Declining structured diabetes education in those with type 2 diabetes: A plethora of individual and organisational reasons

Coates, Vivien; Slevin, Mary; Carey, Marian; Slater, Paul; Davies, Mark

doi:10.1016/j.pec.2017.10.013

Cited by 13 publications

(12 citation statements)

References 22 publications

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“…There was variation in terms of HCPs’ level of knowledge of DESMOND. Having a clear idea of the programme is required to ‘sell’ it to patients, something that has been identified on numerous occasions by people with diabetes as a reason for why they declined to attend . However, even when most HCPs do have that knowledge, as in the current study, one HCP stated that it was difficult to ‘sell’ the programme to someone who anticipated that they would be admonished for their current dietary behaviour.…”

Section: Discussionmentioning

confidence: 82%

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Healthcare professionals' views of group structured education for people with newly diagnosed Type 2 diabetes

et al. 2018

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Section: Discussionmentioning

confidence: 82%

“…In Germany, cognitive testing has been used to determine IQ level so that people can be offered either standard DSME or one tailored to a lower IQ focusing on practical aspects of diabetes self‐management . Therefore, designing different courses for different groups of people could be the way forward .…”

Section: Discussionmentioning

confidence: 99%

Healthcare professionals' views of group structured education for people with newly diagnosed Type 2 diabetes

et al. 2018

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“…As potential participants would already be in attendance at the colleges, time off work or other life schedules and transport costs may not be concerns to the extent reported by Taggart et al. () and Coates, Slevin, Carey, Slater, and Davies (), where interventions were delivered in primary care settings. An analysis by Gillett et al.…”

Section: Discussionmentioning

confidence: 99%

“…This could enable greater opportunities for additional support and subsequently higher participation, as well as continued reinforcement of key messages. As potential participants would already be in attendance at the colleges, time off work or other life schedules and transport costs may not be concerns to the extent reported by Taggart et al (2017) and Coates, Slevin, Carey, Slater, and Davies (2017), where interventions were delivered in primary care settings. An analysis by Gillett et al (2010) found DESMOND to be cost-effective in a primary care setting, and WA costs may be lower in an educational setting.…”

Section: Discussionmentioning

confidence: 99%

Pilot feasibility study of the Walking Away from Diabetes programme for adults with intellectual disabilities in two further education colleges: Process evaluation findings

Maine

Brown

Dickson

et al. 2019

Research Intellect Disabil

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Background People with intellectual disabilities remain at high risk of developing type 2 diabetes (T2D) due to lifestyle‐associated risk factors. Educational programmes have been adapted for people with intellectual disabilities targeting ongoing T2D self‐management. However, there are no adapted programmes which aim to prevent T2D through reducing risk factors. The present study initiates addressing this gap. Methods Further education (FE) colleges in Scotland were recruited for feasibility study using the Walking Away (WA) from Diabetes programme. Process evaluation assessed recruitment, retention, baseline physical activity levels, and acceptability and accessibility using focus groups. Results Ninety six percent of invited students agreed to participate. WA was positively received, and some short‐term impact was described. Suggestions for further adaptations regarding materials, delivery and content were provided, including delivery embedded within FE college curriculum. Conclusions Recruitment, retention and acceptability provide rationale for further research on T2D prevention in FE colleges.

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“…It is frequently implied in the literature that non‐attendance at DSSME is an issue for people with diabetes . For example, evidence in the UK exploring why people with diabetes do not attend DSSME focuses on issues such as the stigma of diabetes , the asymptomatic nature of Type 2 diabetes which hides its seriousness , and a range of logistical issues related to access to programmes [F. Findlay White, M. Slevin, M.E. Carey, V. Coates, unpublished]; however, issues can be related to organizational deficiencies and, until recently, these have been largely overlooked.…”

Section: Introductionmentioning

confidence: 99%

Exploring organizational support for the provision of structured self‐management education for people with Type 2 diabetes: findings from a qualitative study

et al. 2019

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Aim To explore the organizational context in which Type 2 diabetes structured group education is provided.Methods Four Clinical Commissioning Groups in England providing Type 2 diabetes structured self-management education participated in a qualitative study exploring the context for provision of that education. Using UK National Diabetes Audit returns, two Clinical Commissioning Groups were selected that had non-attendance rates of ≤25%, and two that had non-attendance rates of ≥50%. Between May 2016 and August 2017, 20 interviews were conducted with Clinical Commissioning Group staff including: commissioners, healthcare professionals, managers, general practitioners and diabetes educators. Data gathering was prolonged as it proved challenging to engage with healthcare staff as a result of frequent local restructuring and service disruption.Results Local audits revealed discrepancies in basic data such as referral and attendance numbers compared with national audit data. There was a commonality in the themes identified from interviews: diabetes education was rarely embedded in service structure; where education uptake was poor, a lack of central support to delivery teams was noticeable; and where education uptake was positive, delivery teams were actively engaged, sometimes relying on enthusiastic individuals. Both situations put the local sustainability of diabetes education at risk. Conclusions There appears to be a link between attendance rates and organizational issues, therefore, when considering how to increase attendance rates, the state of the diabetes education infrastructure should be reviewed. Good uptake of diabetes education can be too reliant on the enthusiastic commitment of small teams or individuals delivering the education.

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Declining structured diabetes education in those with type 2 diabetes: A plethora of individual and organisational reasons

Cited by 13 publications

References 22 publications

Healthcare professionals' views of group structured education for people with newly diagnosed Type 2 diabetes

Healthcare professionals' views of group structured education for people with newly diagnosed Type 2 diabetes

Pilot feasibility study of the Walking Away from Diabetes programme for adults with intellectual disabilities in two further education colleges: Process evaluation findings

Exploring organizational support for the provision of structured self‐management education for people with Type 2 diabetes: findings from a qualitative study

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