Objective: The aim of this study was to compare the effectiveness of a Food Monopoly-style Game (FMG) on glycemic control in type 2 diabetes (T2DM), compared with usual care.

Methods: Newly diagnosed T2DM patients were randomly assigned to the FMG group (using a group interaction model of patient education) and a usual care group (using a traditional teaching model). Glycemic outcomes and behavior questionnaires were evaluated at 3 months.

Results: A total of 65 patients were enrolled (FMG group, n=32; usual care group, n=33) with a mean age of 52.9±11.2 years, diabetes duration of 0.7±0.4 years, and HbA1c level of 9.2±1.9%. FMG group patients had significantly greater HbA1c reduction at 3 months than that of usual care patients (-2.3 vs. -0.6%), respectively; p<0.001. SMBG (times/week) (+5.8±3.1) and physical activity (minutes/week) (+42.5 ±24.4) were higher in the FMG group, compared with the usual care group (p<0.001). The FMG group had a significantly greater percentage of patients who achieved HbA1c<7% at 3 months compared with the usual care group (62.5 vs. 0%, p<0.001).

Conclusions: Our data suggest that the FMG approach provided more effective education in poorly controlled T2DM compared with conventional patient education. Education tools, such as FMG, can be used to adjust patients' self-management behavior and enhance diabetes-related psychosocial self-efficacy.


Y. Wu: None. Y. Wang: None. E. Kornelius: None. C. Huang: None.

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