Evaluating the effectiveness of a hybrid diabetes education program: a secondary analysis of healthy community clinic records in Jordan.
8 affiliations
- 1Sulaiman AlRajhi University, College of Nursing, Al Bukayriyah, Qassim, Saudi Arabia. [email protected].
- 2Cardio-vascular and Diabetes Prevention Department, Community Medicine and Public Health Specialist doctor, Noncommunicable Diseases Directorate, Ministry of Health, Amman, Jordan.
- 3Faculty of Nursing, Yarmouk University, Irbid, Jordan.
- 4Faculty of Nursing, Zarqa University, Zarqa, Jordan.
- 5Director General of the Royal Health Awareness Society, Royal Health Awareness Society, Amman, Jordan.
- 6Royal Health Awareness Society, Amman, Jordan.
- 7King Hussein Medical Center, Amman, Jordan.
- 8Royal Health Awareness Society, Senior Program Officer of Healthy Community Clinic, Amman, Jordan.
Abstract
Background
Diabetes mellitus is one of the leading non-communicable diseases worldwide and poses a substantial burden on the Jordanian healthcare system. Its rising prevalence, coupled with modifiable risk factors such as unhealthy dietary habits, smoking, and physical inactivity, is expected to further increase this burden. This study aimed to evaluate longitudinal changes in clinical and behavioral outcomes among patients with type 2 diabetes who participated in a hybrid diabetes education program using a retrospective longitudinal secondary analysis of routinely collected clinical data.Methods
A retrospective longitudinal secondary analysis was conducted using electronic health records from the Healthy Community Clinic in Jordan. Data on body weight, fasting blood glucose, dietary behaviors, and physical activity were extracted at baseline and across five follow-up educational sessions delivered at approximately one-month intervals.Results
A total of 7,648 patients with type 2 diabetes were included in the analysis, of whom 52.3% were female and 47.7% were male. Mean body weight decreased from 84.5 ± 15.6 kg at baseline to 76.3 ± 14.8 kg at the fifth session (mean change = - 8.2 kg; 95% CI: -8.5 to - 7.9; p < 0.001). Mean fasting blood glucose levels declined from 178.2 ± 66.5 mg/dL at baseline to 156.1 ± 52.3 mg/dL at the fifth session (p < 0.001). Significant improvements were also observed in dietary behaviors and physical activity levels throughout the follow-up period.Conclusions
Participation in the hybrid diabetes education program was associated with significant improvements in both clinical and behavioral outcomes over time among individuals with type 2 diabetes. These findings support the potential effectiveness of structured hybrid education programs in improving diabetes self-management and reducing modifiable risk factors in routine clinical practice.
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BibTeX
@article{almaghaireh2026evaluating,
title = {{Evaluating the effectiveness of a hybrid diabetes education program: a secondary analysis of healthy community clinic records in Jordan.}},
author = {Duaa Al-Maghaireh and Saif Fakhoury and Mariam Kawafha and Khitam Alsaqer and Amal Ireifij and Abdullah Al Nsour and Sara Abu Hashish and Saba Abu Fanouneh and Rami Farraj and Mohammad Ayyad},
journal = {BMC medical education},
year = {2026},
month = jul,
doi = {10.1186/s12909-026-10066-4},
url = {https://europepmc.org/article/MED/42958230},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Evaluating the effectiveness of a hybrid diabetes education program: a secondary analysis of healthy community clinic records in Jordan.
AU - Duaa Al-Maghaireh
AU - Saif Fakhoury
AU - Mariam Kawafha
AU - Khitam Alsaqer
AU - Amal Ireifij
AU - Abdullah Al Nsour
AU - Sara Abu Hashish
AU - Saba Abu Fanouneh
AU - Rami Farraj
AU - Mohammad Ayyad
PY - 2026
DA - 2026/07/01
JO - BMC medical education
DO - 10.1186/s12909-026-10066-4
UR - https://europepmc.org/article/MED/42958230
AB - Background Diabetes mellitus is one of the leading non-communicable diseases worldwide and poses a substantial burden on the Jordanian healthcare system. Its rising prevalence, coupled with modifiable risk factors such as unhealthy dietary habits, smoking, and physical inactivity, is expected to further increase this burden. This study aimed to evaluate longitudinal changes in clinical and behavioral outcomes among patients with type 2 diabetes who participated in a hybrid diabetes education program using a retrospective longitudinal secondary analysis of routinely collected clinical data.Methods A retrospective longitudinal secondary analysis was conducted using electronic health records from the Healthy Community Clinic in Jordan. Data on body weight, fasting blood glucose, dietary behaviors, and physical activity were extracted at baseline and across five follow-up educational sessions delivered at approximately one-month intervals.Results A total of 7,648 patients with type 2 diabetes were included in the analysis, of whom 52.3% were female and 47.7% were male. Mean body weight decreased from 84.5 ± 15.6 kg at baseline to 76.3 ± 14.8 kg at the fifth session (mean change = - 8.2 kg; 95% CI: -8.5 to - 7.9; p < 0.001). Mean fasting blood glucose levels declined from 178.2 ± 66.5 mg/dL at baseline to 156.1 ± 52.3 mg/dL at the fifth session (p < 0.001). Significant improvements were also observed in dietary behaviors and physical activity levels throughout the follow-up period.Conclusions Participation in the hybrid diabetes education program was associated with significant improvements in both clinical and behavioral outcomes over time among individuals with type 2 diabetes. These findings support the potential effectiveness of structured hybrid education programs in improving diabetes self-management and reducing modifiable risk factors in routine clinical practice.
SN - 1472-6920
ER -