PMID- 34518109 OWN - NLM STAT- MEDLINE DCOM- 20220321 LR - 20221207 IS - 1878-0210 (Electronic) IS - 1878-0210 (Linking) VI - 16 IP - 1 DP - 2022 Feb TI - The effect of model-based telephone counseling on HbA1c and self-management for individuals with type 2 diabetes: A randomized controlled trial. PG - 41-48 LID - S1751-9918(21)00177-7 [pii] LID - 10.1016/j.pcd.2021.09.005 [doi] AB - AIMS: This study was conducted to examine the effect of telephone counseling based on the Information, Motivation, Behavioral Skills (IMB) Model on HbA1c and self-management in patients with type 2 diabetes mellitus (T2DM). METHODS: This study was conducted between January 2019 and September 2019 with a total of 63 (31 interventions, 32 controls) T2DM patients. The intervention group was followed-up for a total of 12 weeks, after 45-60 min of patient training based on IMB, a weekly reminder message and a phone call every two weeks. No intervention was made to the control group. Data were collected at the beginning of the study and at the end of the 12th week. The data were obtained using a Patient Information Form, the Type 2 Diabetes Self-Efficacy Scale, the Diabetes Self-Management Questionnaire (DSMQ), the Perceived Diabetes Self Management Scale (PDSMS) and glycemic control (HbA1c). RESULTS: Participants were on average 54 years old and the majority were female (58.1%). According to the results of the covariance analysis (ANCOVA), there was a statistically significant difference between the pre-post-test HbA1c (F:13.589; p < 0.001), weight (F:32.176; p < 0.001) and systolic blood pressure (F:7.109; p = 0.01). However, there was no significant difference in diastolic blood pressure between the intervention and control groups (F:2.686; p = 0.106). Also, after three months of follow-up, self-efficacy (F:26.632; p < 0.001), self-management (F:44.487; p < 0.001) and self-management perceptions (F:71.132; p < 0.001) were significantly higher in the intervention group. CONCLUSION: The researchers concluded that telephone counseling based on the IMB model could be a suitable method to improve glycemic control and self-care behaviors in patients with type 2 diabetes. CI - Copyright (c) 2021 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved. FAU - Sayin Kasar, Kadriye AU - Sayin Kasar K AD - Department of Nursing, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey. Electronic address: kadriye_syn_321@hotmail.com. FAU - Duru Asiret, Guler AU - Duru Asiret G AD - Department of Nursing, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey. Electronic address: gulerduru@gmail.com. FAU - Kutmec Yilmaz, Cemile AU - Kutmec Yilmaz C AD - Department of Nursing, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey. Electronic address: cemilekutmec@yahoo.com. FAU - Canlar, Sule AU - Canlar S AD - Department of Endocrinology and Metabolic Diseases, TOBB ETU Hospital, Ankara, Turkey. Electronic address: sulejan82@gmail.com. LA - eng SI - ClinicalTrials.gov/NCT04723628 PT - Journal Article PT - Randomized Controlled Trial DEP - 20210911 PL - England TA - Prim Care Diabetes JT - Primary care diabetes JID - 101463825 RN - 0 (Glycated Hemoglobin A) SB - IM MH - Counseling MH - *Diabetes Mellitus, Type 2/diagnosis/therapy MH - Female MH - Glycated Hemoglobin/analysis MH - Humans MH - Male MH - Middle Aged MH - *Self-Management/methods MH - Telephone OTO - NOTNLM OT - HbA1c OT - IMB OT - Self-management OT - Telephone counseling OT - Type 2 diabetes EDAT- 2021/09/15 06:00 MHDA- 2022/03/22 06:00 CRDT- 2021/09/14 05:51 PHST- 2021/07/08 00:00 [received] PHST- 2021/08/26 00:00 [revised] PHST- 2021/09/06 00:00 [accepted] PHST- 2021/09/15 06:00 [pubmed] PHST- 2022/03/22 06:00 [medline] PHST- 2021/09/14 05:51 [entrez] AID - S1751-9918(21)00177-7 [pii] AID - 10.1016/j.pcd.2021.09.005 [doi] PST - ppublish SO - Prim Care Diabetes. 2022 Feb;16(1):41-48. doi: 10.1016/j.pcd.2021.09.005. Epub 2021 Sep 11.