title: Effectiveness of a community-based diabetes self-management education (DSME) program in a rural agricultural setting.
abstract: Introduction The purpose of this study is to assess the effectiveness of diabetes self-management education (DSME) in a rural agricultural town.
  
  
  
  In this prospective, education-intervention trial, 85 adults with type 2 diabetes mellitus from villages randomly assigned to DSME and 70 from villages assigned to standard care participated. The DSME group underwent a curriculum delivered by peer educators; those in the standard group received usual advice. Outcome measures were anthropometric, biochemical, health behaviors, and medication use data taken at baseline then after three and six months.
  
  
  
  DSME group had a lower median A1C after three and six months. After six months, there was a 0.5% median A1C reduction in DSME group and a 0.25% increase in the standard group. There were more participants in DSME group with A1C ⩽7.0% after three and six months. By the third month, there were more participants in DSME group performing foot examination.
  
  
  
  DSME in this rural agricultural town improved glycemic control and promoted foot examination.
authors.affiliation: 1Section of Endocrinology,Diabetes and Metabolism,Department of Medicine,College of Medicine and Philippine General Hospital,University of the Philippines Manila,Manila,Philippines.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Paz-Pacheco
authors.affiliation: 1Section of Endocrinology,Diabetes and Metabolism,Department of Medicine,College of Medicine and Philippine General Hospital,University of the Philippines Manila,Manila,Philippines.
authors.forename: Mark Anthony
authors.initials: MA
authors.lastname: Sandoval
authors.affiliation: 1Section of Endocrinology,Diabetes and Metabolism,Department of Medicine,College of Medicine and Philippine General Hospital,University of the Philippines Manila,Manila,Philippines.
authors.forename: Gregory J R
authors.initials: GJ
authors.lastname: Ardena
authors.affiliation: 2Community Health and Development Program,University of the Philippines Manila,Manila,Philippines.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Paterno
authors.affiliation: 3Department of Clinical Epidemiology,College of Medicine,University of the Philippines Manila,Manila,Philippines.
authors.forename: Noel
authors.initials: N
authors.lastname: Juban
authors.affiliation: 1Section of Endocrinology,Diabetes and Metabolism,Department of Medicine,College of Medicine and Philippine General Hospital,University of the Philippines Manila,Manila,Philippines.
authors.forename: Frances L
authors.initials: FL
authors.lastname: Lantion-Ang
authors.affiliation: 1Section of Endocrinology,Diabetes and Metabolism,Department of Medicine,College of Medicine and Philippine General Hospital,University of the Philippines Manila,Manila,Philippines.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Jimeno
authors.affiliation: 1Section of Endocrinology,Diabetes and Metabolism,Department of Medicine,College of Medicine and Philippine General Hospital,University of the Philippines Manila,Manila,Philippines.
authors.forename: Perpetua
authors.initials: P
authors.lastname: Patal
authors.affiliation: 1Section of Endocrinology,Diabetes and Metabolism,Department of Medicine,College of Medicine and Philippine General Hospital,University of the Philippines Manila,Manila,Philippines.
authors.forename: Joseph
authors.initials: J
authors.lastname: Bongon
mesh_terms: D003150:Community Health Workers / Q000193:education / Q000458:organization & administration*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000379:methods*; D010379:Peer Group; D010679:Philippines / Q000453:epidemiology; D015995:Prevalence; D015397:Program Evaluation; D011446:Prospective Studies; D012423:Rural Health / Q000706:statistics & numerical data; D000073278:Self-Management / Q000193:education* / Q000379:methods
keywords: community medicine; diabetes mellitus; health education; rural health; rural population