PMID- 32414563
OWN - NLM
STAT- MEDLINE
DCOM- 20201209
LR  - 20221207
IS  - 1873-5134 (Electronic)
IS  - 0738-3991 (Linking)
VI  - 103
IP  - 9
DP  - 2020 Sep
TI  - Impact of an educational intervention in primary care on fasting blood glucose 
      levels and diabetes knowledge among patients with type 2 diabetes mellitus in 
      rural China.
PG  - 1767-1773
LID - S0738-3991(20)30144-0 [pii]
LID - 10.1016/j.pec.2020.03.010 [doi]
AB  - OBJECTIVE: To assess the impact of an educational intervention for type 2 
      diabetes mellitus (T2DM) in primary care in rural China, on fasting blood glucose 
      (FBG) level and diabetes knowledge. METHODS: Patients with T2DM (n = 1,589) in 18 
      township health centres in three counties in Jiangsu Province were randomly 
      divided into an intervention group receiving educational intervention and 
      follow-up visits, and a control group with standard care. Questionnaires and 
      medical records, including FBG level and diabetes knowledge score, were compared, 
      at baseline and follow-up. Propensity score matching and Difference-in-Difference 
      analysis were used. RESULTS: The FBG level decreased significantly in the 
      intervention group compared to the control group, DID=-0.53 mmol/l, (CI95 % -0.90 
      to -0.16). The diabetes knowledge score increased significantly in the 
      intervention group compared to the control group, DID = 0.91, (CI95 % 0.64-1.18). 
      The FBG level and diabetes knowledge score improved significantly in the 
      intervention group in all counties. CONCLUSIONS: The educational intervention and 
      increased collaboration between hospitals and primary care improved the FBG level 
      and diabetes knowledge score in the intervention group compared to the control 
      group after one year. PRACTICE IMPLICATIONS: Educational intervention and 
      increased collaboration between hospitals and primary care may improve diabetes 
      care in rural China.
CI  - Copyright (c) 2020 The Author(s). Published by Elsevier B.V. All rights reserved.
FAU - Chen, Shaofan
AU  - Chen S
AD  - Health Outcomes and Economic Evaluation Research Group, Stockholm Centre for 
      Healthcare Ethics, Department of Learning, Informatics, Management and Ethics, 
      Karolinska Institutet, SE-17177 Stockholm, Sweden; Equity and Health Policy 
      Research Group, Department of Global Public Health, Karolinska Institutet, 
      SE-17177 Stockholm, Sweden; School of Health Policy and Management, Nanjing 
      Medical University, No. 101 Longmian Avenue, Nanjing 211166, China. Electronic 
      address: shaofan.chen@ki.se.
FAU - Qian, Dongfu
AU  - Qian D
AD  - School of Health Policy and Management, Nanjing Medical University, No. 101 
      Longmian Avenue, Nanjing 211166, China. Electronic address: dqian@njmu.edu.cn.
FAU - Burstrom, Kristina
AU  - Burstrom K
AD  - Health Outcomes and Economic Evaluation Research Group, Stockholm Centre for 
      Healthcare Ethics, Department of Learning, Informatics, Management and Ethics, 
      Karolinska Institutet, SE-17177 Stockholm, Sweden; Equity and Health Policy 
      Research Group, Department of Global Public Health, Karolinska Institutet, 
      SE-17177 Stockholm, Sweden; Center for Health Policy Studies, Nanjing Medical 
      University, No. 101 Longmian Avenue, Nanjing 211166, China.
FAU - Burstrom, Bo
AU  - Burstrom B
AD  - Equity and Health Policy Research Group, Department of Global Public Health, 
      Karolinska Institutet, SE-17177 Stockholm, Sweden; Center for Health Policy 
      Studies, Nanjing Medical University, No. 101 Longmian Avenue, Nanjing 211166, 
      China.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20200511
PL  - Ireland
TA  - Patient Educ Couns
JT  - Patient education and counseling
JID - 8406280
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
MH  - Adult
MH  - *Blood Glucose/analysis
MH  - China
MH  - Diabetes Mellitus, Type 2/blood/*psychology/therapy
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Education as Topic/*methods
MH  - Primary Health Care/*methods
MH  - Program Evaluation
MH  - Rural Population
OTO - NOTNLM
OT  - Diabetes care
OT  - Educational intervention
OT  - Primary care
OT  - Rural China
COIS- Declaration of Competing Interest The authors (SC, DQ, KB, BB) declare they have 
      no conflicting interests.
EDAT- 2020/05/18 06:00
MHDA- 2020/12/15 06:00
CRDT- 2020/05/17 06:00
PHST- 2019/11/13 00:00 [received]
PHST- 2020/03/06 00:00 [revised]
PHST- 2020/03/11 00:00 [accepted]
PHST- 2020/05/18 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
PHST- 2020/05/17 06:00 [entrez]
AID - S0738-3991(20)30144-0 [pii]
AID - 10.1016/j.pec.2020.03.010 [doi]
PST - ppublish
SO  - Patient Educ Couns. 2020 Sep;103(9):1767-1773. doi: 10.1016/j.pec.2020.03.010. 
      Epub 2020 May 11.