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Cardiac-diabetes self-management program for Australians and Taiwanese: A randomized blocked design study
Journal article   Peer reviewed

Cardiac-diabetes self-management program for Australians and Taiwanese: A randomized blocked design study

Jo Wu, Huei-Chuan Sung, Anne M Chang, John J Atherton, Karam Kostner and Steven M McPhail
Nursing & health sciences, Vol.19(3), pp.307-315
2017
DOI: https://doi.org/10.1111/nhs.12346
url
https://doi.org/10.1111/nhs.12346View
Published Version

Abstract

Nursing Public Health and Health Services cardiovascular diabetes international randomized blocked design self-management telehealth
Cardiac disease and type 2 diabetes are prevalent diseases globally. Cardiac rehabilitation and diabetes self-management programs empower patients' self-management to improve their health outcomes. However, inappropriate delivery modes and continuing low participation rates indicate some programs are less than optimal. A previous study demonstrated the feasibility of incorporating telephone and text messages into a cardiac-diabetes self-management program in Australia; however, the program did not specifically address patients' cultural backgrounds. This current study used a randomized blocked design to evaluate short-term efficacy of the cardiac-diabetes self-management program incorporating telephone and text-messaging across different cultural contexts in Australia and Taiwan in comparison to usual care. No significant differences between groups were observed for outcomes of self-care behavior, self efficacy, knowledge and health-related quality of life, with patients in both groups demonstrating improvements. Patient-reported outcomes indicated some evidence of an interaction effect between country of origin and group allocation. Findings indicated an improved tendency of outcome measures between the baseline and follow-up assessments within usual care and intervention groups. Further research is required to clarify components of the program work for each cultural group.

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