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Erschienen in: Journal of Public Health 2/2016

01.04.2016 | Original Article

The impact of communicating cardiovascular risk in type 2 diabetics on patient risk perception, diabetes self-care, glycosylated hemoglobin, and cardiovascular risk

verfasst von: Mirella Youssef Tawfik, Rehab Ali Mohamed

Erschienen in: Journal of Public Health | Ausgabe 2/2016

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Abstract

Aim

This study aims to investigate the effect of a cardiovascular risk (CVR) communication intervention on the accuracy of CVR perception, diabetes self-care (DSC), glycosylated hemoglobin percent (HbA1c%), and CVR in patients with type 2 diabetes mellitus (T2DM).

Subject and methods

A randomized controlled trial was performed in T2DM patients attending the family medicine outpatient clinic in Suez Canal University Hospital, Ismailia. The intervention group (n = 107) received a comprehensive CVR communication. Control subjects (n = 107) received the standard usual care. The outcome measures were: accuracy of risk perception, DSC, HbA1c%, and CVR scores. Patients were investigated at baseline and 3 months after the intervention. Differences between arms were assessed using chi-square and Student's t-test, and within-group differences were assessed using the paired t-test and McNemar’s test.

Results

After the intervention, the accuracy rate of risk perception was significantly improved (from 44.9 % to 89.7 %) in the intervention group with excellent improvement in agreement between perceived and objective risk (kappa ± SE 83.7 ± 4.4 %, p < 0.000). Diabetes self-care sum scale scores and HbA1c% showed statistically significant improvements for within-intervention group comparisons and between groups after the intervention (p < 0.000). Cardiovascular risk scores showed minimal, not statistically significant improvement in both groups.

Conclusion

Our intervention significantly improved CVR perception, DSC, and HbA1c% in patients with T2DM. Further research is needed to investigate the effectiveness of applying more complex and longer lifestyle interventions and to confirm the credibility and sustainability of improvement.
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Metadaten
Titel
The impact of communicating cardiovascular risk in type 2 diabetics on patient risk perception, diabetes self-care, glycosylated hemoglobin, and cardiovascular risk
verfasst von
Mirella Youssef Tawfik
Rehab Ali Mohamed
Publikationsdatum
01.04.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Public Health / Ausgabe 2/2016
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-016-0710-2

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