Good Outcome of Anti-Diabetic Therapy: A Proposal for Evidence-Based Process Indicators.
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Tehran University of Medical Sciences.
Abstract
A B S T R A C T
Background: The need to search for reliable process indicators for the effectiveness
of anti-diabetic therapy has been expressed in the literature. Process indicators have
been described as essential processes that contribute to achieving outcomes.
Objective: This study seeks to identify and propose evidence-based process
indicators for a good outcome (effectiveness) of anti-diabetic therapy in a Nigerian
University Teaching Hospital.
Methods: A crossectional study was conducted using a questionnaire about the degree
of subjects' knowledge/practice of lifestyle/dietary modification based on set criteria.
Glycemic control based on the latest monitoring tests and physician's remarks were
extracted from the case notes of each selected subject: sample Size, n=1200. Subjects
were selected by systematic random sampling (Sampling Interval=1).
Results: Three Hundred and Thirteen (77.7%) out of 403 subjects with reasonable
glycemic control were effects by exercise. Those were with excellent knowledge
about signs and symptoms of hyperglycemia, the beneficial effects of exercise,
treatment, and excellent practice of self-monitoring. About 311 (77.2%) out of 403
subjects who had reasonable glycemic control were those who had excellent
knowledge about dietary modification. Almost 308 (76.4%) out of 403 subjects who
had reasonable glycemic control were those who had excellent knowledge about
lifestyle modification. Three Hundred and Six (75.9%) out of 403 subjects who had
reasonable glycemic control were those who had excellent knowledge about
complications of diabetes mellitus. Many subjects with excellent lifestyle/dietary
modification practices had reasonable glycemic control.
Conclusion: Evidence-based process indicators for a good outcome (effectiveness) of
anti-diabetic therapy have been identified/proposed as the degree of knowledge about
signs and symptoms of hyperglycemia, complications of diabetes mellitus, beneficial
effects of exercise, treatments, dietary modification, and lifestyle modification. Other
process indicators identified/proposed are the degree of self-monitoring practice,
lifestyle, and dietary modification.
Description
Keywords
Outcome, Effectiveness, Antidiabetic, Process Indicators, Lifestyle Modification, Dietary Modification
Citation
Giwa A., Giwa H. B., Jamiu O. M., Aliyu F. O, Abdulazeez I. F. (2023): Good Outcome of Anti-Diabetic Therapy: A Proposal for Evidence-Based Process Indicators. Journal of Pharmacoeconomics and Pharmaceutical Management, 9 (1); 15-25, Published by Tehran University of Medical Sciences. Available online at https://jppm.tums.ac.ir/index.php/jppm/article/view/172