Evaluating the effectiveness of a tailored health educational health toolkit to modulate Type 2 Diabetes Mellitus and restrain its complications

Mbiatem, M. E. and Tewfik, I. 2020. Evaluating the effectiveness of a tailored health educational health toolkit to modulate Type 2 Diabetes Mellitus and restrain its complications. International Journal of Food, Nutrition and Public Health. 12 (1/2), pp. 41- 62.

TitleEvaluating the effectiveness of a tailored health educational health toolkit to modulate Type 2 Diabetes Mellitus and restrain its complications
TypeJournal article
AuthorsMbiatem, M. E. and Tewfik, I.
Abstract

Purpose: This study aims to develop health education material to increase patients’ knowledge of T2DM with respect to healthy eating and self-care practices, and enhance positive attitude changes towards their condition.

Methods: The study design included the administration of a health educational toolkit (in the form of a booklet), with the goal of raising participants’ knowledge, and consequently, attitude and self-care practices regarding T2DM. Using a purposive sampling approach, this 6-week pilot intervention recruited 25 women and 26 males (mean age = 55.98 years; SD ±11.019). Participants who attended the Diabetes Clinic at the Buea Regional Hospital, Cameroon, were interviewed to discover their knowledge and attitudes towards T2DM; the interviews were followed by anthropometric measurements and focus group discussions. Paired t-tests were used to assess patients’ changes in knowledge, attitudes and self-care practices.

Findings: Results showed significant increases in participants’ knowledge of T2DM postintervention: 58.8% of subjects were able to identify at least four risk factors of T2DM, compared to only 7.8% prior to the intervention (p=.0001). Diabetes was defined as a problem of insulin deficiency by 61% of subjects as opposed to 8% prior to the study (p=.0001). Participants’ knowledge of the signs and symptoms of hyperglycaemia and hypoglycaemia increased significantly (p=0.0001). Daily portions of vegetables increased from 47.1% to 58.8%, and a substantial number of subjects (33.3%) reported at least walking 2-4 times in a week for 30 minutes, post-intervention. However, there were no changes in the subjects’ general physical activity levels.

Conclusions: The results confirmed our hypothesis that increased knowledge of T2DM leads to healthier dietary choices, improved self-care practices and attitudes towards the condition. Health education toolkits are relevant to empower people with diabetes to have more active roles in modulating their health condition.

JournalInternational Journal of Food, Nutrition and Public Health
Journal citation12 (1/2), pp. 41- 62
ISSN2042-5996
Year2020
PublisherWorld Association for Sustainable Development (WASD)
Web address (URL)https://wasdlibrary.org/download/ijfnph-v12-nos1-2-2020-type2-diabetes/
Publication dates
Published2020

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Kapoor, N., Naufahu, J., Tewfik, S., Bhatnagar, S., Gargand, R. and Tewfik, I. 2014. The impact of tailored nutrition intervention and dietary counseling on body weight in female cancer cachexia patients in India. Journal of Clinical Oncology. 32 (31), p. 67. https://doi.org/10.1200/jco.2014.32.31_suppl.67

American skullcap (Scutellaria lateriflora): a randomised, double-blind placebo-controlled crossover study of its effects on mood in healthy volunteers
Brock, C., Whitehouse, J., Tewfik, I. and Towell, A. 2014. American skullcap (Scutellaria lateriflora): a randomised, double-blind placebo-controlled crossover study of its effects on mood in healthy volunteers. Phytotherapy Research. 28 (5), pp. 692-698. https://doi.org/10.1002/ptr.5044

Identity issues surrounding American skullcap (Scutellaria lateriflora) and an optimised high performance liquid chromatography method to authenticate commercially available products
Brock, C., Whitehouse, J., Tewfik, I. and Towell, A. 2013. Identity issues surrounding American skullcap (Scutellaria lateriflora) and an optimised high performance liquid chromatography method to authenticate commercially available products. Journal of Herbal Medicine. 3 (2), pp. 57-64. https://doi.org/10.1016/j.hermed.2013.02.001

Methods of Measuring Overweight and Obesity, Among 6-9 Years School Children in ALAIN CITY, UAE
Washi, S., Al Dhahiri, A., Platat, C., Ali, H., Masuadi, E., Jarar, A., Helou, F. and Tewfik, I. 2013. Methods of Measuring Overweight and Obesity, Among 6-9 Years School Children in ALAIN CITY, UAE. Annals of Nutrition and Metabolism. 63 (Supplement 1), pp. 69-70.

Public Health Nutrition Intervention Programme to Attenuate the Progression of HIV to AIDS among People Living with HIV (PLWH) in Abuja, Nigeria: A Conceptual Framework
Amlogu, A., Godden, K., Tewfik, I., Tewfik, S. and Wambebe, C. 2013. Public Health Nutrition Intervention Programme to Attenuate the Progression of HIV to AIDS among People Living with HIV (PLWH) in Abuja, Nigeria: A Conceptual Framework. International Journal of Food, Nutrition and Public Health. 6 (1), pp. 83-98.

The impact of dietary and lifestyle factors on the risk of dental caries among young children in Qatar
Bener, A., Al Darwish, Mohammed S., Tewfik, I. and Hoffmann, Georg F. 2013. The impact of dietary and lifestyle factors on the risk of dental caries among young children in Qatar. Journal of the Egyptian Public Health Association. 88 (2), pp. 67-73. https://doi.org/10.1097/01.EPX.0000430962.70261.8e

Hepatic mitochondrial dysfunction induced by fatty acids and ethanol
Gyamfi, D., Everitt, H.E., Tewfik, I., Clemens, D.L. and Patel, V. 2012. Hepatic mitochondrial dysfunction induced by fatty acids and ethanol. Free Radical Biology & Medicine. 53 (11), pp. 2131-2145. https://doi.org/10.1016/j.freeradbiomed.2012.09.024

The use of Scutellaria lateriflora: a pilot survey amongst herbal medicine practitioners
Brock, C., Whitehouse, J., Tewfik, I. and Towell, A. 2012. The use of Scutellaria lateriflora: a pilot survey amongst herbal medicine practitioners. Journal of Herbal Medicine. 2 (2), pp. 34-41. https://doi.org/10.1016/j.hermed.2012.04.005,

Tailored food recipes-TFR: employing the European perspective
Amlogu, A., Godden, K., Tewfik, S., Wambebe, C. and Tewfik, I. 2012. Tailored food recipes-TFR: employing the European perspective. International Journal of Food, Nutrition and Public Health. 5 (1/2/3), pp. 3-18.

Obesity and low vision as a result of excessive internet use, and television viewing
Bener, A., Al-Mahdi, H.S., Ali, A.I., Al-Nufal, M., Vachhani, P.J. and Tewfik, I. 2011. Obesity and low vision as a result of excessive internet use, and television viewing. International Journal of Food Sciences and Nutrition. 62 (1), pp. 60-62. https://doi.org/10.3109/09637486.2010.495711

Artificial trans fatty acids in food supply: A global health threat
Salomaa V.K. and Tewfik, I. 2011. Artificial trans fatty acids in food supply: A global health threat. World Journal of Science, Technology and Sustainable Development. 8 (4), pp. 361-401. https://doi.org/10.1108/20425945201100017

Globesity in action: systematic review and pilot intervention to assess the potential health benefit of moderate physical activity
Salah, M. and Tewfik, I. 2011. Globesity in action: systematic review and pilot intervention to assess the potential health benefit of moderate physical activity. in: Ahmed, A. and Busler, M. (ed.) World sustainable development outlook 2011. Sharing knowledge, making a difference: the role of international scientific cooperation World Association for Sustainable Development (WASD).

Conceptual framework of public health-nutrition intervention programme to attenuate the progression of HIV to AIDS among people living with HIV (PLWH) in Abuja, Nigeria
Amlogu, M.A., Tewfik, S., Wambebe, C., Godden, K. and Tewfik, I. 2011. Conceptual framework of public health-nutrition intervention programme to attenuate the progression of HIV to AIDS among people living with HIV (PLWH) in Abuja, Nigeria. in: Ahmed, A. and Busler, M. (ed.) World sustainable development outlook 2011. Sharing knowledge, making a difference: the role of international scientific cooperation World Association for Sustainable Development (WASD). pp. 11-20

American skullcap (Scutellaria lateriflora): an ancient remedy for today’s anxiety?
Brock, C., Whitehouse, J., Tewfik, I. and Towell, A. 2010. American skullcap (Scutellaria lateriflora): an ancient remedy for today’s anxiety? British Journal of Wellbeing. 1 (4), pp. 25-30.

Is Africa facing a nutrition transition under the double burden of disease?
Tewfik, I., Bener, A. and Tewfik, S. 2010. Is Africa facing a nutrition transition under the double burden of disease? in: Ahmed, A. and Nwankwo, S. (ed.) Achieving sustainable development in Africa: science, technology & innovation trajectory London World Association for Sustainable Development (WASD).

Facing Nutrition Transition under the Double Burden: Challenges and Potential Intervention Programmes in Africa
Tewfik, I. 2009. Facing Nutrition Transition under the Double Burden: Challenges and Potential Intervention Programmes in Africa. Annals of Nutrition and Metabolism. 54 (3), p. 238.

Childhood Obesity Prevention in Emirates: A Conceptual Framework for an Anti-Obesogenic Pilot Intervention
Tewfik, Ihab, Mackenzie, Jennifer, Cunliffe, Adam, Al-Dhaheri, Ayesha, Ali, Habiba, Washi, Sidiga and Platat, Carine 2009. Childhood Obesity Prevention in Emirates: A Conceptual Framework for an Anti-Obesogenic Pilot Intervention. in: Ahmed, A. (ed.) Towards Epistemic Sovereignty: (re)-thinking Development in a Changing Global Political Economy World Association for Sustainable Development (WASD). pp. 255-259

Childhood obesity prevention in Emirates (COPE): a conceptual framework for pilot intervention
Tewfik, I., Mackenzie, J., Cunliffe, A., Al-Dhaheri, A., Ali, H., Washi, S. and Platat, C. 2009. Childhood obesity prevention in Emirates (COPE): a conceptual framework for pilot intervention. in: Ahmed, A. (ed.) World sustainable development outlook: the impact of the global financial crisis on the environment, energy and sustainable development 2009 London World Association for Sustainable Development (WASD).

Nutritional quality of deep fried street-vended foods: a public health concern
Tewfik, I., Ismail, H. and Tewfik, S. 2009. Nutritional quality of deep fried street-vended foods: a public health concern. in: Ahmed, A. (ed.) World sustainable development outlook: the impact of the global financial crisis on the environment, energy and sustainable development 2009 London World Association for Sustainable Development (WASD).

Hepatic oxidative stress and apoptosis following acute alcohol
Everitt, H.E., Tewfik, I., Preedy, V.R. and Patel, V. 2009. Hepatic oxidative stress and apoptosis following acute alcohol. Alcohol & Alcoholism. 44, p. p85.

Assessment of shelf-life of irradiated frozen chicken
Alnasser, M.A., Park, S.F., Jenesson, P. and Tewfik, I. 2009. Assessment of shelf-life of irradiated frozen chicken. International Journal of Food Safety, Nutrition and Public Health. 2 (1), pp. 48-58. https://doi.org/10.1504/IJFSNPH.2009.026918

Would it still be possible to identify irradiated lipid-containing foods towards the end of their shelf-life?
Tewfik, I. and Tewfik, S. 2008. Would it still be possible to identify irradiated lipid-containing foods towards the end of their shelf-life? Food Science and Technology International. 14 (6), pp. 519-524. https://doi.org/10.1177/1082013208100465

Extraction and identification of cyclobutanones from irradiated cheese employing a rapid direct solvent extraction method
Tewfik, I. 2008. Extraction and identification of cyclobutanones from irradiated cheese employing a rapid direct solvent extraction method. International Journal of Food Sciences and Nutrition. 59 (7 & 8), pp. 590-598. https://doi.org/10.1080/09637480701515450

Inter-laboratory trial to validate the direct solvent extraction method for the identification of 2-dodecylcyclobutanone in irradiated chicken and whole liquid egg
Tewfik, I. 2008. Inter-laboratory trial to validate the direct solvent extraction method for the identification of 2-dodecylcyclobutanone in irradiated chicken and whole liquid egg. Food Science and Technology International. 14 (3), pp. 277-283. https://doi.org/10.1177/1082013208095689

Does prolonged breastfeeding reduce the risk for childhood leukemia and lymphomas?
Bener, A., Hoffmann, G.F., Afify, Z., Rasul, K., Mian, M., Guiter, G. and Tewfik, I. 2008. Does prolonged breastfeeding reduce the risk for childhood leukemia and lymphomas? Minerva Pediatrica. 60 (2), pp. 155-161.

Research Student Supervision: Developing Reflective Practice in Higher Education
Tewfik, I. 2008. Research Student Supervision: Developing Reflective Practice in Higher Education. in: Ahmed, Allam (ed.) World Sustainable Development Outlook 2008: Managing Science and Technology for a Sustainable Future Routledge. pp. 85-92

Nutraceuticals, functional foods and botanical dietary supplements; promote wellbeing and underpin public health
Tewfik, S. and Tewfik, I. 2008. Nutraceuticals, functional foods and botanical dietary supplements; promote wellbeing and underpin public health. World Review of Science, Technology and Sustainable Development. 5 (2), pp. 104-123. https://doi.org/10.1504/WRSTSD.2008.018552

Childhood obesity prevention (CHOP) programme: a conceptual framework for nutrition intervention
Tewfik, I. 2008. Childhood obesity prevention (CHOP) programme: a conceptual framework for nutrition intervention. International Journal of Food Safety, Nutrition and Public Health. 1 (1), pp. 16-32. https://doi.org/10.1504/IJFSNPH.2008.018853

Metabolic Syndrome and its components among Qatari population
Musallam, M., Bener, A., Zirie, M., Al-Gaud, Y.K., Al-Hamaq, A.A., Othman, M.A. and Tewfik, I. 2008. Metabolic Syndrome and its components among Qatari population. International Journal of Food Safety, Nutrition and Public Health. 1 (1), pp. 88-102. https://doi.org/10.1504/IJFSNPH.2008.018858

Impact of lifestyle and dietary habits on hypovitaminosis D in type 1 diabetes mellitus and healthy children from Qatar, a sun-rich country
Bener, A., Alsaied, A., Al-Ali, M., Hassan, A.S., Basha, B., Al-Kubaisi, A., Abraham, A., Mian, M., Guiter, G., Tewfik, I. and Agha, M. 2008. Impact of lifestyle and dietary habits on hypovitaminosis D in type 1 diabetes mellitus and healthy children from Qatar, a sun-rich country. Annals of Nutrition and Metabolism. 53 (3-4), pp. 215-222. https://doi.org/10.1159/000184439

A rapid direct solvent extraction (DSE) method for the extraction of cyclobutanones from irradiated chicken and liquid whole egg
Tewfik, I. 2008. A rapid direct solvent extraction (DSE) method for the extraction of cyclobutanones from irradiated chicken and liquid whole egg. International Journal of Food Science and Technology. 43 (1), pp. 108-113. https://doi.org/10.1111/j.1365-2621.2006.01399.x

Nutrition and alcoholic liver disease
Everitt, H.E., Patel, V. and Tewfik, I. 2007. Nutrition and alcoholic liver disease. Nutrition Bulletin. 32 (2), pp. 138-144. https://doi.org/10.1111/j.1467-3010.2007.00627.x

Nutrition and alcoholic liver disease
Everitt, H.E., Patel, V.B. and Tewfik, I. 2007. Nutrition and alcoholic liver disease. Nutrition Bulletin. 32 (2), pp. 138-144. https://doi.org/10.1111/j.1467-3010.2007.00627

Research Supervision: Training, process and experience
Tewfik, I. and Tewfik, S. 2007. Research Supervision: Training, process and experience. in: World Sustainable Development Outlook 2007: Knowledge Management and Sustainable Development in the 21st Century Routledge.

Plasma 5-HT And Fatigue During Endurance Cycle Exercise: Effects Of Exercise Intensity And Duration
Vleck, Veronica E., Asensio, Karine, Tewfik, Ihab, Webb, Heather, McNaughton, Lars, Lowry, Christopher and Bentley, David J. 2007. Plasma 5-HT And Fatigue During Endurance Cycle Exercise: Effects Of Exercise Intensity And Duration. Medicine & Science in Sports & Exercise. 39 (5), p. S273. https://doi.org/10.1249/01.mss.0000274050.00286.a9

The public health advocate: food irradiation's offer to food security
Tewfik, I. and Tewfik, S. 2007. The public health advocate: food irradiation's offer to food security. in: Ahmed, A. (ed.) Science, technology and sustainability in the Middle East and North Africa Genève InderScience. pp. 197-209

Competitive food safety program: the case of Qatar
Al-Hamaq, A.A., Zeyadah, S.S., Ahmed, A., Amuna, P. and Tewfik, I. 2007. Competitive food safety program: the case of Qatar. in: Ahmed, A. (ed.) Science, technology and sustainability in the Middle East and North Africa Genève InderScience. pp. 210-228

Book review: B. Freire Wilma (editor). Nutrition and an Active Life: From Knowledge to Action. Scientific and Technical Publication No. 612. Washington DC: Pan American Health Organization 2005. US$ 36·00 (paperback) pp. 260. ISBN: 92 75 11612 1
Tewfik, I. 2006. Book review: B. Freire Wilma (editor). Nutrition and an Active Life: From Knowledge to Action. Scientific and Technical Publication No. 612. Washington DC: Pan American Health Organization 2005. US$ 36·00 (paperback) pp. 260. ISBN: 92 75 11612 1. British Journal of Nutrition. 96 (4), p. 793. https://doi.org/10.1079/BJN20061844

Prevalence of overweight, obesity, and associated psychological problems in Qatari's female population
Bener, A. and Tewfik, I. 2006. Prevalence of overweight, obesity, and associated psychological problems in Qatari's female population. Obesity Reviews. 7 (2), pp. 139-145. https://doi.org/10.1111/j.1467-789X.2006.00209.x

Industrial and dietetic applications of the food multimix (FMM) concept in meeting the nutritional needs of vulnerable groups in South Africa
Zotor, F., Amuna, P., Oldewage-Theron, W.H., Adewuya, T., Prinsloo, G., Chinyanga, Y., Tewfik, I. and Amuna, N. 2006. Industrial and dietetic applications of the food multimix (FMM) concept in meeting the nutritional needs of vulnerable groups in South Africa. Academic Journal of Vaal University of Technology. 3, pp. 54-67.

CO2 photoassimilation, chlorophyll fluorescence, lipid peroxidation and yield in cotton (Gossypium hirsutum L. cv Giza 65) in response to O3
Hassan, I.A. and Tewfik, I. 2006. CO2 photoassimilation, chlorophyll fluorescence, lipid peroxidation and yield in cotton (Gossypium hirsutum L. cv Giza 65) in response to O3. World Review of Science, Technology and Sustainable Development. 3 (1), pp. 70-79. https://doi.org/10.1504/WRSTSD.2006.008764

Prevalence of dieting, overweight, body image satisfaction and associated psychological problems in adolescent boys
Bener, A., Kamal, A., Tewfik, I. and Sabuncuoglu, O. 2006. Prevalence of dieting, overweight, body image satisfaction and associated psychological problems in adolescent boys. Nutrition & Food Science. 36 (5), pp. 295-304. https://doi.org/10.1108/00346650610703144

Health habits and risk of obesity among 6–13 year old school children and adolescents
Al-Shammari, H., Bumejjdad, A., Amuna, P. and Tewfik, I. 2005. Health habits and risk of obesity among 6–13 year old school children and adolescents. in: Carr, T. and Descheemaeker, K. (ed.) Nutrition and health - Current Topics IV Garant. pp. 207–208

Would food irradiation as a means of technology transfer assist food productivity and security in Africa and sustain its development?
Tewfik, I., Amuna, P. and Zotor, F. 2004. Would food irradiation as a means of technology transfer assist food productivity and security in Africa and sustain its development? International Journal of Technology Policy and Management. 4 (1), pp. 44-52.

Human and economic development in developing countries: a public health dimension employing the food multimix concept
Amuna, P., Zotor, F. and Tewfik, I. 2004. Human and economic development in developing countries: a public health dimension employing the food multimix concept. World Review of Science, Technology and Sustainable Development. 1 (2), pp. 129-137.

The effect of intermittent heating on some chemical parameters of refined oils used in Egypt. A public health nutrition concern
Tewfik, I., Ismail, H. and Sumar, S. 1998. The effect of intermittent heating on some chemical parameters of refined oils used in Egypt. A public health nutrition concern. International Journal of Food Sciences and Nutrition. 49 (5), pp. 339-342. https://doi.org/10.3109/09637489809089408

A rapid supercritical fluid extraction method for the detection of 2-alkylcyclobutanones in gamma irradiated beef and chicken
Tewfik, I., Ismail, H. and Sumar, S. 1998. A rapid supercritical fluid extraction method for the detection of 2-alkylcyclobutanones in gamma irradiated beef and chicken. Lebensmittel-Wissenschaft und-Technologie = Journal of Food Sciences and Technology. 31 (4), pp. 366-370. https://doi.org/10.1006/fstl.1998.0371

A rapid direct solvent extraction method (DSE-GC-MS) used to detect irradiated minced beef
Tewfik, I., Ismail, H. and Sumar, S. 1998. A rapid direct solvent extraction method (DSE-GC-MS) used to detect irradiated minced beef. Bulletin of High Institute of Public Health. 28 (3), pp. 85-92.

A rapid supercritical fluid extraction method for the qualitative detection of 2-alkylcyclobutanones in gamma-irradiated fresh and sea water fish
Tewfik, I. 1998. A rapid supercritical fluid extraction method for the qualitative detection of 2-alkylcyclobutanones in gamma-irradiated fresh and sea water fish. International Journal of Food Sciences and Nutrition. 50 (1), pp. 51-56. https://doi.org/10.1080/096374899101418

A rapid method (SFE-GC-MS) used to detect irradiated minced beef
Tewfik, I., Ismail, H., Amine, E. and Rady, A. 1996. A rapid method (SFE-GC-MS) used to detect irradiated minced beef. Arab Journal of Nuclear Sciences and Applications. 29 (4), pp. 345-353.

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