A Study of Effect of Knowledge, Attitude, And Practice on The Diabetic Patient with Counselling as Intervention – A Non-Randomized Community-Based Trial from Gujarat


  • Manoj Kumar Madhubani Medical College, Madhubani, Bihar, India
  • Niraj Pandit SBKS MI&RC, Sumandeep Vidypeeth, Piparia, Vadodara, India




Counselling, rural, urban, Knowledge, Attitude, Practice


Introduction: Lifestyle modification is key to management of diabetes. Behavioural change is key to adopt lifestyle modification. The current study was planned with objective to assess the impact of counselling on knowledge, attitude, and practices among patients with diabetes mellitus in rural and urban areas of Gujarat.

Method: It was a non-randomized interventional study conducted in the state of Gujarat, India. Known cases of diabetes were enrolled for the study. Two equal size groups of study participants from urban and rural area were divided equally for intervention group (N=77; 28 urban +49 Rural) and control group (N=77; 28 urban +49 Rural). Regular counselling on role of diet in DM management, self-care, deaddiction, role of physical activity, and drug compliance was given by community physician for three months to 6 months. Pre and post intervention KAP score was collected and evaluated.

Result: The knowledge, attitude and practice score were increased among counselling group in comparison to traditional treatment group in both urban and rural area. The score increased from 5.4 to 10.4 in knowledge; 3.07 to 5.07 in attitude and 5.07 to 8.92 in practice among urban participants. Similarly, the score increased from 4.14 to 7.16 in knowledge, 2.57 to 3.67 in attitude and 4.73 to 7.42 in practice among rural participants.

Conclusion: With counselling the knowledge, practice and attitude of chronic patients are improving. The study recommended that counselling services should be available to all diabetes patients. It should be available to patients at their doorstep if possible as study depict.


Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the In-ternational Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019 Nov;157:107843. Doi: https://doi.org/10.1016/j.diabres.2019.107843 PMid:31518657

Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013 Mar 5;12:14. Doi: https://doi.org/10.1186/2251-6581-12-14 PMid:23497559 PMCid:PMC3599009

Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 dia-betes and quality of life. World J Diabetes. 2017 Apr 15;8(4):120-9. Doi: https://doi.org/10.4239/wjd.v8.i4.120 PMid:28465788 PMCid:PMC5394731

Di Loreto C, Fanelli C, Lucidi P, Murdolo G, De Cicco A, Parlanti N, et al. Validation of a Counseling Strategy to Promote the Adoption and the Maintenance of Physical Activity by Type 2 Diabetic Subjects. Diabetes Care. 2003 Feb 1;26(2):404-8. Doi: https://doi.org/10.2337/diacare.26.2.404 PMid:12547870

Tate DF, Jackvony EH, Wing RR. Effects of Internet Behavioral Counseling on Weight Loss in Adults at Risk for Type 2 Diabe-tesA Randomized Trial. JAMA. 2003 Apr 9;289(14):1833-6. Doi: https://doi.org/10.1001/jama.289.14.1833 PMid:12684363

Suppapitiporn S, Chindavijak B, Onsanit S. Effect of diabetes drug counseling by pharmacist, diabetic disease booklet and special medication containers on glycemic control of type 2 diabetes mellitus: a randomized controlled trial. J Med Assoc Thail Chotmaihet Thangphaet. 2005 Sep;88 Suppl 4:S134-141.

Malathy R, Narmadha M, Ramesh S, Alvin JM, Dinesh BN. Effect of a diabetes counseling programme on knowledge, attitude and practice among diabetic patients in Erode district of South India. J Young Pharm JYP. 2011;3(1):65-72. Doi: https://doi.org/10.4103/0975-1483.76422 PMid:21607057 PMCid:PMC3094563

Adepu R, Rasheed A, Nagavi BG. Effect of patient counseling on quality of life in type-2 diabetes mellitus patients in two se-lected South Indian community pharmacies: A study. Indian J Pharm Sci. 2007;69(4):519. Doi: https://doi.org/10.4103/0250-474X.36937

Mukherjee S, Sharmasarkar B, Das KK, Bhattacharyya A, Deb A. Compliance to Anti-Diabetic Drugs: Observations from the Diabetic Clinic of a Medical College in Kolkata, India. J Clin Di-agn Res JCDR. 2013 Apr;7(4):661-5. Doi: https://doi.org/10.7860/JCDR/2013/5352.2876 PMid:23730641 PMCid:PMC3644439

George AK, Vg J, Manohar M, Kumar SP, Muneerudeen J. IMPACT OF PATIENT COUNSELLING ON KNOWLEDGE, ATTITUDE, PRACTICES OF PATIENTS WITH TYPE 2 DM AT A TERTIARY CARE TEACHING HOSPITAL. Asian J Pharm Clin Res. 2017;293-6. Doi: https://doi.org/10.22159/ajpcr.2017.v10i5.17637

Puvvada RC, Muthukumar VA. Impact of Patient Counselling on The Knowledge, Attitude, Practice and Quality of Life in Pa-tients with Hypertension with Diabetes Mellitus-II. Indian J Pharm Educ Res. 52(2):6.




How to Cite

Kumar M, Pandit N. A Study of Effect of Knowledge, Attitude, And Practice on The Diabetic Patient with Counselling as Intervention – A Non-Randomized Community-Based Trial from Gujarat. Natl J Community Med [Internet]. 2022 Dec. 31 [cited 2023 Feb. 4];13(12):876-81. Available from: https://njcmindia.com/index.php/file/article/view/2543



Original Research Articles