AIMS: To evaluate the possible relationships between a health policy decision, in relation to the diabetes education strategies and the metabolic control outcomes. DESIGN: Longitudinal prospective cohort study. PARTICIPANTS: A random cohort sample of 276 type II diabetes mellitus subjects. LOCATION: All primary care centres in three regions of Catalonia. PRINCIPAL MEASUREMENTS: Patients were classified as specialised (n=59) or non-specialised (n=217) groups, as regards whether having received previous diabetes education before the start of the study. HbA1c values were evaluated in all subjects at baseline and after 5 years after receiving only conventional education. RESULTS: Baseline evaluation showed a better metabolic control in the specialised group (P=0.009). The final evaluation showed no significant differences in outcomes between the two groups (P=0.679). When baseline and outcomes values were compared, significant differences were observed in all subjects (P=0.001), the specialised group showed significantly poorer metabolic control (P<0.001), but in the group with previous conventional education no significant differences were observed (P=0.058). CONCLUSIONS: Our results suggest that the withdrawal of higher levels of diabetes education may play a major role in poor metabolic control, and that conventional diabetes education does not improve outcomes. Health policy in Primary Care should consider improving the level of diabetes education.
AIMS: To evaluate the possible relationships between a health policy decision, in relation to the diabetes education strategies and the metabolic control outcomes. DESIGN: Longitudinal prospective cohort study. PARTICIPANTS: A random cohort sample of 276 type II diabetes mellitus subjects. LOCATION: All primary care centres in three regions of Catalonia. PRINCIPAL MEASUREMENTS: Patients were classified as specialised (n=59) or non-specialised (n=217) groups, as regards whether having received previous diabetes education before the start of the study. HbA1c values were evaluated in all subjects at baseline and after 5 years after receiving only conventional education. RESULTS: Baseline evaluation showed a better metabolic control in the specialised group (P=0.009). The final evaluation showed no significant differences in outcomes between the two groups (P=0.679). When baseline and outcomes values were compared, significant differences were observed in all subjects (P=0.001), the specialised group showed significantly poorer metabolic control (P<0.001), but in the group with previous conventional education no significant differences were observed (P=0.058). CONCLUSIONS: Our results suggest that the withdrawal of higher levels of diabetes education may play a major role in poor metabolic control, and that conventional diabetes education does not improve outcomes. Health policy in Primary Care should consider improving the level of diabetes education.
Authors: Martha M Funnell; Robin Nwankwo; Mary Lou Gillard; Robert M Anderson; Tricia S Tang Journal: Diabetes Educ Date: 2005 Jan-Feb Impact factor: 2.140
Authors: David C Ziemer; Christopher D Miller; Mary K Rhee; Joyce P Doyle; Clyde Watkins; Curtiss B Cook; Daniel L Gallina; Imad M El-Kebbi; Catherine S Barnes; Virginia G Dunbar; William T Branch; Lawrence S Phillips Journal: Diabetes Educ Date: 2005 Jul-Aug Impact factor: 2.140
Authors: Tim Kenealy; Bruce Arroll; Helen Kenealy; Barbara Docherty; David Scott; Robert Scragg; David Simmons Journal: J Adv Nurs Date: 2004-10 Impact factor: 3.187
Authors: Kerri Cavanaugh; Mary Margaret Huizinga; Kenneth A Wallston; Tebeb Gebretsadik; Ayumi Shintani; Dianne Davis; Rebecca Pratt Gregory; Lynn Fuchs; Robb Malone; Andrea Cherrington; Michael Pignone; Darren A DeWalt; Tom A Elasy; Russell L Rothman Journal: Ann Intern Med Date: 2008-05-20 Impact factor: 25.391