 95% CI, -4.11 to -1.43; p < 0.001), and depression (MD, - 4.53; 95% CI, -7.12 to -1.94; p < 0.001). The lower-intensity, aerobic exercise of ba duan jin, which combines physical activity, controlled breath and meditation, was incorporated into the education session on physical activity of the structured education programme developed for the main (phase III) study. Regarding the development of instrument to evaluate the study outcome, forward and backward translation method was used to translate the 23-item Michigan Diabetes Knowledge Test (DKT) into Chinese. A cross-sectional study was conducted to evaluate its psychometric properties in individuals with type 2 diabetes (the phase II of this study). A convenience sample of 180 inpatients with type 2 diabetes were recruited from the Endocrinology Department of four tertiary university-affiliated hospitals in Xi'an. The findings showed that the Chinese version of the DKT (DKT-C) had satisfactory internal consistency reliability (KR 20 coefficients of 0.70 and 0.66, for the general test subscale and insulin use subscale, respectively). Known-groups comparisons based on different educational levels and whether received diabetes education or not, and convergent validity analysis by examining the association with diabetes self-efficacy suggested the DKT-C had acceptable construct validity. The DKT-C was used to assess and evaluate the outcome of diabetes knowledge in the main study. A Nurse-led Integrative Health and Wellness (NIHaW) programme was developed on the basis of evidence-based international guidelines, the theoretical frameworks combining the Health Belief Model and the Self Efficacy Theory, the findings of the systematic reviews, and evidences from the literature. A randomised controlled trial was conducted to evaluate the effects of the NIHaW programme on behavioural, psychosocial and biomedical outcomes among individuals with newly diagnosed type 2 diabetes. A convenience sample of 128 individuals with newly diagnosed type 2 diabetes (diagnosed within 6 months) were randomly allocated to the intervention or the control groups. (Abstract shortened by ProQuest.).

English

ISBN: 9780438852358Subjects--Topical Terms:

610914
Endocrinology.
Subjects--Index Terms:

Integrative medicine

Effectiveness of a Nurse-Led Integrative Health and Wellness (NIHaW) Programme on Behavioural, Psychosocial and Biomedical Outcomes among Individuals with Newly Diagnosed Type 2 Diabetes: A Randomised Controlled Trial /
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245 1 0 $a Effectiveness of a Nurse-Led Integrative Health and Wellness (NIHaW) Programme on Behavioural, Psychosocial and Biomedical Outcomes among Individuals with Newly Diagnosed Type 2 Diabetes: A Randomised Controlled Trial / $c Xingfeng Yu.
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520 $a The alarming prevalence and incidence of diabetes have introduced tremendous burdens to individuals with the condition, their families, and the healthcare system worldwide. Diabetes education is one of the effective solutions to improve diabetes-related knowledge, self-management awareness and behaviours, and the glycaemic control among individuals with diabetes. International and national guidelines suggest providing structured education to individuals with diabetes once the diagnosis of diabetes is made. However, programmes investigating the effectiveness of structured education among individuals with diabetes are limited, and, to date, no eligible structured education programme is identified for Chinese individuals with diabetes. The objectives of this multi-phase study were to: 1) develop a nurse-led, culturally tailored, integrative health and wellness programme for Chinese individuals with newly diagnosed type 2 diabetes; 2) investigate the effectiveness of such programme on behavioural, psychosocial and biomedical outcomes among individuals with newly diagnosed type 2 diabetes. The phase I of this study included two systematic reviews, examining the effectiveness of structured education and TCM-based lifestyle interventions, respectively, in individuals with type 2 diabetes. One systematic review was conducted to synthesise the best available evidence on the effectiveness of structured education for individuals with type 2 diabetes. The analysis of the seven eligible studies showed that structured education tended to be effective in improving the control over HbA1c, and the level of diabetes knowledge, self-efficacy and self-management in individuals with type 2 diabetes. The review also showed that structured education may be effective in lowering SBP among those individuals whose SBP value was higher than the normal range (SBP ≥ 130 mmHg), and no effectiveness in lowering DBP was identified. Conclusion on the effects of structured education on FBG, weight management, depression and QOL cannot be drawn due to the limited number of trials that measured such variables. Another systematic review with meta-analysis was conducted to synthesise the best available evidence on the effectiveness of traditional Chinese medicine (TCM)-based lifestyle interventions for individuals with type 2 diabetes. The pooled analysis of the 24 eligible studies showed tai chi practice for at least 150 minutes per week was beneficial in lowering HbA1c level (mean difference, -1.48%; 95% CI, -2.58% to - 0.39%; p < 0.001), FBG (mean difference, -1.14 mmol/L; 95% CI, -1.78 to -0.50 mmol/L; p < 0.001), BMI (mean difference, -0.62; 95% CI, -1.14 to -0.11; p = 0.02), and improving quality of life. The pooled analysis also demonstrated beneficial effects of ba duan jin on HbA1c (mean difference, -0.77 mmol/L; 95% CI, -0.97 to -0.56; p < 0.001) and FBG (mean difference, -0.82 mmol/L; 95% CI, -1.05 to -0.59; p < 0.001) levels, BMI (MD, -2.77; 95% CI, -4.11 to -1.43; p < 0.001), and depression (MD, - 4.53; 95% CI, -7.12 to -1.94; p < 0.001). The lower-intensity, aerobic exercise of ba duan jin, which combines physical activity, controlled breath and meditation, was incorporated into the education session on physical activity of the structured education programme developed for the main (phase III) study. Regarding the development of instrument to evaluate the study outcome, forward and backward translation method was used to translate the 23-item Michigan Diabetes Knowledge Test (DKT) into Chinese. A cross-sectional study was conducted to evaluate its psychometric properties in individuals with type 2 diabetes (the phase II of this study). A convenience sample of 180 inpatients with type 2 diabetes were recruited from the Endocrinology Department of four tertiary university-affiliated hospitals in Xi'an. The findings showed that the Chinese version of the DKT (DKT-C) had satisfactory internal consistency reliability (KR 20 coefficients of 0.70 and 0.66, for the general test subscale and insulin use subscale, respectively). Known-groups comparisons based on different educational levels and whether received diabetes education or not, and convergent validity analysis by examining the association with diabetes self-efficacy suggested the DKT-C had acceptable construct validity. The DKT-C was used to assess and evaluate the outcome of diabetes knowledge in the main study. A Nurse-led Integrative Health and Wellness (NIHaW) programme was developed on the basis of evidence-based international guidelines, the theoretical frameworks combining the Health Belief Model and the Self Efficacy Theory, the findings of the systematic reviews, and evidences from the literature. A randomised controlled trial was conducted to evaluate the effects of the NIHaW programme on behavioural, psychosocial and biomedical outcomes among individuals with newly diagnosed type 2 diabetes. A convenience sample of 128 individuals with newly diagnosed type 2 diabetes (diagnosed within 6 months) were randomly allocated to the intervention or the control groups. (Abstract shortened by ProQuest.).
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