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

196 / 244

Taiwan. At first referral, food frequency questionnaire based
on semi-quantitative food groups was used to assess how well
for diabetes patients to conform to recommended eating
pattern. Biochemical and anthropometrical data were col-
lected and analyzed.
Results: Patient’s mean (±SD) age and DM duration were
60.9 ± 11.8 and 10.1 ± 8.9 years, respectively. The mean A1C
value was 7.6 ± 1.6% and mean BMI was 26.0 ± 3.9 kg/m 2.
Mean proportions of patients who conformed to daily dietary
recommendation for vegetable ( ≥3 Exchanges), fruit (2
Exchanges), grains (Male 12 Exchanges; Female 8 Exchanges),
red and white meats/fish/egg ( ≥4 Exchanges), and soy
products/nuts (1 Exchange) were 56.5%, 18.6%, 9.8%, 46.7%,
and 40.3%, respectively. More patients did not meet the daily
dietary recommendation for fruit and grains than other food
groups. Furthermore, compared to group with A1C ≤ 7.5%,
more of patients with excessive carbohydrate intake either
from fruit group or grain group were found in the group with
A1C > 7.5%, (51.8% vs 35.1%).
Conclusion: Most of type 2 diabetes patients before intensive
diabetes education program did not follow the dietary
recommendation. Inadequate or excessive consumption
from carbohydrate-rich food groups is the most common
found among these patients. Therefore, nutrition education
for type 2 DM patients should focus firstly on carbohydrate
knowledge and portions.
PG-58
Effects of peer support activity by using theater for diabetes
and CKD Japanese patients
Hiroko MORIKAWA 1 *, Kentaroo OKAZAKI2,
Yoshinari YASUDA2, Ken OHASHI3, Kazuko NIN4,
Yuriko KUROE5. 1Fukui University, 2Nagoya University, 3National
Cancer Center Hospital, 4Kyoto University, 5Gifu College of Nursing,
Japan
Objective: In japan, over 20.5 million people have Diabetyes
Mellitus and Prediabetes, and over 13.3 million people have
CKD (chronic kidney disease). The purpose of this study was to
investigate the effects of peer support activity by using original
theater by a questionnaire.
Method: On 10th April 2016, original theater (living well with
CKD) was done in Nagoya University Hospital. Act1: Salty
temptation, new diagnosis CKD patient and his family; Act2:
CKD roost talking, Linkages to detection and clinical care, the
theater was composed by Act (10-minute) and talking each
other session (20-minute) for the participants. The question-
nairewasmaking by ARCS-V (attention, relevance, confidence,
satisfaction, volition) model.
Results: 190 participants and the respond of questionnairewas
145(76.3%), male patients; 69, <CKD 52, not CKD 17, CKD with
diabetes 23(44.2%)>, female patients; 68, <CKD29, not CKD39,
CKD with diabetes 9 (31.0%)>, and health care providers 8<not
CKD 8>. Over 70 years participants were 70members (51%). The
ARCS-V model, satisfaction was very high score (strong agree
and agree) 117 (85.5%).
Conclusion: These results suggested that the participants
were highly advanced age and developing severe compli-
cations. The participant talked openhearted his confused
feelings, and the interaction, the empathy was happened by
the peer support, theater was a strategic oppotunity to express
the client’s emotion and reflect own self-care behaviors.
This work was supported by JSPS KAKENHI Grant Number
26463302:Grant-in-Aid for Scientific Research (C).
PG-59
Development of the active eating behavior improvement
program using the conjoint analysis
Futoshi EBARA 1,2*. 1Takada Central Hospital, 2Tokyo Jikei Univ,
Japan
Background and aims: In the therapy for diabetes, nutrition
education is indispensable. In Japan, dietitians are the ones
who give the personal nutrition education to diabetic patients
based on their dietary records and interviews. This conven-
tional instructional method is similar to a teacher-student
relation, and it lacks the independence of a patient.
However, the approach of organizational behavior focused on
eating behavior is difficult to evaluate its effectiveness, and
has yet to be commonly practiced.
The aim of this study is to create a program tool to improve
eating behavior based on behavioral medicine approach.
Methods: Essential factors for diabetic patients to improve
their behavior and achieve their objectives are goal setting and
the PDCA Cycle.
First, specific small goals are set for them between the starting
point and their ultimate objectives. Patients then repeat four
stages of PLAN → DO → CHECK → ACTION to achieve these
small goals and meet the ultimate objectives.
In order for patients to build this habit, it requires five
elements including ① S (Specific), ② M (Measurable), ③ A
(Agreed upon, uncomplicated), ④ R (Realistic, practical), and ⑤
T (Timely, clear deadlines).
We conducted conjoint analysis to investigate which elements
are essential in each of the four stages.
This is an observational study. A survey using self-completed
questionnaires was conducted among 70 patients with type 2
diabetes who had been received conventional nutrition
education.
Results: The two most essential elements and a program
outline for each stage are shown below.
P→ST Set small weekly goals
D→RM Use a check list to help consume nine types of healthy
food
C→MA Visualize the progress by summarizing the scores and
keeping a diary
A→AS Clarify what to do by quantifying the progress
The characteristics of this program are ① simple and straight-
forward, ② future-oriented, and ③ diverse.
Conclusion: Visualizing set objectives in this program enabled
patients to choose the menu of their next meal by themselves,
which helped establish an eating behavior improvement
program that can be adopted by anyone, anytime and
anywhere.
PG-60
Impact of medication review by pharmacist toward the
medication adherence of type 2 diabetes in outpatient setting
Hsin-Yen CHEN1*, Chi-Lan KAO1 , Yen-Hua CHEN1,
Hsin-Tien WU1, Yu-Ning LI3, Yueh-Jen HSIAO3, Yu-Ju CHEN 1,
Chia-Lin CHU2, Ching-Ling LIN2, Wan-Tsui HUANG1,3.
1Department of Pharmacy, Cathay General Hospital, 2Department of
Endocrinology, Cathay General Hospital, 3School of Pharmacy, Taipei
Medical University, Taipei, Taiwan
Background: Medication adherence is very important for
disease management. In 2003, WHO made calls to remind
everyone to take medication to control the disease have a
considerable influence. The purpose of this study is to provide
diabetes patients with Pharmaceutical services in order to
improve medication adherence rates.
Method: We conducted a prospective cohort study including
patients with diabetes diagnosis under metabolic department
regular OPD follow-up over 1 year, and aged over 45 years.
Patients diagnosed with type 1 diabetes are excluded. All
participants were divided into two groups according to
hemoglobin A1C (A1C): well-controlled group (WC) A1C ≦ 7
and poor-controlled group (PC) A1C > 7. Each group is divided
into two subgroups. We intervene the patients in two
different ways: one subgroup received regular health educa-
tion (regular intervention), and the other group received
intensive health education (telephone call intervention).
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S178