Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia
(1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational inte...
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| Veröffentlicht in: | Healthcare (Basel) 2023-07, Vol.11 (13), p.1929 |
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| creator | Mohd, Zahiruddin Wan Ahmad, Siti Rohana Yaacob, Nor Azwany Mohd Shariff, Noorsuzana Jaeb, Mat Zuki Hussin, Zalmizy |
| description | (1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational interviewing (MI) technique implemented within directly observed treatment as part of a short course (DOTS) program in TB patients with diabetes (TB/DM). A randomized controlled trial was conducted in the northeastern state of Malaysia. (2) Methods: One hundred and twenty-four TB patients with diabetes received educational intervention using a MID-DOT module that used the MI technique, which was repetitively applied by TB nurses throughout a 6-month DOTS program while another 122 patients were given standard health education. Study outcomes include the proportion of patients with successful TB treatment, and changes in HbA1c and diabetic self-care scores at 6 months. (3) Results: The successful TB treatment outcome was 88% in the intervention group versus 72% in the control group (RR = 1.24; 95%CI 1.16, 1.58). A significant reduction of HbA1c (mean difference 0.82%; 95%CI 0.66, 0.98) and significantly higher diabetes self-care score (mean difference 8.49; 95%CI 7.38, 9.59) were also shown in the intervention group. (4) Conclusions: A dual TB/DM educational strategy which integrates the MI technique applied repetitively within the DOTS program is effective in increasing successful TB treatment as well as improving diabetic outcomes. |
| doi_str_mv | 10.3390/healthcare11131929 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10341500</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A758284658</galeid><sourcerecordid>A758284658</sourcerecordid><originalsourceid>FETCH-LOGICAL-c449t-e3c758e7d1dc620270e1b2a895bbff1be93f92285095ef72bad7965dd5762ce83</originalsourceid><addsrcrecordid>eNptUk1v1DAQjRCIVqV_gAOyxKUcUvwRx_EJVV1aVuqqHJaz5TiTrKvELrazVW_8dLxtqbaAffDo-b3nmfEUxXuCTxmT-PMG9Jg2RgcghDAiqXxVHFJKRSkxo6_34oPiOMYbnJckrGH8bXHARFVVomaHxa-lc36rk90CWroEQ9AJOrTyGcmod3p8wMPWwp11A-p9QIs5oyvt9AATuISsQ-u5hWDm0Ucb0feszHhEdzZt0MLqFhJEdLJaLsrF9frTTrDSo76PVr8r3vR6jHD8dB4VPy6-rs-_lVfXl8vzs6vSVJVMJTAjeAOiI52pKaYCA2mpbiRv274nLUjWS0objiWHXtBWd0LWvOu4qKmBhh0VXx59b-d2gs7k_IIe1W2wkw73ymurXt44u1GD3yqCWUU4xtnh5Mkh-J8zxKQmGw2Mo3bg56howxpasVrwTP34F_XGzyH38oFVs_wTZI816BGUdb3PD5udqTrLxdKmqvku8dP_sPLuYLLGO-htxl8I6KPABB9jgP65SILVbnbUv7OTRR_22_Ms-TMp7DdQ4sJd</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2836309115</pqid></control><display><type>article</type><title>Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Mohd, Zahiruddin Wan ; Ahmad, Siti Rohana ; Yaacob, Nor Azwany ; Mohd Shariff, Noorsuzana ; Jaeb, Mat Zuki ; Hussin, Zalmizy</creator><creatorcontrib>Mohd, Zahiruddin Wan ; Ahmad, Siti Rohana ; Yaacob, Nor Azwany ; Mohd Shariff, Noorsuzana ; Jaeb, Mat Zuki ; Hussin, Zalmizy</creatorcontrib><description>(1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational interviewing (MI) technique implemented within directly observed treatment as part of a short course (DOTS) program in TB patients with diabetes (TB/DM). A randomized controlled trial was conducted in the northeastern state of Malaysia. (2) Methods: One hundred and twenty-four TB patients with diabetes received educational intervention using a MID-DOT module that used the MI technique, which was repetitively applied by TB nurses throughout a 6-month DOTS program while another 122 patients were given standard health education. Study outcomes include the proportion of patients with successful TB treatment, and changes in HbA1c and diabetic self-care scores at 6 months. (3) Results: The successful TB treatment outcome was 88% in the intervention group versus 72% in the control group (RR = 1.24; 95%CI 1.16, 1.58). A significant reduction of HbA1c (mean difference 0.82%; 95%CI 0.66, 0.98) and significantly higher diabetes self-care score (mean difference 8.49; 95%CI 7.38, 9.59) were also shown in the intervention group. (4) Conclusions: A dual TB/DM educational strategy which integrates the MI technique applied repetitively within the DOTS program is effective in increasing successful TB treatment as well as improving diabetic outcomes.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare11131929</identifier><identifier>PMID: 37444763</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Activities of daily living ; Care and treatment ; Chronic illnesses ; Clinical outcomes ; Counseling ; Diabetes ; Diabetics ; Disease ; Education ; Educational materials ; Lifestyles ; Medical care ; Methods ; Motivation ; Nurses ; Patient compliance ; Patient education ; Patients ; Quality management ; Questionnaires ; Tuberculosis ; Type 2 diabetes</subject><ispartof>Healthcare (Basel), 2023-07, Vol.11 (13), p.1929</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c449t-e3c758e7d1dc620270e1b2a895bbff1be93f92285095ef72bad7965dd5762ce83</cites><orcidid>0000-0002-1692-8626 ; 0000-0002-5564-6111 ; 0000-0003-4695-8815 ; 0000-0002-4496-5563 ; 0000-0002-5211-2800</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341500/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341500/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37444763$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mohd, Zahiruddin Wan</creatorcontrib><creatorcontrib>Ahmad, Siti Rohana</creatorcontrib><creatorcontrib>Yaacob, Nor Azwany</creatorcontrib><creatorcontrib>Mohd Shariff, Noorsuzana</creatorcontrib><creatorcontrib>Jaeb, Mat Zuki</creatorcontrib><creatorcontrib>Hussin, Zalmizy</creatorcontrib><title>Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia</title><title>Healthcare (Basel)</title><addtitle>Healthcare (Basel)</addtitle><description>(1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational interviewing (MI) technique implemented within directly observed treatment as part of a short course (DOTS) program in TB patients with diabetes (TB/DM). A randomized controlled trial was conducted in the northeastern state of Malaysia. (2) Methods: One hundred and twenty-four TB patients with diabetes received educational intervention using a MID-DOT module that used the MI technique, which was repetitively applied by TB nurses throughout a 6-month DOTS program while another 122 patients were given standard health education. Study outcomes include the proportion of patients with successful TB treatment, and changes in HbA1c and diabetic self-care scores at 6 months. (3) Results: The successful TB treatment outcome was 88% in the intervention group versus 72% in the control group (RR = 1.24; 95%CI 1.16, 1.58). A significant reduction of HbA1c (mean difference 0.82%; 95%CI 0.66, 0.98) and significantly higher diabetes self-care score (mean difference 8.49; 95%CI 7.38, 9.59) were also shown in the intervention group. (4) Conclusions: A dual TB/DM educational strategy which integrates the MI technique applied repetitively within the DOTS program is effective in increasing successful TB treatment as well as improving diabetic outcomes.</description><subject>Activities of daily living</subject><subject>Care and treatment</subject><subject>Chronic illnesses</subject><subject>Clinical outcomes</subject><subject>Counseling</subject><subject>Diabetes</subject><subject>Diabetics</subject><subject>Disease</subject><subject>Education</subject><subject>Educational materials</subject><subject>Lifestyles</subject><subject>Medical care</subject><subject>Methods</subject><subject>Motivation</subject><subject>Nurses</subject><subject>Patient compliance</subject><subject>Patient education</subject><subject>Patients</subject><subject>Quality management</subject><subject>Questionnaires</subject><subject>Tuberculosis</subject><subject>Type 2 diabetes</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptUk1v1DAQjRCIVqV_gAOyxKUcUvwRx_EJVV1aVuqqHJaz5TiTrKvELrazVW_8dLxtqbaAffDo-b3nmfEUxXuCTxmT-PMG9Jg2RgcghDAiqXxVHFJKRSkxo6_34oPiOMYbnJckrGH8bXHARFVVomaHxa-lc36rk90CWroEQ9AJOrTyGcmod3p8wMPWwp11A-p9QIs5oyvt9AATuISsQ-u5hWDm0Ucb0feszHhEdzZt0MLqFhJEdLJaLsrF9frTTrDSo76PVr8r3vR6jHD8dB4VPy6-rs-_lVfXl8vzs6vSVJVMJTAjeAOiI52pKaYCA2mpbiRv274nLUjWS0objiWHXtBWd0LWvOu4qKmBhh0VXx59b-d2gs7k_IIe1W2wkw73ymurXt44u1GD3yqCWUU4xtnh5Mkh-J8zxKQmGw2Mo3bg56howxpasVrwTP34F_XGzyH38oFVs_wTZI816BGUdb3PD5udqTrLxdKmqvku8dP_sPLuYLLGO-htxl8I6KPABB9jgP65SILVbnbUv7OTRR_22_Ms-TMp7DdQ4sJd</recordid><startdate>20230704</startdate><enddate>20230704</enddate><creator>Mohd, Zahiruddin Wan</creator><creator>Ahmad, Siti Rohana</creator><creator>Yaacob, Nor Azwany</creator><creator>Mohd Shariff, Noorsuzana</creator><creator>Jaeb, Mat Zuki</creator><creator>Hussin, Zalmizy</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1692-8626</orcidid><orcidid>https://orcid.org/0000-0002-5564-6111</orcidid><orcidid>https://orcid.org/0000-0003-4695-8815</orcidid><orcidid>https://orcid.org/0000-0002-4496-5563</orcidid><orcidid>https://orcid.org/0000-0002-5211-2800</orcidid></search><sort><creationdate>20230704</creationdate><title>Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia</title><author>Mohd, Zahiruddin Wan ; Ahmad, Siti Rohana ; Yaacob, Nor Azwany ; Mohd Shariff, Noorsuzana ; Jaeb, Mat Zuki ; Hussin, Zalmizy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-e3c758e7d1dc620270e1b2a895bbff1be93f92285095ef72bad7965dd5762ce83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of daily living</topic><topic>Care and treatment</topic><topic>Chronic illnesses</topic><topic>Clinical outcomes</topic><topic>Counseling</topic><topic>Diabetes</topic><topic>Diabetics</topic><topic>Disease</topic><topic>Education</topic><topic>Educational materials</topic><topic>Lifestyles</topic><topic>Medical care</topic><topic>Methods</topic><topic>Motivation</topic><topic>Nurses</topic><topic>Patient compliance</topic><topic>Patient education</topic><topic>Patients</topic><topic>Quality management</topic><topic>Questionnaires</topic><topic>Tuberculosis</topic><topic>Type 2 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mohd, Zahiruddin Wan</creatorcontrib><creatorcontrib>Ahmad, Siti Rohana</creatorcontrib><creatorcontrib>Yaacob, Nor Azwany</creatorcontrib><creatorcontrib>Mohd Shariff, Noorsuzana</creatorcontrib><creatorcontrib>Jaeb, Mat Zuki</creatorcontrib><creatorcontrib>Hussin, Zalmizy</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Healthcare (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mohd, Zahiruddin Wan</au><au>Ahmad, Siti Rohana</au><au>Yaacob, Nor Azwany</au><au>Mohd Shariff, Noorsuzana</au><au>Jaeb, Mat Zuki</au><au>Hussin, Zalmizy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia</atitle><jtitle>Healthcare (Basel)</jtitle><addtitle>Healthcare (Basel)</addtitle><date>2023-07-04</date><risdate>2023</risdate><volume>11</volume><issue>13</issue><spage>1929</spage><pages>1929-</pages><issn>2227-9032</issn><eissn>2227-9032</eissn><abstract>(1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational interviewing (MI) technique implemented within directly observed treatment as part of a short course (DOTS) program in TB patients with diabetes (TB/DM). A randomized controlled trial was conducted in the northeastern state of Malaysia. (2) Methods: One hundred and twenty-four TB patients with diabetes received educational intervention using a MID-DOT module that used the MI technique, which was repetitively applied by TB nurses throughout a 6-month DOTS program while another 122 patients were given standard health education. Study outcomes include the proportion of patients with successful TB treatment, and changes in HbA1c and diabetic self-care scores at 6 months. (3) Results: The successful TB treatment outcome was 88% in the intervention group versus 72% in the control group (RR = 1.24; 95%CI 1.16, 1.58). A significant reduction of HbA1c (mean difference 0.82%; 95%CI 0.66, 0.98) and significantly higher diabetes self-care score (mean difference 8.49; 95%CI 7.38, 9.59) were also shown in the intervention group. (4) Conclusions: A dual TB/DM educational strategy which integrates the MI technique applied repetitively within the DOTS program is effective in increasing successful TB treatment as well as improving diabetic outcomes.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>37444763</pmid><doi>10.3390/healthcare11131929</doi><orcidid>https://orcid.org/0000-0002-1692-8626</orcidid><orcidid>https://orcid.org/0000-0002-5564-6111</orcidid><orcidid>https://orcid.org/0000-0003-4695-8815</orcidid><orcidid>https://orcid.org/0000-0002-4496-5563</orcidid><orcidid>https://orcid.org/0000-0002-5211-2800</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of daily living Care and treatment Chronic illnesses Clinical outcomes Counseling Diabetes Diabetics Disease Education Educational materials Lifestyles Medical care Methods Motivation Nurses Patient compliance Patient education Patients Quality management Questionnaires Tuberculosis Type 2 diabetes |
| title | Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia |
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