Effectiveness Of Lifestyle Counselling In Management Of Hypertension And Diabetes In An Urban Community Of Manipur: A Quasi-Experimental Study.

Authors

  • Jalina Laishram RIMS, Imphal
  • Pooja Akoijam RIMS, Imphal
  • Soubam Christina RIMS, Imphal
  • Reena Devi Thoudam RIMS, Imphal
  • Avantika Gupta RIMS, Imphal
  • Brogen Singh Akoijam RIMS, Imphal

DOI:

https://doi.org/10.37506/xj0bf509

Keywords:

Lifestyle counselling, quasi-experimental study, WHO STEPS, NCDs

Abstract

Background: Lifestyle counselling is an effective, non- invasive way to manage weight, glycemic control, blood pressure and to reduce the risk of fatal complications in hypertensives and diabetics.

Objective: To assess the effectiveness of lifestyle counselling in management of hypertension and diabetes in an urban community of Manipur, India.

Methods:

A quasi-experimental study was conducted among 51 cases each in intervention and control groups. Study population was known cases of hypertension and/or diabetes. One-on-one lifestyle counselling was done on the four risk behaviors i.e, unhealthy diet, insufficient physical activity, tobacco and alcohol use. Effectiveness was assessed by a modified version of WHO STEPS questionnaire and physical and biochemical measurements collected at baseline and 6 months post-intervention.  Chi-square test, independent t-test and paired t-test were used to compare the continuous variables between the two groups and within the group.

Results: There was no significant difference at baseline and post-intervention blood pressure, BMI and waist-hip ratio and random blood sugar between intervention and control group.

However, within group comparison showed a significant decrease in random blood sugar in the control group (p=0.044).

Conclusions:

 Our results found no effect of the intervention among people with hypertension and diabetes. More intensive intervention with several sessions might be required to see a significant change in the control of hypertension and diabetes.

 

 

References

WHO. Non-communicable diseases. April 13, 2021. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Last accessed on 15/10/2021.

NHP admin. Non-communicable Diseases. Feb 16, 2021. https://www.nhp.gov.in/healthlyliving/ncd2019. Last accessed on 15/10/2021.

Kumari G, Singh V, Jhingan AK, Chhajer B, Dahiya Saurabh. Effectiveness of lifestyle modification counseling on glycemic control in type 2 diabetes mellitus patients. Curr Res Nutr Food Sci Jour 2018;6(1):70-82.

AO Ayodapo, TAV Olukokun. Lifestyle counselling and behavioural change: role among adult hypertensives in a rural tertiary institution. SA Fam Pract 2019;61(3): 91-96. DOI: 10.1080/20786190.2019.1569453.

Yang MH, Kang SY, Lee JA, Kim YS, Sung EJ, Lee KY, et al. The effect of lifestyle changes on blood pressure control among hypertensive patients. Korean J Fam Med 2017;38(4):173-180. DOI: 10.4082/kjfm.2017.38.4.173.

Al-Sinani M, Min Y, Ghebremeskel K, Qazaq HS. Effectiveness of and adherence to dietary and lifestyle counselling: effect on metabolic control in type 2 diabetic Omani patients. Sultan Qaboos Univ Med J 2010 Dec;10(3):341-9.

Correia JC, Lachat S, Lagger G, Chappuis F, Golay A, Beran D. Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low- and middle-income countries:a scoping review. BMC Public Health 2019;19:1542. https://doi.org/10.1186/s12889-019-7842-6

WHO. Hearts Technical package. June 25, 2018. https://www.who.int/publications/i/item/hearts-technical-package. Last accessed on 15/10/2021.

WHO. STEPwise Approach to NCD Risk Factor Surveillance (STEPS). https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps. Last accessed on 15/10/2021

Lu CH, Tang ST, Lei YX, Zhang MQ, Lin WQ, Ding SH, et al. Community-based interventions in hypertensive patients: a comparison of three health education strategies.BMC Public Health 2015;15:33.

Johnson W, Shaya FT, Khanna N, Warrington VO, Rose VA, Yan X, et al. The Baltimore Partnership to Educate and Achieve Control of Hypertension (The BPTEACH Trial): a randomized trial of the effect of education on improving blood pressure control in a largely African American population. The Journal of Clinical Hypertension 2011;13(8):563-70.

Hennessy S, Leonard CE, Yang W, Kimmel SE, Townsend RR, Wasserstein AG, et al. Effectiveness of a two-part educational intervention to improve hypertension control: a cluster-randomized trial. Parmacotherapy 2006;26(9):1342-47.

Downloads

Published

2024-09-20

How to Cite

Effectiveness Of Lifestyle Counselling In Management Of Hypertension And Diabetes In An Urban Community Of Manipur: A Quasi-Experimental Study. (2024). Indian Journal of Public Health Research & Development, 15(4), 168-176. https://doi.org/10.37506/xj0bf509