(DCP023) ABCDESSS TOOL IMPROVES THE EFFECTS OF DIABETES SELF-MANAGEMENT EDUCATION INTERVENIONS IN PEOPLE WITH DIABETES

Background: Limited evidence has been reported for using the ABCDESSS tool of diabetes care to enhance the effects of Diabetes Self-Management Education (DSME). This study aimed to investigate the effectiveness of using the ABCDESSS tool in DSME interventions for people with diabetes.

METHODS AND RESULTS: The study used a one-group repeated measures design and included 128 eligible consenting patients with diabetes (male 73, female 55, age 62.13 ±12.86 years, diabetes duration 13.55 ±8.57 years). The ABCDESSS tool guided the DSME interventions, which consisted of an initial one-hour comprehensive session covering nutrition, exercise, self-monitoring of blood sugar and blood pressure, lipids management, diabetes medications, screening for complications, and smoking cessation. Patients were provided with a poster highlighting the eight key points of diabetes care (ABCDESSS) and were asked to put it on their fridge or other visible locations at home. Booster sessions were provided at 3, 6, and 9-months follow-ups, each session lasting about 30 minutes. The outcomes were assessed at pre-test, and post-test at 1 year follow-up. Chi-square and t tests were used to examine changes in outcomes at pretest and post-test.

Results: The study's primary outcomes were changes in metabolic parameters (FBG, HbA1c, BP, triglycerides, and LDL) and diabetes self-management behaviors (self-report diet, exercise, self-monitoring of blood sugar, blood pressure, and medications adherence) assessed at pre-test and post-test at 1-year follow-up. The results indicated that the ABCDESSS tool guided DSME interventions significantly improved diabetes metabolic control and self-management behaviors in patients with diabetes. Specifically, metabolic parameters and self-management behaviors significantly improved at 12 month follow-ups after delivering the DSME interventions (all p< 0.05).

Conclusion: This study's findings suggest that using the ABCDESSS tool in DSME interventions can enhance the effects of diabetes self-management education. The comprehensive approach to diabetes management can lead to improved metabolic control and better health outcomes for patients with diabetes.