Comparison of the Effect of Education Using Team-based Learning Method and Lecture Method on Controlling Diabetes in the Elderly: A Quasi-Experimental Study

Abstract

Background: Patient education is considered as an essential part of diabetes control. This researchis conducted to compare the effect of education using team-based learning (TBL) method and lecturemethod on blood pressure (BP), serum levels of fasting blood sugar (FBS), glycosylated hemoglobin(HbA1c), and Body mass index (BMI) in the elderly with diabetes.Methods: This quasi-experimental study was conducted on 61 elderly patients with type 2 diabetesin diabetes clinics in Rafsanjan, during October 2018 to January 2019. Patients were selected usingsimple random sampling. They were divided into two groups of TBL and lecture-based learning. Foreach group, educational content was presented through 2-hour sessions held once a week for 1 months.FBS, HbA1c, BMI, and BP were measured at baseline and 3 months after the intervention. Data wereanalyzed through SPSS 21, using Chi-square test, independent t-test, and paired t-test; A P-value<0.05was considered as significant.Results: After the intervention, the TBL group had a significant decrease in systolic and diastolic BPcompared to the lecture group (P<0.001). Before and 3 months after the intervention in the TBL group,there was a significant decrease between the means of FBS (P=0.01), HbA1c (P<0.001), and systolicand diastolic BP (P<0.001), but in the lecture group, only the systolic BP showed a significant decrease(P<0.001).Conclusion: TBL method had more effects on controlling diabetes type 2 in the elderly than thelecture method. It is suggested that health providers should consider TBL for the education of theelderly with diabetes.

Keywords

• diabetes mellitus
• learning
• blood pressure
• blood glucose