Effect of locally-contextualized nurse-led diabetes self-management education on psychosocial health and quality of life: A controlled before-after study

Our study evaluated the potential of nurse-led, locally contextualized diabetes self-management education (DSME) to modify psychosocial symptoms and health-related quality life (HRQoL) in a resource-limited setting. Thus, controlled, two-group, before-after was conducted among people with type 2 mellitus (T2DM). At baseline, 116 participants were randomly assigned intervention, 104 comparison group. The intervention consisted six interactive DSME sessions administered by nurses for months. endline, data from 78 (67%) 64 (62%) group included final analysis. Statistically, no significant differences observed depressive symptoms, stress, HRQoL. Even though statistically not proportion who had eye examination at endline slightly greater group, which is clinically reducing risk retinopathy complication. Moreover, reported be helpful management stress symptoms. We discuss different reasons that may explain non-significant findings, most specifically, gaps adaptation materials setting, modifications low-literacy. Despite findings this part our study, overall project paved way design test programs settings Africa. This clinical trial retrospectively registered on ClinicalTrials.gov (Identifier: NCT03185689) June 14, 2017. https://clinicaltrials.gov/ct2/show/NCT03185689