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Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia.
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- Author(s): Mohd, Zahiruddin Wan; Ahmad, Siti Rohana; Yaacob, Nor Azwany; Mohd Shariff, Noorsuzana; Jaeb, Mat Zuki; Hussin, Zalmizy
- Source:
Healthcare (2227-9032); Jul2023, Vol. 11 Issue 13, p1929, 14p- Subject Terms:
TREATMENT of diabetes; TUBERCULOSIS treatment; GLYCOSYLATED hemoglobin; STATISTICS; RELATIVE medical risk; EVALUATION of human services programs; CONFIDENCE intervals; PROFESSIONS; ANALYSIS of variance; MOTIVATIONAL interviewing; ATTITUDES of medical personnel; GLYCEMIC control; MULTIPLE regression analysis; DIABETES; FISHER exact test; RANDOMIZED controlled trials; HEALTH literacy; PRIMARY health care; MEDICAL protocols; TYPE 2 diabetes; CRONBACH'S alpha; TREATMENT effectiveness; T-test (Statistics); DESCRIPTIVE statistics; HEALTH behavior; CHI-squared test; REPEATED measures design; QUESTIONNAIRES; RESEARCH funding; INTEGRATED health care delivery; PATIENT education; STATISTICAL sampling; DATA analysis software; ODDS ratio; LOGISTIC regression analysis; RECEIVER operating characteristic curves; DIFFUSION of innovations; HEALTH self-care; BEHAVIOR modification; LONGITUDINAL method - Source:
- Additional Information
- Subject Terms:
- Abstract: (1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational interviewing (MI) technique implemented within directly observed treatment as part of a short course (DOTS) program in TB patients with diabetes (TB/DM). A randomized controlled trial was conducted in the northeastern state of Malaysia. (2) Methods: One hundred and twenty-four TB patients with diabetes received educational intervention using a MID-DOT module that used the MI technique, which was repetitively applied by TB nurses throughout a 6-month DOTS program while another 122 patients were given standard health education. Study outcomes include the proportion of patients with successful TB treatment, and changes in HbA1c and diabetic self-care scores at 6 months. (3) Results: The successful TB treatment outcome was 88% in the intervention group versus 72% in the control group (RR = 1.24; 95%CI 1.16, 1.58). A significant reduction of HbA1c (mean difference 0.82%; 95%CI 0.66, 0.98) and significantly higher diabetes self-care score (mean difference 8.49; 95%CI 7.38, 9.59) were also shown in the intervention group. (4) Conclusions: A dual TB/DM educational strategy which integrates the MI technique applied repetitively within the DOTS program is effective in increasing successful TB treatment as well as improving diabetic outcomes. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Healthcare (2227-9032) is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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