0263/2022 - Avaliação do programa comportamental em diabetes mellitus tipo 2: ensaio clínico randomizado Behavioral program evaluation in type 2 diabetes mellitus: randomized clinical trial
Objetivo: Avaliar o efeito do programa comportamental educação em grupo e intervenção telefônica na modificação das atitudes psicológicas, melhora do empoderamento e das práticas de autocuidado visando à melhora do controle clínico em diabetes mellitus tipo 2. Método: Trata-se de um ensaio clínico com cluster randomizado, realizado em 199 pessoas com diabetes. Para realizar as comparações intragrupos (tempos final e inicial) e entre grupos quanto aos valores das variáveis atitudes psicológicas, empoderamento, autocuidado e medidas da hemoglobina glicada, foi utilizada a abordagem das Generalizing Estimating Equations (GEE). Em todas as análises, utilizou-se um nível de significância de 5% e intervalos de 95% de confiança. Resultados: Quando comparado ao GC, o GI apresentou uma redução significativa nos valores médios de hemoglobina glicada (IC95%: -1,49 a - 0,45), aumento estatisticamente significativo na modificação dos escores de atitudes psicológicas (IC95%: 9,70 a 15,40), na escala do empoderamento (IC95%: 0,81 a 2,72) e na adesão às práticas de autocuidado (IC95%: 1,44 a 2,10) ao final do estudo. Conclusão: O programa comportamental se mostrou capaz de modificar as atitudes psicológicas, melhorar o empoderamento, as práticas de autocuidado e o controle clínico.
Palavras-chave:
Diabetes Mellitus tipo 2. Atitudes. Autocuidado. Empoderamento. Ensaio clínico.
Abstract:
Objective: To evaluate the effect of the behavioral group education program and telephone intervention in modifying psychological attitudes, improving empowerment and self-care practices aimed at improving clinical control in type 2 diabetes mellitus. Method: This is a randomized cluster clinical trial, carried out in 199 people with diabetes. In order to perform intragroup comparisons (final and initial times) and between groups regarding the values of the variables psychological attitudes, empowerment, self-care and measures of glycated hemoglobin, the Generalizing Estimating Equations (GEE) approach was used. In all analyses, a significance level of 5% and 95% confidence intervals were used. Results: When compared to the CG, the IG showed a significant reduction in the mean values of glycated hemoglobin (95%CI: -1.49 to -0.45), a statistically significant increase in the change in psychological attitudes scores (95%CI: 9.70 to 15.40), on the empowerment scale (95%CI: 0.81 to 2.72) and adherence to self-care practices (95%CI: 1.44 to 2.10) at the end of the study. Conclusion: The behavioral program was able to modify psychological attitudes, improve empowerment, self-care practices and clinical control.
Keywords:
Type 2 Diabetes Mellitus. Attitudes. Self care. empowerment. Clinical trial.
Behavioral program evaluation in type 2 diabetes mellitus: randomized clinical trial
Resumo (abstract):
Objective: To evaluate the effect of the behavioral group education program and telephone intervention in modifying psychological attitudes, improving empowerment and self-care practices aimed at improving clinical control in type 2 diabetes mellitus. Method: This is a randomized cluster clinical trial, carried out in 199 people with diabetes. In order to perform intragroup comparisons (final and initial times) and between groups regarding the values of the variables psychological attitudes, empowerment, self-care and measures of glycated hemoglobin, the Generalizing Estimating Equations (GEE) approach was used. In all analyses, a significance level of 5% and 95% confidence intervals were used. Results: When compared to the CG, the IG showed a significant reduction in the mean values of glycated hemoglobin (95%CI: -1.49 to -0.45), a statistically significant increase in the change in psychological attitudes scores (95%CI: 9.70 to 15.40), on the empowerment scale (95%CI: 0.81 to 2.72) and adherence to self-care practices (95%CI: 1.44 to 2.10) at the end of the study. Conclusion: The behavioral program was able to modify psychological attitudes, improve empowerment, self-care practices and clinical control.
Palavras-chave (keywords):
Type 2 Diabetes Mellitus. Attitudes. Self care. empowerment. Clinical trial.
Nunes, L.B., Santos, J.C., Reis, I. A., Torres, H.C.. Avaliação do programa comportamental em diabetes mellitus tipo 2: ensaio clínico randomizado. Cien Saude Colet [periódico na internet] (2022/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/avaliacao-do-programa-comportamental-em-diabetes-mellitus-tipo-2-ensaio-clinico-randomizado/18519?id=18519
