[ Diabetes Type 2 ]

The effect of a diabetes education, coping skills training, and care intervention on physiological and

Background: The American Diabetes Association (ADA) has emphasized the need for patients to receive diabetes self-management education (DSME) as a standard of care. The objective of this study was to assess the effectiveness of group education in improving patient awareness of foot care. The aim of the study was to evaluate the programme by exploring the experiences of the patients who attended. Groups consisted of 7-14 patients, with partners encouraged to attend, and aimed to promote and stimulate discussion on diabetes self-care among participants. With healthcare focusing more on prevention and cutting costs, group classes seem to make sense. The interviews were audiotaped, transcribed and then analysed using the framework approach. Patients in each group were randomly assigned to 1 of 3 interventions focusing on self-management.

The analyses showed that there were no significant differences between the intervention and control group at baseline (Table 2). Our hypotheses were that MI could: (1) reduce HbA(1c) levels; (2) increase self-efficacy; and (3) increase diabetes self-care, compared with usual care. Early effect of the intervention was followed by relapse after 12 months and a new, significant decrease at 24 months; this dual course implies that follow-up of educational interventions should involve several consecutive measurements to capture possible late effects. CST may further assist in long-term improvements in health outcomes. The group based education, which included lectures and discussions between participants, lasted 15 hours and, was conducted over three days.

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