Randomized controlled clinical trial of blood glucose awareness training (BGAT III) in Switzerland and Germany
Identifieur interne : 001958 ( Main/Merge ); précédent : 001957; suivant : 001959Randomized controlled clinical trial of blood glucose awareness training (BGAT III) in Switzerland and Germany
Auteurs : Hartmut Schachinger [Allemagne, Suisse] ; Karin Hegar [Suisse] ; Norbert Hermanns [Allemagne] ; Madeleine Straumann [Suisse] ; Ulrich Keller [Suisse] ; Gabriele Fehm-Wolfsdorf [Allemagne] ; Willi Berger [Suisse] ; Daniel Cox [États-Unis]Source :
- Journal of behavioral medicine [ 0160-7715 ] ; 2005.
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Abstract
Although both diabetes and the efficacy of medical management are international issues, psycho-educational interventions might be culturally bound. Blood Glucose Awareness Training (BGAT) is a psycho-educational program for patients with type 1 diabetes mellitus. It is focused on improving recognition and management of extreme blood glucose levels, and is the best documented American psycho-educational program for this purpose. A randomized controlled clinical trial of BGAT's long-term benefits in a non-American setting has been lacking. One hundred and eleven adults with type 1 diabetes mellitus from Switzerland and Germany participated. After a 6 months baseline assessment, subjects were randomly assigned to receive either 2 months of BGAT (n = 56) or a physician-guided self-help control intervention (n=55). BGAT improved recognition of low (p = 0.008), high (p = .03), and overall blood glucose (p = 0.001), and reduced frequency of severe hypoglycemia (p = 0.04), without compromising metabolic control. BGAT reduced both the external locus of control (p < 0.02) and fear of hypoglycemia (p < 0.02). BGAT was efficacious in reducing adverse clinical events and achieving clinically desirable goals in a European, as well as American setting.
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Awareness</term>
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<term>Emotion emotionality</term>
<term>Fear</term>
<term>Germany</term>
<term>Glucose</term>
<term>Hypoglycemia</term>
<term>Psychoeducation</term>
<term>Selfcare</term>
<term>Social environment</term>
<term>Switzerland</term>
<term>Type 1 diabetes</term>
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<term>Glucose</term>
<term>Prise conscience</term>
<term>Suisse</term>
<term>Allemagne</term>
<term>Hypoglycémie</term>
<term>Psychoéducation</term>
<term>Programme éducatif</term>
<term>Peur</term>
<term>Emotion émotivité</term>
<term>Diabète type 1</term>
<term>Soin autogéré</term>
<term>Environnement social</term>
<term>Thérapie comportementale</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Suisse</term>
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<front><div type="abstract" xml:lang="en">Although both diabetes and the efficacy of medical management are international issues, psycho-educational interventions might be culturally bound. Blood Glucose Awareness Training (BGAT) is a psycho-educational program for patients with type 1 diabetes mellitus. It is focused on improving recognition and management of extreme blood glucose levels, and is the best documented American psycho-educational program for this purpose. A randomized controlled clinical trial of BGAT's long-term benefits in a non-American setting has been lacking. One hundred and eleven adults with type 1 diabetes mellitus from Switzerland and Germany participated. After a 6 months baseline assessment, subjects were randomly assigned to receive either 2 months of BGAT (n = 56) or a physician-guided self-help control intervention (n=55). BGAT improved recognition of low (p = 0.008), high (p = .03), and overall blood glucose (p = 0.001), and reduced frequency of severe hypoglycemia (p = 0.04), without compromising metabolic control. BGAT reduced both the external locus of control (p < 0.02) and fear of hypoglycemia (p < 0.02). BGAT was efficacious in reducing adverse clinical events and achieving clinically desirable goals in a European, as well as American setting.</div>
</front>
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