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| ID | Type | Description | Link |
|---|---|---|---|
| DOH-27-0310-3070 | Other Identifier | South Africa Department of Health |
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| Name | Class |
|---|---|
| South African Sugar Association | UNKNOWN |
| Nestlè Nutrition Institute Africa | OTHER |
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The purpose of this study is to implement a nutrition education programme that was developed for type 2 diabetic adults in a resource poor setting and to evaluate the programme's effectiveness on health outcomes
A randomized controlled clinical trial study design will be used. One group (experimental group) will receive the nutrition education while the other group (control group) will receive the usual care.
Setting: Two Community health centres in Moretele Health Sub-District, North West Province, South, Africa
Effectiveness of the nutrition education will be evaluated for the following outcomes:
clinical
dietary intake
others -diabetes knowledge, attitudes towards diabetes
Outcome measurements- at six and 12 months, this will be compared with the baseline data.
Hypotheses:
Type 2 diabetes mellitus (DM) is a global health challenge. Low-income individuals are among those observed to have poorer long term outcomes of diabetes management and to spend a higher proportion of their income on diabetes care. Therefore, diabetic individuals from resource poor settings require special attention and effective management strategies to assist them improve their health outcomes. Patient self-management education, including nutrition education is a feasible strategy in resource poor settings.
The nutrition education programme in this study is based on the target group assessed needs, as tailored education is shown to be more effective in improving health outcomes.
The experimental group will receive nutrition education in group format on a weekly basis for eight weeks, this will include a vegetable gardening component offered in collaboration with the Department of Agriculture. In addition written education materials will be provided (pamphlet and wall/fridge flyer). A follow-up intervention on a monthly basis will follow the group education.This is to revise the learnt content and for group problem solving activities. The control control group will receive usual care plus the written education materials.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lifestyle education | Experimental | Nutrition education comprised of 4 components: Curriculum (8 weeks), follow-up meetings (4 monthly plus 2-bimonthly), education materials for use at home and vegetable gardening demonstrations. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nutrition education | Behavioral | Group education on a bi-weekly basis for eight weeks plus written education materials, followed by monthly group problem solving meetings till one year. |
| Measure | Description | Time Frame |
|---|---|---|
| HbA1c as a measure of glycemic control | % change from baseline, 6 months and 12 months | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Dietary intake | Contribution of macronutrients to total energy intake, intake of fibre, intake of micronutrients, portion sizes, intake of fruits and vegetables, change from baseline, 6 months and 12 months | 12 months |
| Lipid profile |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jane W Muchiri, PhD | University of Pretoria | Principal Investigator |
| Paul Rheeder, PhD | University of Pretoria | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Moretele Health Sub-District | Hammanskraal | North West | 0400 | South Africa |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D015596 | Nutrition Assessment |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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Total cholesterol, LDL-cholesterol, HDL-cholesterol, tryglycerides, changes from baseline, 6 months and 12 months
| 12 months |
| Blood pressure | Change in blood pressure from baseline, 6 months and 12 months | 12 months |
| Diabetes knowledge | Change in knowledge levels from the baseline, 6 months and 12 months | 12 months |
| Attitudes toward diabetes and its treatment | Change in attitudes from baseline, 6 months and 12 months | 12 months |
| Body mass index | Change from baseline, 6 months and 12 months | 12 months |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D015991 | Epidemiologic Measurements |
| D011634 | Public Health |
| D004778 | Environment and Public Health |