Published on:September 2018
    Journal of Pharmacy Practice and Community Medicine, 2018; 4(3):137-143
    Research Article | doi:10.5530/jppcm.2018.3.33

    Can Diabetes Self-Management Program Improve Patients’ Knowledge? A Real Life Evaluation Study of Lebanese Diabetic Adults

    Authors and affiliation (s):

    Abeer El-Haddam1*, Souheil Hallit2,3,4,5,6,7, Etwal Bou Raad1

    1Department of Pharmaceutical Sciences, Faculty of Pharmacy, Lebanese International University, Beirut, LEBANON.

    2Faculty of Pharmacy, Lebanese University, Beirut, LEBANON.

    3Faculty of Pharmacy, Saint-Joseph University, Beirut, LEBANON.

    4Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, LEBANON.

    5Research Department, Psychiatric Hospital of the Cross, P.O Box 60096, Jal Eddib, LEBANON.

    6Occupational Health Environment Research Team, U1219 BPH Bordeaux Population Health Research Center Inserm - Université de Bordeaux, Bordeaux, FRANCE.

    7INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Faculty of Public Health, Lebanese University, Beirut, LEBANON.


    Objectives: The objective was to assess the effect of the Advanced National Standards for DSME program in improving the knowledge of Lebanese elderly diabetic patients. Secondary objectives were to test the influence of pharmacist counseling on managing these patients’ lifestyle and assess health perceptions that affect diabetic patients for effective management through the Health Belief Model (HBM). Methods: This cross-sectional study, conducted from February until May 2016 in different community pharmacies, enrolled 206 patients. Results: All knowledge items scores increased significantly from pre to post counselling (p<0.05 for all variables). Female gender significantly increased the knowledge score (Beta= 0.625; p=0.001), whereas living with a family member significantly decreased the knowledge score (Beta= 0.975; p=0.02). Regarding patient perception on the health belief model, the susceptibility score was significantly and positively correlated with the severity score and the benefits score (r=0.259 and r=0.680) respectively, but negatively correlated with the barriers score (r= -0.290). Moreover, the severity score was significantly correlated with the benefits score (r=0.230), whereas the benefits score was significantly but negatively correlated with the barriers score (r= -0.311). Conclusion: This study has demonstrated that a formal diabetes education program can effectively increase patients’ diabetes knowledge and will heighten patient knowledge about the disease and its complications.

    Key words: DSME, Health belief model, Education, Program, Diabetes mellitus.

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