PMID- 37700781
OWN - NLM
STAT- MEDLINE
DCOM- 20230914
LR  - 20230915
IS  - 1178-1998 (Electronic)
IS  - 1176-9092 (Print)
IS  - 1176-9092 (Linking)
VI  - 18
DP  - 2023
TI  - Effect of Health Literacy Intervention on Glycemic Control and Renal Function 
      Among Thai Older Adults at Risk of Type 2 Diabetes Mellitus.
PG  - 1465-1476
LID - 10.2147/CIA.S413456 [doi]
AB  - PURPOSE: Diabetes patients with low health literacy often have poor health and 
      clinical outcomes. The study aimed to assess the effectiveness of a health 
      literacy intervention on glycemic control and renal function among Thai older 
      adults at risk of type 2 diabetes mellitus (T2DM). METHODS: A quasi-experimental 
      study was carried out in rural areas of Phayao Province in northern Thailand. The 
      participants were older adults with T2DM who recorded blood glucose levels 
      ranging from 140 to 180 mg/dL and who were not receiving prescribed medication. 
      The intervention lasted 12 weeks, and data were collected at three points: 
      baseline, post-intervention, and at 3 months' follow-up. The study outcomes 
      included the measurement of fasting blood sugar (FBS), hemoglobin A1C (HbA1c), 
      and glomerular filtration rate (eGFR) levels after the intervention. A linear 
      mixed model and generalized estimating equations model were used to assess the 
      intervention effect for continuous and binary outcomes, respectively. RESULTS: 
      From baseline to post-intervention, FBS and HbA1c decreased more in the 
      intervention group than in the control group by 8.2 mg/dL (p < 0.001) and 0.1% (p 
      = 0.029), respectively, whereas eGFR increased by 8.0 mL/min/1.73m2 (p < 0.001). 
      The absolute effect of the intervention at follow-up was -9.8 units for FBS, -0.4 
      units for HbA1c, and 14.0 units for eGFR. Abnormal HbA1c level (>/=6.5%) of the 
      intervention group was reported as 70.3% at baseline, 31.3% at post-intervention, 
      and 9.4% at follow-up. Compared to baseline levels, the T2DM patients who 
      received the intervention were 0.31 times less likely to have abnormal HbA1c 
      levels than the control subjects at follow-up (p = 0.003) who received no 
      intervention. CONCLUSION: Our findings suggest that this intervention may 
      potentially improve diabetes self-management and prevention behaviors, thereby 
      reducing the diabetes burden in rural communities in northern Thailand.
CI  - (c) 2023 Seangpraw et al.
FAU - Seangpraw, Katekaew
AU  - Seangpraw K
AUID- ORCID: 0000-0002-7184-381X
AD  - School of Public Health, University of Phayao, Phayao, 56000, Thailand.
FAU - Ong-Artborirak, Parichat
AU  - Ong-Artborirak P
AUID- ORCID: 0000-0003-0884-9466
AD  - Faculty of Public Health, Chiang Mai University, Chiang Mai, 50200, Thailand.
FAU - Boonyathee, Sorawit
AU  - Boonyathee S
AUID- ORCID: 0000-0001-8056-5359
AD  - School of Medicine, University of Phayao, Phayao, 56000, Thailand.
FAU - Bootsikeaw, Sasivimol
AU  - Bootsikeaw S
AUID- ORCID: 0000-0003-2730-1578
AD  - School of Public Health, University of Phayao, Phayao, 56000, Thailand.
FAU - Kantow, Supakan
AU  - Kantow S
AD  - School of Public Health, University of Phayao, Phayao, 56000, Thailand.
FAU - Panta, Pitakpong
AU  - Panta P
AUID- ORCID: 0000-0002-6295-9765
AD  - School of Nursing, University of Phayao, Phayao, 56000, Thailand.
FAU - Winaiprasert, Prakaipetch
AU  - Winaiprasert P
AD  - Faculty of Nursing, Thammasat University, Pathum Thani, 12121, Thailand.
LA  - eng
PT  - Journal Article
DEP - 20230907
PL  - New Zealand
TA  - Clin Interv Aging
JT  - Clinical interventions in aging
JID - 101273480
RN  - 0 (Glycated Hemoglobin)
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Diabetes Mellitus, Type 2/prevention & control
MH  - Glycemic Control
MH  - Glycated Hemoglobin
MH  - *Health Literacy
MH  - Southeast Asian People
MH  - Thailand
MH  - Kidney/physiology
PMC - PMC10494859
OTO - NOTNLM
OT  - glycemic control
OT  - health literacy
OT  - older adults
OT  - renal function
COIS- The authors report no conflicts of interest in this work.
EDAT- 2023/09/13 06:41
MHDA- 2023/09/14 06:42
PMCR- 2023/09/07
CRDT- 2023/09/13 03:55
PHST- 2023/03/21 00:00 [received]
PHST- 2023/09/05 00:00 [accepted]
PHST- 2023/09/14 06:42 [medline]
PHST- 2023/09/13 06:41 [pubmed]
PHST- 2023/09/13 03:55 [entrez]
PHST- 2023/09/07 00:00 [pmc-release]
AID - 413456 [pii]
AID - 10.2147/CIA.S413456 [doi]
PST - epublish
SO  - Clin Interv Aging. 2023 Sep 7;18:1465-1476. doi: 10.2147/CIA.S413456. eCollection 
      2023.