Evaluation of the Efficacy of Two Instruction Strategies to Prevent Type 2 Diabetes Mellitus in Risk Adolescents

Tuesday, 14 July 2009

Marta M. C. Damasceno, PhD
Nursing Department, Federal Ceara University, Fortaleza -CE, Brazil
Ana Roberta V. Silva, MS
Nursing Department, Fortaleza University, Fortaleza-CE, Brazil
Paulo C. Almeida, PhD
Nursing Department, Ceara State University, Fortaleza-CE, Brazil

Learning Objective 1: Describe risk factors and the ways of preventing type 2 diabetes mellitus

Learning Objective 2: Modify lifestyle as of the knowledge acquired on risk factors and the ways of preventing type 2 diabetes mellitus

Purpose: The study investigated whether a structured program is more effective than information regarding the application of instruction strategies to prevent type 2 diabetes mellitus in risk adolescents.

Methods: Ninety adolescents took part in the study, and a pre-test has been applied before the interventions. Forty-five adolescents took part in a structured instruction program and forty-five adolescents received information upon the usage of an explanatory folder. Two post-tests were performed with both groups, one at the end of the intervention and the other 60 days after the intervention to determine changes in knowledge levels on risk factors and ways of preventing type 2 diabetes mellitus

Results: The comparison of results on pre and post-tests from both groups revealed a significant increase of knowledge level immediately after the intervention ending, and 60 days after intervention. No significant difference was found between the groups.

Conclusion:

The study showed that both strategies are effective to increase the adolescents’ knowledge on risk factors for type 2 diabetes mellitus and the ways of prevention.

References:
Zernike W, Henderson A. Evaluating the effectiveness of two teaching strategies for patients diagnosed with hypertension. Journal of clinical nursing  1998; 7 (1): 37-44.

Comité de Educación, DOTA. Normas para el desarrollo de programas de educación sobre la diabetes en América. Pan Am J Public Health 2001;10 (5): 349- 53.

Mclellan, KCP. Efeitos de um programa de intervenção nutricional com indivíduos de risco para o desenvolvimento de DM2 e doenças cardiovasculares. [Tese de Doutorado]. São Paulo: Faculdade de Medicina da Faculadade de São Paulo, 2006.

Tuomilehto J et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. The New England Journal of Medicine 2001; 344:1343-50.

Gagliardin JJO, Etchegoyen G. A Model Educational Program for People With Type 2 Diabetes. Diabetes Care 2001; 24:1001–07.