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Empowerment Program for People With Prediabetes: A Randomized Controlled Trial.

Mei-Fang Chen¹, Shu-Ling Hung, Shu-Lin Chen

¹1PhD, RN, Associate Professor, Department of Nursing, National Tainan Junior College of Nursing 2PhD, RN, Assistant Professor, Department of Nursing, National Tainan Junior College of Nursing 3RN, MSN, HN, Department of Nursing, Kaohsiung Municipal United Hospital.

The Journal of Nursing Research : JNR

|March 10, 2017

Summary

An empowerment program improved health behaviors, blood sugar, and self-efficacy in people with prediabetes. This intervention shows promise for preventing diabetes progression.

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Area of Science:

Endocrinology
Public Health
Behavioral Science

Background:

A health-promoting lifestyle is key to preventing diabetes onset.
Empowerment interventions effectively promote healthy lifestyles in diabetic patients.
These interventions are underutilized in prediabetes populations.

Purpose of the Study:

Develop an empowerment program for prediabetes.
Evaluate its efficacy on lifestyle, blood sugar, BMI, and self-efficacy.

Main Methods:

Randomized controlled trial (RCT) in Taiwan (May-Dec 2013).
Participants (prediabetes, fasting blood sugar 100-125 mg/dl) assigned to an empowerment program (n=38) or routine care (n=40).
Intervention involved a 4-month program focusing on awareness, behavior, and results; analyzed using generalized estimating equations.

Main Results:

The empowerment group showed significantly greater improvements in health-promoting lifestyle, blood sugar, and self-efficacy compared to the control group (p < .01).
The experimental group also achieved a significant reduction in body mass index at 3 months post-intervention (p = .001).

Conclusions:

The ABC empowerment program demonstrated short-term positive effects on behavioral, physical, and psychosocial outcomes in prediabetes.
Results offer valuable insights for healthcare providers, nursing educators, and policymakers implementing prediabetes interventions.