Does family-centred education improve treatment adherence, glycosylated haemoglobin and blood glucose level in patients with type 1 diabetes? A randomized clinical trial

Nurs Open. 2023 Apr;10(4):2621-2630. doi: 10.1002/nop2.1522. Epub 2022 Dec 22.

Abstract

Aim: To investigate the effect of family-centred education on treatment adherence, glycosylated haemoglobin and blood glucose level in patients with Type 1 Diabetes Mellitus.

Design: Randomized controlled trial.

Methods: Sixty patients with Type 1 Diabetes Mellitus were randomly allocated into the intervention and control group. Data were collected using demographic and Modanloo Adherence to Treatment Questionnaires. The patients received 12 family-centred educational sessions in the intervention group.

Results: A significant difference was found in the mean score of treatment adherence between the two groups after the intervention (p < 0.001). The mean score of treatment adherence significantly increased in the intervention group after family-centred education. The mean score of Fasting Blood Glucose and Glycosylated Haemoglobin A1C significantly decreased in the intervention group after the intervention (p < 0.001).

Conclusion: Relevant authorities need to consider family-centred education as one of the most important education methods in Type 1 Diabetes Mellitus patients.

Trial registration: IRCT20131112015390N4; August 21, 2020.

Keywords: blood glucose; education; family-centred nursing; glycosylated haemoglobin A1c; type 1 diabetes mellitus.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Blood Glucose
  • Diabetes Mellitus, Type 1* / therapy
  • Diabetes Mellitus, Type 2* / therapy
  • Glycated Hemoglobin
  • Humans
  • Treatment Adherence and Compliance

Substances

  • Glycated Hemoglobin
  • Blood Glucose