@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2018;5(1):4-12
ISSN: 2383-2150 Journal of Education and Community Health 2018;5(1):4-12
Evaluation of the Effectiveness of Collaborative Care Model on the Quality of Life and Metabolic Indexes in Patients with Type 2 Diabetes
ARTICLE INFO
Article Type
Original ResearchAuthors
Tabarsy Beheshteh (1,2)Ghiasvandian Shahrzad (3,*)
Moslemi Meheni Soraya (2)
Mohammadzadeh Zarankesh Shahla (2)
(1,2) Department of Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
(2) Department of Nursing, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran
(2) Department of Nursing, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran
(3,*) Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Correspondence
Article History
Received: January 11, 2018Accepted: May 5, 2018
ePublished: June 6, 2018
ABSTRACT
Aims
Educating patients plays an important role in improving their quality of life. The collaborative care model is a new method of self-care training. This study was conducted to evaluate the effect of collaborative care model on the quality of life and metabolic control indexes in patients with type 2 diabetes.
Materials & Methods In this semi-experimental study, 60 patients with type 2 diabetes visiting diabetes clinic of Jiroft Hospital were studied. The participants were selected based on the convenience sampling method. To implement the collaborative model that included four stages of motivation, preparation, engagement, and evaluation, the patients were divided into four groups, and the model was executed for three months for each group. Data collection tools included a researcher-made questionnaire including demographic characteristics, metabolic indexes and vital signs and the quality of life questionnaire for patients with diabetes. The collected data were analyzed using Wilcoxon, Mac-Nemar and paired t-test in SPSS, version 20.
Findings After performing the collaborative care model, the total mean quality of life increased from 50.7±5.7 to 68.3 ±5.2. The results of Wilcoxon test showed a significant difference in care and metabolic indexes (P<0.001). The quality of life improved in different dimensions compared to the pre-intervention stage (P<0.001).
Conclusion The implementation of this model improves the quality of life and metabolic indexes. Therefore, the use of collaborative care model as an effective model for educating patients with type 2 diabetes is recommended.
Materials & Methods In this semi-experimental study, 60 patients with type 2 diabetes visiting diabetes clinic of Jiroft Hospital were studied. The participants were selected based on the convenience sampling method. To implement the collaborative model that included four stages of motivation, preparation, engagement, and evaluation, the patients were divided into four groups, and the model was executed for three months for each group. Data collection tools included a researcher-made questionnaire including demographic characteristics, metabolic indexes and vital signs and the quality of life questionnaire for patients with diabetes. The collected data were analyzed using Wilcoxon, Mac-Nemar and paired t-test in SPSS, version 20.
Findings After performing the collaborative care model, the total mean quality of life increased from 50.7±5.7 to 68.3 ±5.2. The results of Wilcoxon test showed a significant difference in care and metabolic indexes (P<0.001). The quality of life improved in different dimensions compared to the pre-intervention stage (P<0.001).
Conclusion The implementation of this model improves the quality of life and metabolic indexes. Therefore, the use of collaborative care model as an effective model for educating patients with type 2 diabetes is recommended.
CITATION LINKS
[1] Sadeghnezhad Forotaghe M, Vanaki Z, Memarian R. The effect of nursing care plan based on “Roy Adaptation model” on psychological adaptation in patients with diabetes type II. Evid Based Care. 2011;1(1):5-20. DOI: 10.22038/EBCJ.2011.3761
[2]Leslie D, Lansang C, Coppack S, Kennedy L. Diabetes: clinician's desk reference. Florida: CRC Press; 2012.
[3]Federation ID. IDF diabetes atlas. Brussels: International Diabetes Federation; 2013.
[4]Masoudialavi N, Ghofranipor F, Ahmadi F, Rajab A, Babai GH. Quality of life in diabetic patient refers to diabetic association of Iran. Behbood J. 2004;2:47-56.
[5]Larijani GB. The report of diabetes cost in Iran. J Diabetes. 2005;8(30):7-8.
[6]Chen H, Cisternas MG, Katz PP, Omachi TA, Trupin L, Yelin EH, et al. Evaluating quality of life in patients with asthma and rhinitis: English adaptation of the rhinasthma questionnaire. Ann Allergy Asthma Immunol. 2011;106(2):110-8. e1. PMID: 21277512 DOI: 10.1016/j.anai.2010.10.027
[7]Holmes J, Gear E, Bottomley J, Gillam S, Murphy M, Williams R. Do people with type 2 diabetes and their carers lose income?(T2ARDIS-4). Health Policy. 2003;64(3):291-6. PMID: 12745168
[8]Cote I, Grégoire JP, Moisan J, Chabot I. Quality of life in hypertension: the SF-12 compared to the SF-36. Can J Clin Pharmacol. 2004;11(2):e232-8. PMID: 15557672
[9]Snoek FJ. Quality of life: a closer look at measuring patients' well-being. Diabetes Spectrum. 2000;13(1):24-8.
[10]Lustman PJ, Anderson RJ, Freedland KE, De Groot M, Carney RM, Clouse RE. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care. 2000;23(7):934-42. PMID: 10895843
[11]Miksch A, Hermann K, Rölz A, Joos S, Szecsenyi J, Ose D, et al. Additional impact of concomitant hypertension and osteoarthritis on quality of life among patients with type 2 diabetes in primary care in Germany–a cross-sectional survey. Health Qual Life Outcomes. 2009;7(1):19. PMID: 19250524 DOI: 10.1186/1477-7525-7-19
[12]Klein BE, Klein R, Moss SE. Self-rated health and diabetes of long duration: the Wisconsin Epidemiologic Study of Diabetic Retinopathy. Diabetes Care. 1998;21(2):236-40. PMID: 9539988
[13]Tabarsy B. Nursing care and patient education in diabetes. Tehran: Haidari Publishing; 2013. [Persian]
[14]Larsson IE, Sahlsten MJ, Sjöström B, Lindencrona CS, Plos KA. Patient participation in nursing care from a patient perspective: a Grounded Theory study. Scand J Caring Sci. 2007;21(3):313-20. PMID: 17727543 DOI: 10.1111/j.1471-6712.2007.00471.x
[15]McGill M, Blonde L, Chan JC, Khunti K, Lavalle FJ, Bailey CJ, et al. The interdisciplinary team in type 2 diabetes management: Challenges and best practice solutions from real-world scenarios. J Clin Transl Endocrinol. 2017;7:21-7. PMID: 29067246 DOI: 10.1016/j.jcte.2016.12.001
[16]Hughes RG. Patient safety and quality: an evidence‐based handbook for nurses. Adv Patient Saf. 2008;90(4):601-2. PMID: 21328752
[17]Pridmore JA, Murphy F, Williams A. Nursing models and contemporary nursing 2: can they raise standards of care? Nurs Times. 2010;106(24):22-5. PMID: 20642215
[18]Mohammadi E. Design and evaluation of collaborative care model to control high blood pressure. [PhD Dissertation]. Tehran: Tarbiat Modarres University; 2001. [Persian]
[19]Alijany-Renany H, Tamaddoni A, Haghighy-Zadeh M, Pourhosein S. The effect of using partnership care model on the quality of life in the school-age children with β-thalassemia. J Shahrekord Univ Med Sci. 2012;14(1):41-9. [Persian]
[20]Azadi F, Mohammadi I. Effects of partnership care model on quality of life of coronary artery disease patients. Iran J Nurs Res. 2006;1(2):23-9. [Persian]
[21]Haghighat A, Salehi S. Effect of performing collaborative care model on controlling high blood pressure in patients referred to Semnan city's clinics, 2013. J Paramed Sci. 2015;6(4):1-7.
[22]Zare SH, Pishgooie SA, Zareiyan A, Atashzade SF . The effect of the collaborative care model implementation on quality of life in patients with heart diseases. Mil Caring Sci. 2017;4(1):39-48.
[23]Daneshi F, Sabzevari S, Pooraboli B, ShojaeiShahrokhababdi M. The effect of partnership care model on the quality of life of adults with Asthma. Iran J Nurs. 2014;27(88):1-10. [Persian]
[24]Poorkakhki D, Abedsaeidi Z, Yaghmaei F, Alavimajd H, Montazeri A. A survey on quality of life and both individual and disease characteristics of diabeteics patients reffering to Tehran Hospitals in 2004. Iran J Oncol Metab. 2006;8:49-56. [Persian]
[25]Ghafarzadegan R, Masror D, Parvizy S, Khamseh ME, Haghani H. Quality of life in patients with type II diabetes. Payesh. 2013;12(5):489-95. [Persian]
[26]Modh KM, Patel KM, Patel CN. Impact of clinical pharmacist intervention on quality of life in type 2 diabetes mellitus. J Res Med Sci. 2011;2(8):451-60.
[27]Timareh M, Rahimi MA, Abbasi P, Rezaei M, Hyaidarpoor S. Quality of life in diabetic patients referred to the Diabete research Center in Kermanshah. J Kermanshah Univ Med Sci. 2012;16(1):63-9. [Persian]
[28]Borzu S, Biabangardi Z. Effect of education on blood sugar of diabetic patients. J Zanjan Univ Med Sci. 2008;7(26-27):65-72.
[29]Zhao FF, Suhonen R, Koskinen S, Leino‐Kilpi H. Theory‐based self‐management educational interventions on patients with type 2 diabetes: a systematic review and meta‐analysis of randomized controlled trials. J Adv Nurs. 2017;73(4):812-33. PMID: 27681948 DOI: 10.1111/jan.13163
[30]Thommasen HV, Zhang W. Health-related quality of life and type 2 diabetes: a study of people living in the Bella Coola Valley. Br Columbia Med J. 2006;48(6):272.
[31]Mosnier-Pudar H, Hochberg G, Eschwege E, Virally ML, Halimi S, Guillausseau P, et al. How do patients with type 2 diabetes perceive their disease? Insights from the French DIABASIS survey. Diabetes Metab. 2009;35(3):220-7. PMID: 19303338 DOI: 10.1016/j.diabet.2009.02.001
[32]Norris SL, Zhang X, Chowdhury FM, Zhang P. Health related quality of life measured by SF-36 for adults with diabetes: a meta–analysis. Ottawa: Cochrane Collaboration; 2004. P. 111.
[33]Chwastiak LA, Jackson SL, Russo J, DeKeyser P, Kiefer M, Belyeu B, et al. A collaborative care team to integrate behavioral health care and treatment of poorly-controlled type 2 diabetes in an urban safety net primary care clinic. Gen Hosp Psychiatry. 2017;44:10-5. PMID: 28041570 DOI: 10.1016/j.genhosppsych.2016.10.005
[34]Khoshab H, Bagheryan B, Abbaszadeh A, Mohammadi E, Kohan S. The effect of partnership care model on depression and anxiety in the patients with heart failure. Evid Based Care. 2012;2(2):37-46. [Persian]
[35]Borhani F, Khoshab H, Abbaszadeh A, Rashidinejad H, Mohammadi E. Study of the effect of partnership care model on the quality of life in patients with heart failure. Iran J Critical Care Nurs. 2012;5(1):43-8. [Persain]
[36]Chahkhoie M, Shariati A, Majdi Nasab N, Asadizaker M, Latifi M. Collaborative care model effect on multiple sclerosis (MS) patients'lifestyle. Jundishapur J Chron Dis Care. 2013;2(3):47-56.
[37]Rossom RC, Solberg LI, Magnan S, Crain AL, Beck A, Coleman KJ, et al. Impact of a national collaborative care initiative for patients with depression and diabetes or cardiovascular disease. Gen Hosp Psychiatry. 2017;44:77-85. PMID: 27558106 DOI: 10.1016/j.genhosppsych.2016.05.006
[38]Tervaskanto-Mäentausta T, Taanila A, Ukkola O, Mikkilä L, Jokinen J, Varkki E. Collaborative diabetes training in outpatient primary care. J Eur CME. 2017;6(1):1288490. PMID: 29644126 DOI: 10.1080/21614083.2017.1288490
[2]Leslie D, Lansang C, Coppack S, Kennedy L. Diabetes: clinician's desk reference. Florida: CRC Press; 2012.
[3]Federation ID. IDF diabetes atlas. Brussels: International Diabetes Federation; 2013.
[4]Masoudialavi N, Ghofranipor F, Ahmadi F, Rajab A, Babai GH. Quality of life in diabetic patient refers to diabetic association of Iran. Behbood J. 2004;2:47-56.
[5]Larijani GB. The report of diabetes cost in Iran. J Diabetes. 2005;8(30):7-8.
[6]Chen H, Cisternas MG, Katz PP, Omachi TA, Trupin L, Yelin EH, et al. Evaluating quality of life in patients with asthma and rhinitis: English adaptation of the rhinasthma questionnaire. Ann Allergy Asthma Immunol. 2011;106(2):110-8. e1. PMID: 21277512 DOI: 10.1016/j.anai.2010.10.027
[7]Holmes J, Gear E, Bottomley J, Gillam S, Murphy M, Williams R. Do people with type 2 diabetes and their carers lose income?(T2ARDIS-4). Health Policy. 2003;64(3):291-6. PMID: 12745168
[8]Cote I, Grégoire JP, Moisan J, Chabot I. Quality of life in hypertension: the SF-12 compared to the SF-36. Can J Clin Pharmacol. 2004;11(2):e232-8. PMID: 15557672
[9]Snoek FJ. Quality of life: a closer look at measuring patients' well-being. Diabetes Spectrum. 2000;13(1):24-8.
[10]Lustman PJ, Anderson RJ, Freedland KE, De Groot M, Carney RM, Clouse RE. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care. 2000;23(7):934-42. PMID: 10895843
[11]Miksch A, Hermann K, Rölz A, Joos S, Szecsenyi J, Ose D, et al. Additional impact of concomitant hypertension and osteoarthritis on quality of life among patients with type 2 diabetes in primary care in Germany–a cross-sectional survey. Health Qual Life Outcomes. 2009;7(1):19. PMID: 19250524 DOI: 10.1186/1477-7525-7-19
[12]Klein BE, Klein R, Moss SE. Self-rated health and diabetes of long duration: the Wisconsin Epidemiologic Study of Diabetic Retinopathy. Diabetes Care. 1998;21(2):236-40. PMID: 9539988
[13]Tabarsy B. Nursing care and patient education in diabetes. Tehran: Haidari Publishing; 2013. [Persian]
[14]Larsson IE, Sahlsten MJ, Sjöström B, Lindencrona CS, Plos KA. Patient participation in nursing care from a patient perspective: a Grounded Theory study. Scand J Caring Sci. 2007;21(3):313-20. PMID: 17727543 DOI: 10.1111/j.1471-6712.2007.00471.x
[15]McGill M, Blonde L, Chan JC, Khunti K, Lavalle FJ, Bailey CJ, et al. The interdisciplinary team in type 2 diabetes management: Challenges and best practice solutions from real-world scenarios. J Clin Transl Endocrinol. 2017;7:21-7. PMID: 29067246 DOI: 10.1016/j.jcte.2016.12.001
[16]Hughes RG. Patient safety and quality: an evidence‐based handbook for nurses. Adv Patient Saf. 2008;90(4):601-2. PMID: 21328752
[17]Pridmore JA, Murphy F, Williams A. Nursing models and contemporary nursing 2: can they raise standards of care? Nurs Times. 2010;106(24):22-5. PMID: 20642215
[18]Mohammadi E. Design and evaluation of collaborative care model to control high blood pressure. [PhD Dissertation]. Tehran: Tarbiat Modarres University; 2001. [Persian]
[19]Alijany-Renany H, Tamaddoni A, Haghighy-Zadeh M, Pourhosein S. The effect of using partnership care model on the quality of life in the school-age children with β-thalassemia. J Shahrekord Univ Med Sci. 2012;14(1):41-9. [Persian]
[20]Azadi F, Mohammadi I. Effects of partnership care model on quality of life of coronary artery disease patients. Iran J Nurs Res. 2006;1(2):23-9. [Persian]
[21]Haghighat A, Salehi S. Effect of performing collaborative care model on controlling high blood pressure in patients referred to Semnan city's clinics, 2013. J Paramed Sci. 2015;6(4):1-7.
[22]Zare SH, Pishgooie SA, Zareiyan A, Atashzade SF . The effect of the collaborative care model implementation on quality of life in patients with heart diseases. Mil Caring Sci. 2017;4(1):39-48.
[23]Daneshi F, Sabzevari S, Pooraboli B, ShojaeiShahrokhababdi M. The effect of partnership care model on the quality of life of adults with Asthma. Iran J Nurs. 2014;27(88):1-10. [Persian]
[24]Poorkakhki D, Abedsaeidi Z, Yaghmaei F, Alavimajd H, Montazeri A. A survey on quality of life and both individual and disease characteristics of diabeteics patients reffering to Tehran Hospitals in 2004. Iran J Oncol Metab. 2006;8:49-56. [Persian]
[25]Ghafarzadegan R, Masror D, Parvizy S, Khamseh ME, Haghani H. Quality of life in patients with type II diabetes. Payesh. 2013;12(5):489-95. [Persian]
[26]Modh KM, Patel KM, Patel CN. Impact of clinical pharmacist intervention on quality of life in type 2 diabetes mellitus. J Res Med Sci. 2011;2(8):451-60.
[27]Timareh M, Rahimi MA, Abbasi P, Rezaei M, Hyaidarpoor S. Quality of life in diabetic patients referred to the Diabete research Center in Kermanshah. J Kermanshah Univ Med Sci. 2012;16(1):63-9. [Persian]
[28]Borzu S, Biabangardi Z. Effect of education on blood sugar of diabetic patients. J Zanjan Univ Med Sci. 2008;7(26-27):65-72.
[29]Zhao FF, Suhonen R, Koskinen S, Leino‐Kilpi H. Theory‐based self‐management educational interventions on patients with type 2 diabetes: a systematic review and meta‐analysis of randomized controlled trials. J Adv Nurs. 2017;73(4):812-33. PMID: 27681948 DOI: 10.1111/jan.13163
[30]Thommasen HV, Zhang W. Health-related quality of life and type 2 diabetes: a study of people living in the Bella Coola Valley. Br Columbia Med J. 2006;48(6):272.
[31]Mosnier-Pudar H, Hochberg G, Eschwege E, Virally ML, Halimi S, Guillausseau P, et al. How do patients with type 2 diabetes perceive their disease? Insights from the French DIABASIS survey. Diabetes Metab. 2009;35(3):220-7. PMID: 19303338 DOI: 10.1016/j.diabet.2009.02.001
[32]Norris SL, Zhang X, Chowdhury FM, Zhang P. Health related quality of life measured by SF-36 for adults with diabetes: a meta–analysis. Ottawa: Cochrane Collaboration; 2004. P. 111.
[33]Chwastiak LA, Jackson SL, Russo J, DeKeyser P, Kiefer M, Belyeu B, et al. A collaborative care team to integrate behavioral health care and treatment of poorly-controlled type 2 diabetes in an urban safety net primary care clinic. Gen Hosp Psychiatry. 2017;44:10-5. PMID: 28041570 DOI: 10.1016/j.genhosppsych.2016.10.005
[34]Khoshab H, Bagheryan B, Abbaszadeh A, Mohammadi E, Kohan S. The effect of partnership care model on depression and anxiety in the patients with heart failure. Evid Based Care. 2012;2(2):37-46. [Persian]
[35]Borhani F, Khoshab H, Abbaszadeh A, Rashidinejad H, Mohammadi E. Study of the effect of partnership care model on the quality of life in patients with heart failure. Iran J Critical Care Nurs. 2012;5(1):43-8. [Persain]
[36]Chahkhoie M, Shariati A, Majdi Nasab N, Asadizaker M, Latifi M. Collaborative care model effect on multiple sclerosis (MS) patients'lifestyle. Jundishapur J Chron Dis Care. 2013;2(3):47-56.
[37]Rossom RC, Solberg LI, Magnan S, Crain AL, Beck A, Coleman KJ, et al. Impact of a national collaborative care initiative for patients with depression and diabetes or cardiovascular disease. Gen Hosp Psychiatry. 2017;44:77-85. PMID: 27558106 DOI: 10.1016/j.genhosppsych.2016.05.006
[38]Tervaskanto-Mäentausta T, Taanila A, Ukkola O, Mikkilä L, Jokinen J, Varkki E. Collaborative diabetes training in outpatient primary care. J Eur CME. 2017;6(1):1288490. PMID: 29644126 DOI: 10.1080/21614083.2017.1288490