| Sumario: | Purpose : In accordance with the method of disease management, a 6-month educational program was developed with a view to acquiring self-management skills for patients with type 2 diabetes. The effects and operational potential of the program were examined. Method : The subjects were 36 outpatients at two institutions. A randomized clinical trial was conducted. The newly developed structured program was applied to the intervention group, while the current treatment was given to the control group. A nurse and a registered dietitian conducted a 30-minute interview once a month and also telephone monitoring in accordance with the program. Results : Four subjects dropped out of the program due to time constraints, while the remaining 32 continued the program through to the end (completion rate : 81.0%). The sense of self-efficacy improved in the intervention group. The achievement rate for the dietary and exercise therapies increased significantly ; however, there was no statistically significant improvement in the physiological data. The HbA[1c], and QOL scores, which were the final outcomes, improved ; however, there was no significant difference between the two groups. The overall evaluation of the program was favorable. Discussion : It was suggested that there is room for improvement in terms of criteria for choosing a target population, goal-setting and guidance, the period of implementation, and data collection methods for the control group. In terms of effective operation, utilization of electronic media and the importance of hospital-clinics collaboration were suggested.
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