OBJECTIVES: To compare the effectiveness of group (GE) and individual (IE) health education in type-2 diabetes patients, and identify the improvement in knowledge, metabolic control and risk factors. DESIGN: Randomised clinical trial. SETTING: Primary care.Participants. 68 patients with type-2 diabetes, diagnosed 6 months before the start of the study and who had not received GE. Patients aged over 75, those with sensory, psychological and/or physical deficiencies and those not monitored in primary care were excluded (alpha=0.05; beta=0.2).Interventions. Patients were selected according to the inclusion criteria and allocated at random to the IE (n=33) or GE (n=35) group. Individual and group lessons were given at the same time for a year. The contents were evaluated with a validated, self-administered test. MAIN MEASUREMENTS: General, demographic variables, analyses, blood pressure, the Body Mass Index (BMI), the presence of cardiovascular risk factors, diabetes-related complications and therapeutic variables were all measured. RESULTS: The two kinds of education showed no significant differences from each other. The two groups improved the level of knowledge (P<0.001), and reduced HbA1c (P<0.001), HDL-C (P<0.001), the BMI (P=0.001) and systolic pressure (P=0.004), and increased their use of reactive strips (P=0.02). CONCLUSIONS: Health education on diabetes improved knowledge of the disease, metabolic control and cardiovascular risk factors. The two educational methods evaluated were equally effective.
RCT Entities:
OBJECTIVES: To compare the effectiveness of group (GE) and individual (IE) health education in type-2 diabetespatients, and identify the improvement in knowledge, metabolic control and risk factors. DESIGN: Randomised clinical trial. SETTING: Primary care.Participants. 68 patients with type-2 diabetes, diagnosed 6 months before the start of the study and who had not received GE. Patients aged over 75, those with sensory, psychological and/or physical deficiencies and those not monitored in primary care were excluded (alpha=0.05; beta=0.2).Interventions. Patients were selected according to the inclusion criteria and allocated at random to the IE (n=33) or GE (n=35) group. Individual and group lessons were given at the same time for a year. The contents were evaluated with a validated, self-administered test. MAIN MEASUREMENTS: General, demographic variables, analyses, blood pressure, the Body Mass Index (BMI), the presence of cardiovascular risk factors, diabetes-related complications and therapeutic variables were all measured. RESULTS: The two kinds of education showed no significant differences from each other. The two groups improved the level of knowledge (P<0.001), and reduced HbA1c (P<0.001), HDL-C (P<0.001), the BMI (P=0.001) and systolic pressure (P=0.004), and increased their use of reactive strips (P=0.02). CONCLUSIONS: Health education on diabetes improved knowledge of the disease, metabolic control and cardiovascular risk factors. The two educational methods evaluated were equally effective.
Authors: Kelsey A Luoma; Ian M Leavitt; Joel C Marrs; Andrea L Nederveld; Judith G Regensteiner; Andrea L Dunn; Russell E Glasgow; Amy G Huebschmann Journal: Transl Behav Med Date: 2017-12 Impact factor: 3.046
Authors: Juan Vicente-Mampel; Pedro Gargallo; Iker Javier Bautista; Paula Blanco-Gímenez; Nieves de Bernardo Tejedor; Mónica Alonso-Martín; Marta Martínez-Soler; Luis Baraja-Vegas Journal: Int J Environ Res Public Health Date: 2022-09-20 Impact factor: 4.614