A Community-Based Comprehensive Intervention Program for 7200 Patients with Type 2 Diabetes Mellitus in Chongqing (China)

Li Qi, Liangui Feng, Wenge Tang, Xiangyu Ma, Xianbin Ding, Deqiang Mao, Jingxin Li, Yulin Wang and Hongyan Xiong
Additional contact information
Li Qi: Department of Epidemiology, College of Prevention Medicine, the 3rd Military Medical University, Chongqing 400038, China
Liangui Feng: Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China
Wenge Tang: Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China
Xiangyu Ma: Department of Epidemiology, College of Prevention Medicine, the 3rd Military Medical University, Chongqing 400038, China
Xianbin Ding: Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China
Deqiang Mao: Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China
Jingxin Li: Jiangshu Municipal Center for Disease Control and Prevention, Jiangshu 210009, China
Yulin Wang: Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China
Hongyan Xiong: Department of Epidemiology, College of Prevention Medicine, the 3rd Military Medical University, Chongqing 400038, China

IJERPH, 2014, vol. 11, issue 11, 1-14

Abstract: This study assessed the feasibility of community-based comprehensive intervention on Type 2 diabetes mellitus (T2DM) on a large population in China. An intervention study was conducted on 7200 T2DM patients within one year and consisted of six lectures on health issues, and four times face-to-face lifestyle counseling delivered by general health practitioners, at local primary health centers (PHCs). A “knowledge, attitude and practice” (KAP) survey and fasting plasma glucose (FPG) measurement were conducted at baseline and after the intervention, respectively. A total of 6586 T2DM patients completed the intervention. After one year intervention, patients’ KAP level improved significantly ( p < 0.001) and the average FPG has decreased from 8.53 mmol/L (standard deviation: 2.84) to 7.11 mmol/L (standard deviation: 1.34) ( p < 0.001). Patients in rural areas and with lower education level showed higher FPG and poorer KAP level both before and after the intervention. In conclusion, community-based comprehensive intervention for T2DM is feasible on a large population. Improving and repeating the comprehensive strategy is greatly recommended in order to sustain the impact, especially in rural areas and for patients with lower education levels.

Keywords: type 2 diabetes mellitus; intervention; community (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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