The Outcomes of Interdisciplinary Intervention Program for Diabetes Type 2 Self-Management of Private Clinics in Bangkok Metropolis

Pensirinapa, Nittaya

Sunday, 30 October 2011: 11:20 AM

Nittaya Pensirinapa, RN, MSc, DrPH
School of Health Science, Sukhothai Thammathirat Open University, Pakkret, Thailand

Learning Objective 1: The learner will be able to describe lessons learned from a diabetes-type-2 self-management intervention program preparation and support for interdisciplinary of private clinics.

Learning Objective 2: The learner will be able to identify appropriated design for diabetes-type-2 self-management intervention programs according to patient empowerment and the program outcomes.

Background: Self-management program for metabolic risk group was developed and promoted to contracted health care services of the National Health Security Office (NHSO), Bangkok region, for reducing health care cost by providing a technical and financial support. The program was organized by Sukhothai Thammathirat Open University cooperating with NHSO. The study aimed to examine outcomes of interdisciplinary intervention program for diabetes type 2 self-management (DSM) of private clinics in Bangkok Metropolis, consisted of self-efficacy, self-care behavior, blood glucose, and program satisfaction.

Method: Patient-empowerment and lifestyle-change skills were trained to interdisciplinary teams of the participating clinics for 4 days. The suitable DSM programs for their patients and services were planned and reviewed according to the program’s core: 5 times-half-day intervention in 4-month period, activities focused on small-groups participatory learning to create self-care awareness and skills. The first implementation of each program was supervised. The model outcomes were measured among 137 participants of 5 private clinics by blood glucose, structured questionnaire and focus group discussion.

Results: The after 4-months program findings, type 2 diabetes patients showed significant improvement of mean scores of self-efficacy, dietary adherence, regular exercise, stress management, and medication taking. Their fasting blood glucose was significantly decreased (22.93-36.76 with 95% CI of the difference). An average patients’ satisfaction score was 8.21 (SD.1.20) from 10, corresponded to focus group discussion data revealing their happiness and benefit. The clinic administrators and teams also agreed with the value and application of the program.

Conclusions: The DSM programs show their effectiveness on patients’ self-care management. Financial and technical support is beneficial for program implementation such as training course, program activities design, consultation and supervision, evaluation instrument and analysis guideline. This model could apply to any health promotion programs for primary care unit.

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