Digital Public Defence: Fikadu Balcha Hailu

MSc Fikadu Balcha Hailu at Institute of Health and Society will be defending the thesis A nurse-led diabetes self-management education (DSME) program in Ethiopia: Does it work? Effects on Clinical, Behavioral, and Psychosocial Outcomes for the degree of PhD (Philosophiae Doctor).

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The public defence will be held as a video conference over Zoom.

The defence will follow regular procedure as far as possible, hence it will be open to the public and the audience can ask ex auditorio questions when invited to do so.

Click here to participate in the public defence

Download Zoom here

Due to copyright reasons, an electronic copy of the thesis must be ordered from the faculty. In order for the faculty to have time to process the order, it must be received by the faculty no later than 2 days prior to the public defence. Orders received later than 2 days before the defence will not be processed. Inquiries regarding the thesis after the public defence must be addressed to the candidate.

Digital Trial Lecture – time and place

See Digital Trial Lecture.

Adjudication committee

  • First opponent: Professor Kenneth Maleta, University of Malawi, College of Medicine, Malawi
  • Second opponent: Associate Professor, Consultant Diabetologist Knud Bonnet Yderstræde, Steno Diabetes Centre, Odense University Hospital
  • Third member and chair of the evaluation committee: Professor II Marit Helen Andersen, University of Oslo

Chair of the Defence

Professor Johanne Sundby, University of Oslo

Principal Supervisor

 Anne Moen, University of Oslo


Diabetes self-management education (DSME) is a key element for an effective diabetes mellitus management. However, its effectiveness is not well documented in Sub-Sahara Africa (SSA) context. In this study we tested a locally contextualized, nurse-led DSME package of illustrative DSME handbook and fliers, experience sharing, and take-home activities accommodating low-literate patients. Monthly DSME sessions were given for six months. The study aimed to determine the effect of DSME on 1) clinical outcomes, 2) diabetes knowledge, self-care behaviors, and self-efficacy; and 3) psychosocial outcomes and Health-Related Quality of Life (HRQoL).

A before-and-after, two-group experimental study was conducted among adult patients with type 2 diabetes. At baseline, 116 participants were randomly assigned to the DSME intervention and 104 to “treatment-as-usual” comparison groups. Seventy-eight (67%) of the intervention and 64 (62%) of the comparison group participants completed the study. A mixed-model linear regression, student’s t-test, and the Wilcoxon-rank sum tests were used for the continuous outcomes and chi-square test for proportions.

The intervention showed statistically significant difference between groups in clinical outcomes, i.e., fasting blood sugar, systolic blood pressure, and diastolic blood pressure. Similarly, diabetes knowledge score and adherence to dietary recommendations and footcare improved significantly in the intervention group. However, there were no statistically significant differences within or between the groups in other self-reported diabetes self-care behavior regimens, self-efficacy, psychosocial outcomes and HRQoL.

Despite the several limitations, the study has shown statistical and clinical significance in diabetes knowledge and some of the clinical and behavioral outcomes. Moreover, the study has contributed to developing knowledge about DSME in the SSA setting. 


Additional information

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Published May 4, 2021 9:23 AM - Last modified May 20, 2021 1:18 PM