AIMS: To develop and implement a group self-management education programme for people with type 2 diabetes at the community level in primary care. This pilot-study intended to evaluate the feasibility, acceptability and long-term effects (12-18 months) of this programme on emotional distress, HbA1c, BMI and actual behaviour. METHODS: An empowerment-based, theory-driven education programme was evaluated in a before-after design. The programme focused on behaviour assessment, goal-setting, problem solving and tailored information. A diabetes specialist nurse conjointly with a dietician or psychologist led five 2-hour sessions and a follow-up meeting after 3 months. RESULTS: Forty-four people participated in 5 groups. BMI decreased with 0.45 kg/m(2) (95%CI 0.01-0.89) at 12-month and with 0.53 kg/m(2) (95%CI 0.02-1.04) at 18-month follow-up. HbA1c declined from 7.4% (+/-1.3) to 6.8% (+/-0.8) (p=0.040) and the PAID-score diminished from 28 (+/-20) to 18 (+/-13) (p=0.006) at 12-month post-intervention. These changes were only partly sustained at 18-month follow-up. Actual behaviour changed modestly. CONCLUSION: Introducing the group education programme in primary healthcare is worthwhile (feasibility and effectiveness). A detailed description of the intervention is offered. Further research should explore the actual education process in greater depth.
AIMS: To develop and implement a group self-management education programme for people with type 2 diabetes at the community level in primary care. This pilot-study intended to evaluate the feasibility, acceptability and long-term effects (12-18 months) of this programme on emotional distress, HbA1c, BMI and actual behaviour. METHODS: An empowerment-based, theory-driven education programme was evaluated in a before-after design. The programme focused on behaviour assessment, goal-setting, problem solving and tailored information. A diabetes specialist nurse conjointly with a dietician or psychologist led five 2-hour sessions and a follow-up meeting after 3 months. RESULTS: Forty-four people participated in 5 groups. BMI decreased with 0.45 kg/m(2) (95%CI 0.01-0.89) at 12-month and with 0.53 kg/m(2) (95%CI 0.02-1.04) at 18-month follow-up. HbA1c declined from 7.4% (+/-1.3) to 6.8% (+/-0.8) (p=0.040) and the PAID-score diminished from 28 (+/-20) to 18 (+/-13) (p=0.006) at 12-month post-intervention. These changes were only partly sustained at 18-month follow-up. Actual behaviour changed modestly. CONCLUSION: Introducing the group education programme in primary healthcare is worthwhile (feasibility and effectiveness). A detailed description of the intervention is offered. Further research should explore the actual education process in greater depth.
Authors: Tricia S Tang; Martha M Funnell; Salma Noorulla; Mary Oh; Morton B Brown Journal: Diabetes Res Clin Pract Date: 2011-08-27 Impact factor: 5.602
Authors: Patricia Sunaert; Hilde Bastiaens; Frank Nobels; Luc Feyen; Geert Verbeke; Etienne Vermeire; Jan De Maeseneer; Sara Willems; An De Sutter Journal: BMC Health Serv Res Date: 2010-07-14 Impact factor: 2.655
Authors: Zeinab Shayeghian; Hamidreza Hassanabadi; Maria E Aguilar-Vafaie; Parisa Amiri; Mohammad Ali Besharat Journal: PLoS One Date: 2016-12-01 Impact factor: 3.240
Authors: Patricia Sunaert; Hilde Bastiaens; Luc Feyen; Boris Snauwaert; Frank Nobels; Johan Wens; Etienne Vermeire; Paul Van Royen; Jan De Maeseneer; An De Sutter; Sara Willems Journal: BMC Health Serv Res Date: 2009-08-23 Impact factor: 2.655
Authors: Jacqueline D Cotugno; Maree Ferguson; Hazel Harden; Shoni Colquist; Annabelle A Stack; Jane I Zimmerman; Anthony W Russell; Lauren E Ball; Ingrid J Hickman Journal: Patient Prefer Adherence Date: 2015-11-17 Impact factor: 2.711
Authors: Thamra Alghafri; Saud M Alharthi; Yahya Mohd Al Farsi; Elaine Bannerman; Angela Mary Craigie; Annie S Anderson Journal: BMJ Open Date: 2017-11-03 Impact factor: 2.692