Title : Developing and feasibility testing a novel intervention to promote self- management for Jordanian patients presenting with an Acute coronary syndrome (ACS) and Type 2 diabetes (T2D)
Abstract:
Background: The self-management education and support are cornerstones in the treatment of patients with T2D and ACS. However, interventions to promote integrated self-management behaviors in those patients have not been explored nor implemented in practice. This limits such patients' outcome and quality of life significantly.
Purpose: To evaluate the feasibility and acceptability of the novel Diabetes Cardiac Self-Management (DCSM) Intervention for patients with T2D and ACS after an acute coronary event, in the context of a Jordanian healthcare setting.
Methods: Combining aspects of the Common-Sense Model of Self-Regulation, with the information sources for improving patient’s self-efficacy and the teach-back educational method produced a "triple-pillared" theory-based intervention strategy and guide accurate measurement of outcomes. Evidences from a systematic review of the literature, 17 interviews with patients and 6 focus group interviews with professionals used to inform the development of the novel DCSM intervention. The intervention consisted of three in-hospital education sessions and one follow-up supportive phone call and several supportive tools. A mixed methods design with pre and post evaluation were adopted for this feasibility study to measure related primary and secondary outcomes. Recruitment capability, the participants' characteristics, the acceptability and suitability of the DCSM intervention, the participants’ clinical, cognitive and psychological outcomes were evaluated.
Results: 20 patients were successfully recruited over 9 weeks, with high recruitment and retention rates. The study procedures and intervention were feasible to deliver and highly acceptable to participants. Preliminary evaluation of the intervention shows promise and improve participants coping strategies, confidence and self-efficacy, and minimize their confusion and frustration after an acute coronary event
Conclusion(s): In a healthcare setting in which those with two serious, long-term conditions receive no routine education or support to enable them to manage their conditions, this study has provided a foundation upon which effective interventions can be developed in future.
Audience Take Away:
- This study contributes new knowledge to the field. In terms of achieving best practice, it develops a novel and integrated self-management intervention for patients with T2D and ACS in systematic way, using the best available evidence and appropriate theoretical approaches and teaching method
- Help audience to improve the care of patients with T2D and ACS, highlight areas for improvement in current policies and protocols and help in determining the direction of future health educational interventions for patients with T2D and ACS.
