the effect of a home care program on self-efficacy in patients with type 2 diabetes: a randomized clinical trial

Background :diabetes is a debilitating, long-term condition that damages several organs and causes numerous complications. in the management of the illness, patients and their families play a crucial role. home care is regarded as an effective strategy for providing patients with educational programs in their own environments. objectives :the present study aimed to assess the impact of a home care program on the self-efficacy of patients with type 2 diabetes (t2d). methods :eighty adults with t2d were recruited and randomly assigned to either the intervention or control group. the program team conducted two home visits for the intervention group, followed by a motivational phone call after each visit. the control group received standard clinical pharmacy and nursing support. both groups completed the diabetes self-efficacy questionnaire at baseline and two months post-randomization. results :finding show that the mean age of the patients was 54.73 ± 7.80 years in the intervention group and 58.95 ± 7.84 years in the control group (p = 0.018). most patients were female, married, homemakers, had higher education, and were receiving oral medication. the mean bmi was 27.68 ± 3.95 in the intervention group and 26.93 ± 4.10 in the control group. when comparing the two groups, the intervention patients scored statistically higher for self-rated physical activity (p = 0.003) and for the overall self-efficacy scale (p < 0.001) two months after the last telephone call. conclusions :the home care program improved the self-efficacy of patients with t2d, particularly in blood glucose monitoring and physical exercise. implementing such initiatives may lead to better outcomes in diabetic self-management.