The effect of psychoeducation with health coaching method on HbA1c levels Among Type 2 Diabetes Mellitus

Published: 9 September 2024
Abstract Views: 51
PDF: 11
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Different dangerous and life-threatening complications, such as hypoglycemia, hyperglycemia, and metabolic ketoacidosis are caused by uncontrolled Diabetes Mellitus (DM). Therefore, this study aimed to analyze the effect of psychoeducation with health coaching methods in type 2 DM patients on HbA1c levels.
In this context, a quasi-experimental design was adopted with pre-and post-test control group methods. The sample size for the intervention and control groups was 30 type 2 DM patients who were routinely controlled at the Kalijudan Surabaya Community Health Center between March to April 2023 using a simple random sampling method. The intervention group received psychoeducational intervention using the health coaching method with six sessions through 3 meetings and module media, while the control only received module education media. Furthermore, the HbA1c level was taken before and after intervention, and the effect was measured using the t-test.
The results showed that pre-test and post-test HbA1c levels were decreased (mean 9.06; 5.98) and increased (mean 9.13; 10.59) in the intervention and control groups, respectively. Psychoeducation with the health coaching method and provision of modules to patients was more effective compared to groups only given modules (0.000).
In conclusion, this intervention motivated patients subjected to treatment, facilitated increased personal control, and built confidence in managing diabetes independently. The implication obtained was an increase in the ability of patients to make self-care decisions.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Sasombo A, Katuuk ME, Bidjuni H. Relationship Between Self Care And Diabetes Mellitus Complications In Patients With Type 2 Diabetes Mellitus At Husada Sario Clinic, Manado. J Nursing. 2021;9(2):54. DOI: https://doi.org/10.35790/jkp.v9i2.36781
East Java Provincial Health Office. Health Profile of East Java Provincial Health Office 2021. Surabaya: East Java Provincial Health Office; 2022.
East Java Provincial Health Office. East Java Health Profile Surabaya: East Java Health Office; 2021.
East Java Provincial Health Office. East Java Provincial Health Office Performance Report 2020. Surabaya: East Java Provincial Health Office; 2020.
Association of Diabetes Care & Education Specialists. Diabetes Care & Education [Internet]. 2020 [cited 2023 Aug 12]. Available from: https://www.adces.org/.
Ivanov P. Use of glycated (glycosylated) haemoglobin in the diagnosis of diabetes mellitus in the United Kingdom. The implementation of World Health Organization guidance 2011. Ann Clin Biochem. 2013;50(3):287. DOI: https://doi.org/10.1177/0004563213485002
Zareban I, Niknami S, Hidarnia A, Rakhshani F, Shamsi M, Karimy M. Effective intervention of self-care on glycaemia control in patients with type 2 diabetes. Iran Red Crescent Med J. 2014;16(12). DOI: https://doi.org/10.5812/ircmj.8311
Formica C, La Face A, Lo Buono V, Di Cara M, Micchìa K, Bonanno L, et al. Factors related to cognitive reserve among caregivers of severe acquired brain injury. J Clin Neurosci. 2020 Jul 1;77:94–7. DOI: https://doi.org/10.1016/j.jocn.2020.05.027
Lendra L. The level of trust in partnership relationships between contractors and subcontractors in Surabaya [Internet]. 2006. Available from: https://www.researchgate.net/publication/43801103_Tingkat_kepercayaan_dalam_hubungan_kemitraan_antara_kontraktor_dan_subkontraktor_di_Surabaya.
AF D, Nursalam N, Suharto S. The Effectiveness of Supportive Educative in Increasing Self Regulation, Self Efficacy, and Self Care Agency to Control Glichemic Index in Patient with Type II Diabetes. J Ners. 2017 Apr 2;8(2):253–70. DOI: https://doi.org/10.20473/jn.v8i2.3828
Ghorob A, Vivas MM, De Vore D, Ngo V, Bodenheimer T, Chen E, et al. The effectiveness of peer health coaching in improving glycemic control among low-income patients with diabetes: Protocol for a randomized controlled trial. BMC Public Health. 2011;11. DOI: https://doi.org/10.1186/1471-2458-11-208
Imelda SI. Faktor-Faktor Yang Mempengaruhi Terjadinya diabetes Melitus di Puskesmas Harapan Raya Tahun 2018. Sci J. 2019;8(1):28–39. DOI: https://doi.org/10.35141/scj.v8i1.406
Ramadhan N, Marissa N, Fitria E, Wilya V. Pengendalian Diabetes Melitus Tipe 2 pada Pasien di Puskesmas Jayabaru Kota Banda Aceh. Media Penelit dan Pengemb Kesehat. 2018 Dec 31;28(4):239–46. DOI: https://doi.org/10.22435/mpk.v28i4.63
Sherwani SI, Khan HA, Ekhzaimy A, Masood A, Sakharkar MK. Significance of HbA1c Test in Diagnosis and Prognosis of Diabetic Patients. Biomark�Insights. 2016 Jan;11:BMI.S38440. DOI: https://doi.org/10.4137/BMI.S38440
Haryanto H, Arisandi D, Suriadi S, Imran I, Ogai K, Sanada H, et al. Relationship between maceration and wound healing on diabetic foot ulcers in Indonesia: a prospective study. Int Wound J. 2017;14(3):516–22. DOI: https://doi.org/10.1111/iwj.12638
Harna H, Efriyanurika L, Novianti A, Sa’pang M, Irawan AMA. Nutritional Status, Macronutrient Intake and Its Relation to HbA1c Levels in Type 2 Diabetes Mellitus Patients. Poltekita J Health Sciences. 2022;15(4):365–72. DOI: https://doi.org/10.33860/jik.v15i4.806
Ekong G, Kavookjian J. Motivational interviewing and outcomes in adults with type 2 diabetes: A systematic review. Patient Educ Couns. 2016 Jun;99(6):944–52. DOI: https://doi.org/10.1016/j.pec.2015.11.022
Nishita C, Cardazone G, Uehara DL, Tom T. Empowered Diabetes Management. Heal Educ Behav. 2013 Oct 21;40(5):581–91. DOI: https://doi.org/10.1177/1090198112465088
Nutbeam D. Defining, measuring and improving health literacy. Heal Eval Promot. 2015;42(4):450–6. DOI: https://doi.org/10.7143/jhep.42.450
McCleary-Jones V. Health literacy and its association with diabetes knowledge, self-efficacy and disease self-management among African Americans with diabetes mellitus. ABNF J. 2011;22(2):25–32.
Sassen B. Nursing: Health Education and Improving Patient Self-Management [Internet]. 2018 [cited 2023 Aug 12]. Available from: https://link.springer.com/book/10.1007/978-3-319-51769-8 DOI: https://doi.org/10.1007/978-3-319-51769-8
National Institute for Health and Care Excellence Type 2 Diabetes Mellitus: Medicines Optimization Priorities. NICE [Internet]. 2019:10. Available from: https://www.nice.org.uk/guidance/ktt12
Kreindler S. Lifting the Burden of Chronic Disease: What Has Worked? What Hasn’t? What’s Next? Healthc Q. 2009 Apr 15;12(2):30–40. DOI: https://doi.org/10.12927/hcq.2009.20659
Wolever RQ, Dreusicke M, Fikkan J, Hawkins TV, Yeung S, Wakefield J, et al. Integrative Health Coaching for Patients With Type 2 Diabetes. Diabetes Educ. 2010 Jul 9;36(4):629–39. DOI: https://doi.org/10.1177/0145721710371523
Chen RY, Huang LC, Su CT, Chang YT, Chu CL, Chang CL, et al. Effectiveness of Short-Term Health Coaching on Diabetes Control and Self-Management Efficacy: A Quasi-Experimental Trial. Front Public Heal. 2019 Oct 30;7. DOI: https://doi.org/10.3389/fpubh.2019.00314
European Medicines Agency (EMA). Guideline on clinical investigation of medicinal products in the treatment or prevention of Diabetes Mellitus. Eur Med Agency. 2012;44(May):1–28.
Werbrouck A, Swinnen E, Kerckhofs E, Buyl R, Beckwée D, De Wit L. How to empower patients? A systematic review and meta-analysis. Transl Behav Med. 2018 Sep 8;8(5):660–74. DOI: https://doi.org/10.1093/tbm/iby064
Pirbaglou M, Katz J, Motamed M, Pludwinski S, Walker K, Ritvo P. Personal Health Coaching as a Type 2 Diabetes Mellitus Self-Management Strategy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Am J Heal Promot. 2018 Sep 15;32(7):1613–26. DOI: https://doi.org/10.1177/0890117118758234
Jaata J, Astuti W. Health Coaching in Patients with Diabetes Mellitus. Aceh; Penerbit Muhammad Zaini; 2017.
Jellema S, Wijnen MAM, Steultjens EMJ, Nijhuis-van der Sanden MWG, van der Sande R. Valued activities and informal caregiving in stroke: a scoping review. Disability and Rehabilitation. 2019 Aug 28;41(18):2223–34. DOI: https://doi.org/10.1080/09638288.2018.1460625
Merriam SB. The Changing Landscape of Adult Learning Theory. In: Review of Adult Learning and Literacy, Volume 4 [Internet]. Routledge; 2004 [cited 2023 Aug 12]. p. 199–220. Available from: https://www.taylorfrancis.com/chapters/edit/10.4324/9781410610485-6/changing-landscape-adult-learning-theory-sharan-merriam
Kessler D, Graham F. The use of coaching in occupational therapy: An integrative review. Aust Occup Ther J. 2015 Jun;62(3):160–76. DOI: https://doi.org/10.1111/1440-1630.12175
Varney JE, Weiland TJ, Inder WJ, Jelinek GA. Effect of hospital-based telephone coaching on glycaemic control and adherence to management guidelines in type 2 diabetes, a randomised controlled trial. Intern Med J. 2014 Sep;44(9):890–7. DOI: https://doi.org/10.1111/imj.12515
Sherifali D, Viscardi V, Bai JW, Ali RMU. Evaluating the Effect of a Diabetes Health Coach in Individuals with Type 2 Diabetes. Can J Diabetes. 2016;40(1):84–94. DOI: https://doi.org/10.1016/j.jcjd.2015.10.006
Kolb L. An Effective Model of Diabetes Care and Education: The ADCES7 Self-Care BehaviorsTM. Sci Diabetes Self-Management Care. 2021 Feb 11;47(1):30–53. DOI: https://doi.org/10.1177/0145721720978154

How to Cite

Minarti, M., Supriyanto, S., Miadi, M., Adinata, A. A., & Fadilah, N. (2024). The effect of psychoeducation with health coaching method on HbA1c levels Among Type 2 Diabetes Mellitus. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13060