Effect of a newly‐devised nutritional guide based on self‐efficacy for patients with type 2 diabetes in Japan over 2 years: 1‐year intervention and 1‐year follow‐up studies

Aims/Introduction We devised a new system called “Educational Guidance” (E‐Guide) for nutritional education based on self‐efficacy. The present study aimed to examine the effects of E‐Guide use on glycemic control among patients with type 2 diabetes. Materials and Methods We carried out an intervent...

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Bibliographic Details
Published in:Journal of diabetes investigation 2017-03, Vol.8 (2), p.195-200
Main Authors: Yamamoto, Takuya, Moyama, Shota, Yano, Hideki
Format: Article
Language:English
Subjects:
Addictive behaviors
Aged
Behavior
Body mass index
Counseling
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - diet therapy
Electronic medical records
Exercise
Female
Follow-Up Studies
Glycated Hemoglobin - metabolism
Health Education
Hemoglobin
Hospitals
Humans
Intervention
Japan
Lifestyles
Male
Middle Aged
Nutrition
Nutrition Policy
Nutritional guidance
Original
Patients
Physical fitness
Physicians
Self Care - methods
Self Efficacy
Self‐management
Studies
Substance abuse treatment
Treatment Outcome
Type 2 diabetes
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Summary:Aims/Introduction We devised a new system called “Educational Guidance” (E‐Guide) for nutritional education based on self‐efficacy. The present study aimed to examine the effects of E‐Guide use on glycemic control among patients with type 2 diabetes. Materials and Methods We carried out an interventional and observational study that included 74 patients with type 2 diabetes. The extent of glycemic control in the 39 patients who received guidance through the E‐Guide (E‐Guide group) was compared with that of 35 patients who received conventional nutritional guidance (control group). We carried out a 1‐year follow‐up survey (subanalysis) based on the electronic health records of 18 patients from the E‐guide group and 19 patients from the control group. These patients continued treatment at Hikone Municipal Hospital, Hikone, Shiga, Japan. Changes in glycated hemoglobin levels, body mass index and medication dose were examined from time of enrollment to the end of the 1‐year intervention, and during the 1‐year follow‐up. Results Decreases in glycated hemoglobin levels were more pronounced in the E‐Guide group than in the control group during the intervention period (P 
ISSN:2040-1116
2040-1124
DOI:10.1111/jdi.12571