Effect of self-efficacy-based training on metabolic control of patients with type 2 diabetes

Abstract

BACKGROUND: Type 2 diabetes is a significant problem in today's society. Considering the possible effect of self-efficacy training on diabetes control, we aimed to investigate its impact on type 2 diabetes control. METHODS: This randomized controlled clinical trial was performed in 2018 in Isfahan city. Iranian Registry of Clinical Trials (IRCT) code for this study is IRCT20190219042762N1 (https://en.irct.ir/trial/37677). In so doing, 161 patients with diabetes were divided into two groups: intervention and control. The intervention group received six self-efficacy and healthy lifestyle training sessions, and self-efficacy strategies were taught in all sessions. Metabolic indices and the data collected by Diabetes Management Self-Efficacy Scale (DMSES) were analyzed before and three months after training by descriptive and inferential statistics. RESULTS: The self-efficacy score of the intervention group was significantly higher after training (175.7+/-18 vs. 163.7+/-26, P = 0.001). Also, the cholesterol level, LDL, and systolic blood pressure reduced significantly in this group after the intervention (167+/-39 vs. 179+/-43.7 mg/dl, 94.2+/-31 vs. 102.6+/-39 mg/dl, 115.6+/-1.4 vs. 120.1+/-1.8 mmHg, respectively. P<0.05). CONCLUSION: Generally, self-efficacy training effectively improved metabolic control in patients with type 2 diabetes.