Effects of a culture-specific behavior modification program on glycated hemoglobin and blood pressure among adults with diabetes and hypertension: A randomized controlled trial.
This study aimed to determine the effect of a culture-specific behavior modification program on glycated hemoglobin (HbA1c) and blood pressure among adults with diabetes and hypertension. This study was a single-blind randomized controlled trial design. From January to May 2024, a total of 60 patien...
| Publicado en: | International Journal of Nursing Sciences Vol. 12; no. 4; pp. 328 - 335 |
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| Autores principales: | , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
Jul2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186995031&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186995031 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20966296 MD0M jtl: International Journal of Nursing Sciences issn: 20966296 maglogo: N pubinfo: dt: Jul2025 vid: 12 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 186995031 186995031 186995031 10.1016/j.ijnss.2025.06.013 186995031 ppf: 328 ppct: 7 formats: tig: atl: Effects of a culture-specific behavior modification program on glycated hemoglobin and blood pressure among adults with diabetes and hypertension: A randomized controlled trial. aug: au: Numsang, Patcharee Thanasilp, Sureeporn Thato, Ratsiri affil: Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand sug: subj: Hypertension Therapy Diabetes Mellitus, Type 2 Therapy Glycated Hemoglobin Analysis Blood Pressure Determination Blood Pressure Behavior Modification Cultural Values Treatment Outcomes Human Male Female Adult Middle Age Diabetic Patients Randomized Controlled Trials Random Assignment Comparative Studies Descriptive Statistics Single-Blind Studies Thailand Primary Health Care Hospitals Thailand Motivation Diet Exercise Diastolic Pressure Evaluation Systolic Pressure Evaluation Blood Glucose Analysis Program Evaluation Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: This study aimed to determine the effect of a culture-specific behavior modification program on glycated hemoglobin (HbA1c) and blood pressure among adults with diabetes and hypertension. This study was a single-blind randomized controlled trial design. From January to May 2024, a total of 60 patients with uncontrolled type 2 diabetes and hypertension from the primary care unit of a hospital in northeastern (Isan) Thailand were recruited. The intervention group received the usual care supplemented by a culture-specific behavior modification programm implemented through interactive classes and online web application consisting of information, motivation, and behavioral skills (diet, exercise, and medication use), the control group received the usual care. HbA1c and blood pressure measurements were collected at both baseline and at 12 weeks. A total of 51 patients completed the study, the intervention group (n = 26) and control group (n = 25), respectively. After 12 weeks, 23.1 % of patients in the intervention group could maintain their HbA1c < 7.0 %; those with poorly controlled HbA1c decreased from 7.7 % at baseline to 3.8 % at 12 weeks. After 12 weeks, 69.2 % of intervention group participants could maintain systolic blood pressure <130 mmHg and 53.8 % could keep diastolic blood pressure <80 mmHg. Analysis revealed that HbA1c, systolic and diastolic blood pressure levels in the intervention group were lower than the control group after the intervention (P < 0.05). There was a statistically significant difference a linear combination of HbA1c and blood pressure (systolic and diastolic BP levels) between time and group (P < 0.05). These results suggest that healthcare providers can incorporate elements of this program to manage blood glucose and blood pressure effectively. Future studies should consider a longitudinal design with a larger sample size and include outcomes of lipid levels to confirm long-term motivation. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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