Evidence map›Paper›PMID 40237832›Full record

Trial reportActa diabetologica2025

Enhancing self-care management in diabetic patients: a randomized controlled trial exploring the interplay of social support, self-efficacy, and empowerment.

Nevin F Ibrahim, Hanaa A Nofal, Hossam Tharwat Ali, Dina S El-Rafey, Noura Almadani, Rasha Mahfouz, Reda M Khodary

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Acta diabetologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Nevin F IbrahimInternal Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Hanaa A NofalCommunity, Environmental, and Occupational Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Hossam Tharwat AliQena Faculty of Medicine, South Valley University, Qena, 83621, Egypt. Hossam.Tharwat@med.svu.edu.eg.ORCID http://orcid.org/0000-0001-8077-5911
Dina S El-RafeyCommunity, Environmental, and Occupational Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Noura AlmadaniCommunity and Psychiatric Mental Health Nursing Department, College of Nursing, Princess Nourah Bint Abdulrahman University, Riyadh, 11671, Saudi Arabia.
Rasha MahfouzCommunity and Psychiatric Mental Health Nursing Department, College of Nursing, Princess Nourah Bint Abdulrahman University, Riyadh, 11671, Saudi Arabia.
Reda M KhodaryInternal Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Funding

Princess Nourah Bint Abdulrahman University PNURSP2025R347
6 · The paper itself

Abstract

backgroundDespite the significant global and Egyptian prevalence of Type 2 Diabetes Mellitus (T2DM), with the recognized importance of self-care and social support in enhancing glycemic control, there is a scarcity of studies on this topic within Egypt's especially interventional studies and role of enhancement program on diabetic self-management practice. Our objective is to evaluate the effect of a health education program on the enhancement of self-care management compared to the usual care and explore factors affecting self-care management as social support, self-efficacy, and empowerment among patients with T2DM.

methodsA randomized control trial was conducted on 330 (165:165) T2DM patients confirmed more than one year and had regular visits to the diabetic patient clinic in our hospital. The study outcomes include diabetes knowledge, self-management practice, social support, self-efficacy, and empowerment along with body mass index (BMI), glycated hemoglobin (HbA1c), and fasting blood glucose (FBG).

resultsThe intervention group had significant improvements in knowledge and self-practice with post-intervention adequate values (80.0% and 87.8%) compared to the control (40% and 55.1%) respectively (p-value < 0.001). Furthermore, a significant increase in patients with controlled FBG and HbA1c occurred in both groups (p-value < 0.001) with a significantly higher increase in the intervention group (p-value < 0.001). In total, 60.9%, 58.8%, and 25.7% of the patients had satisfactory social support, self-efficacy, and empowerment, respectively.

conclusionThe results indicated that a diabetes self-care management education program was proven to be effective in improving patients' self-care management. Social support, self-efficacy, and empowerment could have positive roles.

Indexed as

Diabetes Mellitus, Type 2EmpowermentSelf CareSelf EfficacySocial SupportAdultAgedBlood GlucoseEgyptFemaleGlycated HemoglobinHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient Education as TopicBlood GlucoseGlycated HemoglobinEmpowermentPracticeSelf-careSelf-efficacySelf-managementSocial support

Identifiers

PMID40237832

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.