Impact of Educational Chronic Care Model on Diabetic Patients: A Prospective Cohort Study

Abstract Background Lack of knowledge and understanding about diabetes are important barriers to cure. Treatment of diabetes alone without education is not sufficient. Nowadays, health education could reach us on mobiles. Aim Our aim is how to make advice-giving becomes a system to treat our patients. The theme of this study is diabetes education. And to know how far the prompt well-structured education could affect the clinical status and the quality of life of a poorly controlled diabetic patients. Methods702 patients with type 1 diabetes were followed for 2 years (2017, 2018), by condensed friendly education and training sessions. Our activities were mainly through direct individual approach and social media, structured in the form of visits. The study was done in a specialized clinics of diabetes (SDC) in a tertiary university hospital. We evaluated the clinical status, psychological, sociocultural and satisfaction of the patients, pre and post education. We assessed our patients at the beginning of the study, throughout, and at the time of discharge. Quantitative and qualitative data were compared statistically by paired t test and chi-square test at 0.05 level of significance. Results96.7% of our patients were completely satisfied by what they have achieved through this project. The average HbA1C become less than eight in 54% of patients. Patients with HbA1C 8-9%, BP <140/80, and LDL <3.36 mmol/l, were 46%, 51% and 79% respectively. The average blood pressure for 56% of patients was 132/77. The average LDL level among 71% of patients was 2.25. 27% of patients had average discharged HbA1c of 7.3. Net promotor score of SDC was 85%, were promotors, passives and detractors were 87.8%, 9.5% and 2.8% respectively. P value <0.05Conclusion Education self-management support programs are cost-effective and superior to usual care. Education programs were more effective in lowering HbA1c. Attendees finding it valuable and enjoyable.