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The Green Card Pilot: A Randomized Controlled Trial of an Education/Reward Intervention to Aid Diabetes Self-management | OMICS International | Abstract
ISSN: 2380-5439

Journal of Health Education Research & Development
Open Access

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Research Article

The Green Card Pilot: A Randomized Controlled Trial of an Education/Reward Intervention to Aid Diabetes Self-management

Bronwen Jane Griffiths BA1, Hudson Birden2* and Margaret Irene Rolfe3
1Clinical Nurse Specialist, Murwillumbah District Hospital, Murwillumbah 2484 NSW, Australia
2Senior Lecturer, James Cook University School of Public Health/Sydney School of Public Health, Australia
3Biostatistician/Research Fellow, Sydney University/Faculty of Medicine School of Public Health, Australia
Corresponding Author : Hudson Birden
Senior Lecturer
James Cook University School of Public Health/
Sydney School of Public Health, Australia
Tel: +61-2-6620-7603
E-mail: [email protected]
Received: October 22, 2015; Accepted: October 27, 2015; Published: October 29, 2015
Citation: Griffiths BABJ, Birden H, Rolfe MI (2015) The Green Card Pilot: A Randomized Controlled Trial of an Education/Reward Intervention to Aid Diabetes Self-management. J Health Edu Res Dev 3:140. doi:10.4172/2380-5439.1000140
Copyright: © 2015 Griffiths, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

The Green Card Project is a small randomized controlled trial (RCT) designed to test the effectiveness of an intervention to aid diabetes self-management carried out in a general practice setting in rural New South Wales. Participants were given a card with four key predictors of long term diabetes health and offered incentives for positive changes in these indicators. Controls received standard care. Fifty four participants and 68 controls completed the project. There was an average decline of 0.20 (se 0.15) in HbA1c for males in the intervention group compared to an average increase of 0.23 (se 0.13) in the control group. For women, the opposite occurred, with the intervention women exhibiting an average increase of 0.24 (se 0.13) and the controls an average reduction of 0.12 (se 0.127). For lipids, there was a significant reduction in both intervention and control. Both males and females in the intervention group demonstrated a significant reduction in waist circumference, whereas the control group had a non-significant increase in waist circumference. Male participants saw the program in a competitive light, while women were focused on the discount voucher. Education strategies for diabetes may benefit from research into gender specific information delivery systems. The trial is registered with the Australian New Zealand Clinical Trials Registry (ANZCTR) as ACTRN12613000414718.

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