Authors (including presenting author) :
Yeung FL(1),Yip LH(1), Chan TT(1), Chiu LS (2), Choi, S.K(1), Fu WK(1), Lo SFW(1), Wong SK(2), Wong BC(1), Cheng, SYR(1), Ng YS(1)
Affiliation :
(1) Department of Family Medicine and Primary Health Care, NTWC
(2) Out-Patient Department, KEC
Introduction :
Prediabetes (pre-DM) is a public health problem with prevalence increasing worldwide. Without preventive measures, around 70% of individuals with prediabetes will develop type 2 diabetes (T2DM) in their lifetime. Diabetes is one of the leading causes of death and its related complications would induce substantial burden to the health-care systems. Early interventions of lifestyle modifications (LSM) by increase physical activity, healthy eating habits and weight reduction to pre-DM patients is important to halt the progression to T2DM. NTWC GOPCs had implemented a Continuous Quality Improvement (CQI) Project aimed to promote lifestyle strategies for pre-DM patients through multimedia education approach.
Objectives :
(1) To enhance patients’ knowledge of the importance of LSM through self-developed website, teaching video, health information resources QR codes cue card.
(2) To empower patients’ self-care capability through promotion of home monitoring (blood pressure (HBPM), blood glucose (SMBG) and body weight (BW) measurement.
(3) To promote healthy lifestyle by increased physical activity, healthy eating habits and weight reduction.
Methodology :
The CQI project was implemented from June to July 2024 in 4 GOPCs of NTWC. Patients with pre-DM were recruited in this project. Health education and LSM information were provided to the participants by nurse through educational materials at 1st interview. They would complete identical self-designed questionnaires before nurse education and at follow-up. They would receive 1-2 times phone follow-up at the 6th week. Their demographic characteristics, pre-DM knowledge, lifestyle habits and home monitoring were collected. The mean score was used to assess their pre and post-knowledge on pre-DM management skills. Patient satisfaction about the project and health education material were also collected.
Result & Outcome :
45 patients were recruited with 43 of them (14 male, 29 female, age 41 to 72-year-old) completed the study. The pre and post-interventions mean score of pre-DM knowledge were 3.7 & 8.0 respectively (out of 10). Participants with sedentary lifestyle were reduced from 58.1% to 18.6%. There were 65.1% of participants had reduction of BW. In home monitoring aspect, participants without HBPM performed were reduced from 51.2% to 7%. Majority of participants reported satisfaction about the project and education materials. In conclusion, this pilot study showed substantial changes of participants’ lifestyle habits. It also promoted their HBPM through effective use of the multimedia educational materials.
