A community-based comprehensive intervention program for 7200 patients with type 2 diabetes mellitus in Chongqing (China).
This study assessed the feasibility of community-based comprehensive intervention on Type 2 diabetes mellitus (T2DM) on a large population in China. An intervention study was conducted on 7200 T2DM patients within one year and consisted of six lectures on health issues, and four times face-to-face lifestyle counseling delivered by general health practitioners, at local primary health centers (PHCs). A "knowledge, attitude and practice" (KAP) survey and fasting plasma glucose (FPG) measurement were conducted at baseline and after the intervention, respectively. A total of 6586 T2DM patients completed the intervention. After one year intervention, patients' KAP level improved significantly (p < 0.001) and the average FPG has decreased from 8.53 mmol/L (standard deviation: 2.84) to 7.11 mmol/L (standard deviation: 1.34) (p < 0.001). Patients in rural areas and with lower education level showed higher FPG and poorer KAP level both before and after the intervention. In conclusion, community-based comprehensive intervention for T2DM is feasible on a large population. Improving and repeating the comprehensive strategy is greatly recommended in order to sustain the impact, especially in rural areas and for patients with lower education levels.
Department of Epidemiology, College of Prevention Medicine, the 3rd Military Medical University, Chongqing 400038, China. qili19812012@126.com.
Li
L
Qi
Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China. flg@cqcdc.org.
Liangui
L
Feng
Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China. twg@cqcdc.org.
Wenge
W
Tang
Department of Epidemiology, College of Prevention Medicine, the 3rd Military Medical University, Chongqing 400038, China. xiangyuma1981@163.com.
Xiangyu
X
Ma
Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China. dingxianbing1970@163.com.
Xianbin
X
Ding
Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China. molly19812010@163.com.
Deqiang
D
Mao
Jiangshu Municipal Center for Disease Control and Prevention, Jiangshu 210009, China. jingxinli2010@163.com.
Jingxin
J
Li
Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China. wyl@cqcdc.org.
Yulin
Y
Wang
Department of Epidemiology, College of Prevention Medicine, the 3rd Military Medical University, Chongqing 400038, China. hongyanxiong@126.com.
Hongyan
H
Xiong
D000368:Aged; D000369:Aged, 80 and over; D002681:China; D018672:Community Health Planning; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006284:Health Plan Implementation; D006801:Humans; D008875:Middle Aged