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Differential Impact of an Education-Based Intervention for Patients with Type 2 Diabetes Mellitus in Rural China

Author

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  • Shaofan Chen

    (Health Outcomes and Economic Evaluation Research Group, Stockholm Centre for Healthcare Ethics, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, 171-77 Stockholm, Sweden
    Equity and Health Policy Research Group, Department of Public Health Services, Karolinska Institutet, 171-77 Stockholm, Sweden
    School of Health Policy and Management, Nanjing Medical University, Nanjing 211166, China)

  • Bo Burström

    (Equity and Health Policy Research Group, Department of Public Health Services, Karolinska Institutet, 171-77 Stockholm, Sweden
    Center for Health Policy Studies, Nanjing Medical University, Nanjing 211166, China)

  • Vibeke Sparring

    (Medical Management Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, 171-77 Stockholm, Sweden)

  • Dongfu Qian

    (School of Health Policy and Management, Nanjing Medical University, Nanjing 211166, China)

  • Kristina Burström

    (Health Outcomes and Economic Evaluation Research Group, Stockholm Centre for Healthcare Ethics, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, 171-77 Stockholm, Sweden
    Equity and Health Policy Research Group, Department of Public Health Services, Karolinska Institutet, 171-77 Stockholm, Sweden
    Center for Health Policy Studies, Nanjing Medical University, Nanjing 211166, China)

Abstract

The study aimed to assess the impact of an education-based intervention to improve vertical integration and management of type 2 diabetes mellitus in primary care in rural China. Patients with type 2 diabetes mellitus in three townships in Jingjiang county, Jiangsu Province were randomly divided into intervention and control groups. Participants in the intervention group received an education-based intervention. Patients’ data including the fasting blood glucose (FBG) level, health-related quality of life (HRQoL), and sociodemographic characteristics were collected at baseline (2015) and follow-up (2016). The FBG levels decreased significantly in the intervention group compared to the control group in the overall analysis. In the stratified analysis, FBG levels and some aspects of HRQoL improved in the intervention group more for females, married persons, those with low education, and those in farming or house working. Participants in the control group deteriorated in FBG levels but improved in some aspects of HRQoL. The intervention improved in FBG levels and some aspects of HRQoL among participants. Furthermore, the intervention seemed to differentially benefit females, married persons, lowly educated persons, and those in farming or house working more than other groups. (Trial registration: ISRCTN, ISRCTN13319989. Retrospectively registered 4 April 2017).

Suggested Citation

  • Shaofan Chen & Bo Burström & Vibeke Sparring & Dongfu Qian & Kristina Burström, 2019. "Differential Impact of an Education-Based Intervention for Patients with Type 2 Diabetes Mellitus in Rural China," IJERPH, MDPI, vol. 16(15), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:15:p:2676-:d:251879
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    References listed on IDEAS

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    Cited by:

    1. Rao, Krishna D. & Mehta, Akriti & Kautsar, Hunied & Kak, Mohini & Karem, Ghassan & Misra, Madhavi & Joshi, Harsha & Herbst, Christopher H. & Perry, Henry B., 2023. "Improving quality of non-communicable disease services at primary care facilities in middle-income countries: A scoping review," Social Science & Medicine, Elsevier, vol. 320(C).
    2. Grainne O’Donoghue & Cliona O’Sullivan & Isabelle Corridan & Jennifer Daly & Ronan Finn & Kathryn Melvin & Casey Peiris, 2021. "Lifestyle Interventions to Improve Glycemic Control in Adults with Type 2 Diabetes Living in Low-and-Middle Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCT," IJERPH, MDPI, vol. 18(12), pages 1-16, June.
    3. Shaofan Chen & Dongfu Qian & Bo Burström, 2020. "Shifting the Care of Type 2 Diabetes Mellitus from Hospital to Primary Health Care Institutions through an Educational Intervention for Health Care Professionals: An Example from Rural China," IJERPH, MDPI, vol. 17(6), pages 1-15, March.

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