Pilot test of an educational intervention to improve self-management of diabetes in persons living with HIVopen access
- Authors
- Zuniga, Julie; Garcia, Alexandra A.; Silva, Luisa; Park, Jung-Min; Barrera, Yuri
- Issue Date
- Sep-2019
- Publisher
- BioMed Central
- Keywords
- HIV; Type 2 diabetes; Self-management; Chronic disease management; Health behavior; Nurse; Social worker
- Citation
- Pilot and Feasibility Studies, v.5, no.1, pp.1 - 8
- Indexed
- SCOPUS
- Journal Title
- Pilot and Feasibility Studies
- Volume
- 5
- Number
- 1
- Start Page
- 1
- End Page
- 8
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/148450
- DOI
- 10.1186/s40814-019-0495-5
- ISSN
- 2055-5784
- Abstract
- People living with a diagnosis of HIV (PLWH) and type 2 diabetes (T2DM) can experience a synergistic negative impact on their vascular and immune systems if their conditions are poorly controlled. The purpose of this study was to adapt a community-based diabetes self-management intervention for people living with HIV and test the feasibility of administering the intervention with PLWH+T2DM who are low-income, predominantly minority, vulnerable population. The intervention was 12 weeks long with 6 h of educational instruction followed by 6 weekly support telephone calls to reinforce training and problem solve. The study used a one-group pretest-posttest design. Participants were a convenience sample of 25 adults diagnosed with HIV + T2DM. Diabetes knowledge, HIV knowledge, and self-management skills were measured. Analyses comprised descriptive statistics and correlations. Participants completed an average of 2.7 of 6 h of instruction and an average of 3 of 6 possible telephone calls. There was a 34% increase in diabetes self-management skills from pretest to posttest, but there were no changes in knowledge about HIV or diabetes. Based on this pilot study, next steps will include a multi-modal educational intervention, with in-person, at-home, and teleconference components. Blood sample collection procedure will be coordinated with study visits to decrease participants' burden, and the updated diabetes knowledge instrument with a higher reported internal consistency will be used.
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