Diabetes Research and Clinical Practice - Volume 120 - Supplement 1 - October 2016

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diabetes patients in their self-management. The mobile
communication tool used in this study is “Line”. It was used
for the fast and efficient tool for diabetes health education
communication and reminder. The quality and success of
diabetes health education of Line, the mobile communication
software, intervention was further investigated.
Methods: This study consisted of 12 months of research and
follow-up. A total of 86 diabetes patients have participated in
this study. The participants’ pre and post-intervention bio-
logical markers and satisfactions were determined and
analyzed. Statistical analyses were performed with SPSS 20.0,
and the results presented as descriptive statistics and pair-
sample T-tests.
Results: Therefore, the use of the mobile communication
software Line) was demonstrated to produce significant
improvements for A1C, total cholesterol, and LDL. The survey
portion of the study indicated that the service acceptance and
satisfaction correlated positively with each other. The diet
compliance also increased from 34.8% to 76.2%, post interven-
tion; and the regular clinical visit rate also increased from
76.4% to 98.6%.
Discussion: The use of mobile communication software
for diabetes health education intervention was demonstrated
to significantly improve patient A1C, total cholesterol, and
LDL. The patients ’ acceptance, satisfaction, diet compliance,
and regular clinic visit rates were also increased. With the
improvement of communication technologies, it is with hopes
that in the future, the use of mobile communication software
can be used as an important tool for the medical care team in
health education communication.
PG-12
Symptom management education program for people with
type 2 diabetes
Li-Ying LIN 1 *, Hing-Chung LAM2, Ruey-Hsia WANG2.
1 Department of Nursing, Kaohsiung Veterans General Hospital,
Kaohsiung City, 2Center for Geriatrics and Gerontology, Kaohsiung
Veterans General Hospital, Taiwan
The purpose of this study is to examine the effects of
the Symptom Management Model-based education program
for patients living with type 2 diabetes. Purposive sampling
obtained from outpatient department of a medical center in
southern Taiwan. Sampling criteria included: (1) diagnose of
type 2 diabetes, (2) age between 20 and 80 years olds, (3)
clear mental status and able to communicate, (4) HbA1C 8%
or higher. This was a pilot study. Patients were randomly
assigned into experiment or control group. Subjects in control
group received the routine clinical care. The subjects of the
experimental group received a symptom management- based
education program. The program was held 60–90 minute
interview. The data were collected by Diabetes Symptom
Checklist, Diabetes Self-Care Scale, Diabetes Quality of Life
Scale, and blood HbA1C before the education program and 3
months after the intervention program.
The results of this study indicated that patients in the
experiment group significantly improved their levels of self-
care behaviors, quality of life at 3 months post-intervention;
however, their HbA1C levels and symptom experience hadn ’t
difference significantly.
In conclusion, the results of this study provide a reference for
health education, practice, and research for diabetes patients.
To promote the health and quality of life of patients living with
type 2 diabetes, a symptom management based education
program could be used.
PG-13
Elucidation of lifestyles that affect the quality of life (QOL)
related to the therapy for patients with type 2 diabetes
Yuka MATSUMOTO 1*, Kumi TANAKA2, Motoyoshi SAKAUE1.
1 University of Hyogo, Graduate School of Human Science and
Environment, 2Ino Hospital, Japan
High adherence to diabetes therapy is a key to maintain a good
glycemic control. To keep patients in high adherence, it is
important to increase their diabetes therapy related (DTR)-QOL
to higher state. In this study to elevate DTR-QOL by patient
education, it was elucidated what kind of lifestyle affected the
DTR-QOL. Study subjects were 65 outpatients with type 2
diabetes (male 31, female 34). DTR-QOL was quantified with a
questionnaire. This questionnaire consisted of 29 questions
relating to 4 factors; “burden on social activities and daily
activities”, “anxiety and dissatisfaction with treatment”,
“hypoglycemia ”, and “satisfaction with treatment”. Score of
DTR-QOL was shown by the 100-point scale. Lifestyle of
patients was asked using a questionnaire consisting of 24
items about lifestyle. It was answered in a 4-point scale
(1 = agree to, 4 = not agree to). The subjects were classified as
follows; 1 and 2 were the Yes, 3 and 4 were the No. Age of
subjects was 71.4 ± 8.7 year-old, BMI was 23.9 ± 4.2, and HbA1c
was 6.9 ± 1.5%. Total score of DTR-QOL was compared between
the Yes and the No. Significant differences were observed in
two items; “Do you try to do physical activity in everyday life
for health maintenance? (Yes: 76.1 ± 13.3, No: 57.4 ± 14.5)”, and
“Do you feel stress or fatigue? (Yes: 68.5 ± 13.5, No: 79.7 ± 14.0) ”.
We next analyzed the score of each DTR-QOL factor.
In addition to 2 items described above, 3 items were found to
be affected the score of DTR-QOL. Score of “burden on social
activities and daily activities” was significantly lower in the
Yes as to“Do you have the situation you are hard to sleep? (Yes:
71.0 ± 17.9, N: 82.9 ± 17.6)” and “Do you skip a meal (Yes:
63.6 ± 24.0, No: 80.7 ± 17.0)” . In the Yes as to “Do you eat
until fullness?”, the score of “satisfaction with treatment” was
also significantly lower, compared with the No (Yes:
48.1 ± 16.7, No: 63.5 ± 20.8). It was demonstrated that five
kinds of lifestyle were associated with DTR-QOL. “To do
physical activity in everyday”, “ not to skip a meal”, and “not
to eat until fullness” were lifestyles that could be improved
through education for patients. Higher DTR-QOL would be
achieved if patients were educated, focusing on improvement
of these lifestyles.
PG-14
Pilot implementation of a novel post-graduate medical
education program: Steno REACH certificate course in clinical
diabetes care – Malaysia
Feisul MUSTAPHA1*, Michael CALOPIETRO2. 1Steno Diabetes
Center, Malaysia; 2Steno Diabetes Center, Denmark
The Steno REACH Certificate Course in Clinical Diabetes Care
(SRCC) is a comprehensive, competency-based educational
program that blends eLearning and classroom-based group
work with the aim to improve the capacity of primary care
doctors and nurses to deliver high-quality diabetes care. Using
the pedagogical model of the flipped classroom, 100 hours of
foundational material is delivered in a self-paced, online
platform while another 50 hours of classroom time is
devoted to reinforcing core concepts through interactive
learning activities, mini-lectures, and case discussions.
Classroom learnings are facilitated by a team of Malaysian
Endocrinologists, Family Medicine Specialists, Diabetes
Nurses, and dieticians who completed a train-the-trainer
program hosted by Steno Diabetes Center. Completing the
learning circle are clinic-based learning activities. Unlike most
long-format, post-graduate medical training programs, parti-
cipants are able to work full-time – thereby overcoming a
common barrier to participation in extensive continuing
medical education.
Through an agreement between the Ministry of Health
Malaysia and Steno Diabetes Center Malaysia, 12 doctors and
24 nurses working in ten public health clinics in two states
in Malaysia were enrolled in the pilot class of SRCC on 10
October 2015. This pioneering batch of participants will
complete the training on 10 April 2016. The aim of the pilot
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S163