HealthDay News — Nurse-led interventions including education and cognitive behavioral therapy can improve hemoglobin A1c (HbA1c) control, according to a study published online in the Journal of Evaluation in Clinical Practice.
Lisa C. Whitehead, PhD, from the Edith Cowan University in Joondalup, Australia, and colleagues randomized adults with a confirmed diagnosis of type 2 diabetes and HbA1c outside of the recommended range (4% to 7%) for 12 months or more to a nurse-led education intervention (34 patients), a nurse-led education intervention plus acceptance and commitment therapy (ACT; 39 patients), or usual care (45 patients).
The researchers found that there was a statistically significant reduction in HbA1c in the education intervention group. At 6 months, HbA1c increased in the control group but was reduced in both intervention groups. In the intervention groups, twice as many participants demonstrated an improvement versus the control group (56% of the education group, 51% of the education plus ACT group, and 24% of the control group).
“At 6 months post intervention, HbA1c was reduced in both intervention groups with a greater reduction noted in the nurse-led education intervention,” the authors write.
Whitehead LC, Crowe MT, Carter JD, et al. A nurse-led education and cognitive behaviour therapy-based intervention among adults with uncontrolled type 2 diabetes: A randomised controlled trial [published online April 11, 2017]. J Eval Clin Pract. doi: 10.1111/jep.12725