Group based diabetes self-management education compared to routine treatment, waiting list control or no intervention for people with type 2 diabetes mellitus

Steinsbekk, Aslak; Rygg, Lisbeth Østgaard; Lisulo, Monde; Rise, Marit By; Fretheim, Atle

doi:10.1002/14651858.cd003417.pub3

Cited by 6 publications

(8 citation statements)

References 297 publications

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“… 20 The same is true for research on the characteristics of those who would choose to enroll in such interventions. 20 Work by Steinsbek et al 21 and Galagher et al 22 showed that there was little difference between baseline characteristics of participants in group versus standard treatment modalities. However, current literature suggests that patients’ preference for a treatment type for obesity or NCDs in general may be influenced by factors such as age, gender, cultural perceptions, health status, access to quality healthcare and practical difficulties.…”

Section: Introductionmentioning

confidence: 99%

Non-communicable disease risk factors and treatment preference of obese patients in Cape Town

Manning

Senekal

Harbron

2016

Afr. j. prim. health care fam. med.

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BackgroundInsights into the characteristics of treatment seekers for lifestyle changes and treatment preferences are necessary for intervention planning.AimTo compile a profile of treatment-seeking obese patients with non-communicable diseases (NCDs) or NCD risk factors and to compare patients who choose group-based (facility-based therapeutic group [FBTG]) versus usual care (individual consultations) treatment.SettingA primary healthcare facility in Cape Town, South Africa.MethodsOne hundred and ninety-three patients were recruited in this cross-sectional study. Ninety six chose FBTG while 97 chose usual care. A questionnaire, the hospital database and patients’ folders were used to collect data. Weight, height and waist circumference were measured. STATA 11.0 was used for descriptive statistics and to compare the two groups.ResultsThe subjects’ mean age was 50.4 years, 78% were women and of low education levels and income, and 41.5% had type 2 diabetes, 83.4% hypertension and 69.5% high cholesterol. Mean (s.d.) HbA1c was 9.1 (2.0)%, systolic BP 145.6 (21.0) mmHg, diastolic BP 84.5 (12.0) mmHg, cholesterol 5.4 (1.2) mmol/L), body mass indicator (BMI) 39.3 (7.3) kg/m2 and waist circumference 117 (12.6) cm). These figures were undesirable although pharmacological treatment for diabetes and hypertension was in place. Only 14% were physically active, while TV viewing was > 2h/day. Mean daily intake of fruit and vegetables (2.2 portions/day) was low while added sugar (5 teaspoons) and sugar-sweetened beverages (1.3 glasses) were high. Usual care patients had a higher smoking prevalence, HbA1c, number of NCD risk factors and refined carbohydrate intake, and a lower fruit and vegetable intake.ConclusionTreatment seekers were typically middle-aged, low income women with various modifiable and intermediate risk factors for NCDs. Patients choosing usual care could have more NCD risks.

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Section: Introductionmentioning

confidence: 99%

Non-communicable disease risk factors and treatment preference of obese patients in Cape Town

Manning

Senekal

Harbron

2016

Afr. j. prim. health care fam. med.

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“…While diabetes self-management education (DSME) and diabetes self-management support (DSMS) programmes have historically been defined as separate entities [5], recently Beck and colleagues [6] Previous DSMES programmes have demonstrated enhanced coping [7], empowerment and selfefficacy [8], improved quality of life (QoL) [9][10][11][12][13] and reduced rates of depression [14,15] and diabetes-related distress [16,17] among individuals with type 2 diabetes (T2DM). Improved adherence to diet and physical activity targets [18] and a reduction in glycosylated haemoglobin (A1C) [9,16,[19][20][21][22][23][24][25] may also limit the onset and severity of diabetes complications [26,27] for individuals receiving DSMES.…”

Section: Diabetes Self-management Education and Supportmentioning

confidence: 99%

Overcoming barriers to self-management: The person-centred diabetes foot behavioural agreement.

et al. 2019

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“…It has been found that more hours of education (19 to 52 hours) spread over a period of 6 to 10 months or with many sessions (6 to 10 sessions) tended to do better than education with shorter durations [14]. Other studies report a higher effect in education that is compact with meetings closely grouped together [13].…”

Section: Interactive Learningmentioning

confidence: 99%

“…Other studies report a higher effect in education that is compact with meetings closely grouped together [13]. One systematic review reported that education delivered by several educators may improve the effect of education [43], while another review found that only one educator tended to do better than having a group of educators in the educations [14].…”

Section: Interactive Learningmentioning

confidence: 99%

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Lifestyle Changes in Diet and Physical Activities after Group Education for Type 2 Diabetes—The Active Ingredient in the Education. A Qualitative Study

Rygg¹,

Løhre²

2017

OJN

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Background: Diabetes self-management education (DSME) for patients with type 2 diabetes requires efficient teaching methods that make patients want to change lifestyle in terms of their diabetes. The study looks at what may be the active ingredient in this DSME. Objective: To explore how participants in DSME, with an interactive learning method, experienced changes in relation to diet and physical activity. Method: We studied possible changes in diet and physical activity by semi-structured individual interviews of 16 participants attending DSME. Results: Before the DSME, the participants felt insecure about what to eat, and they expressed little interest in changing their physical activity. Just after the DSME, they were more optimistic about diet because they had learned how to interpret food labels and compose their meals. Furthermore, they had experienced the benefit of physical activity in relation to their blood glucose levels. Behavior changes appeared to persist the following half year. We discuss the findings in light of the principles of interactive learning. The participants experienced an effect of their behavior changes, and blood glucose measurement was used as a tool to gain control and reach a state of well-being. Conclusion: From being insecure about what to eat, the patients acquired knowledge to handle their diet through the DSME. They learned how to compose their meals and use physical activity to regulate their blood glucose. We suggest that the interactive learning used in the DSME was an active ingredient that led to changes in behavior and should be considered as an educational method in DSME for patient with type 2 diabetes.

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Group based diabetes self-management education compared to routine treatment, waiting list control or no intervention for people with type 2 diabetes mellitus

Abstract: Group based diabetes self-management education compared to routine treatment, waiting list control or no intervention for people with type 2 diabetes mellitus.

Cited by 6 publications

References 297 publications

Non-communicable disease risk factors and treatment preference of obese patients in Cape Town

Non-communicable disease risk factors and treatment preference of obese patients in Cape Town

Overcoming barriers to self-management: The person-centred diabetes foot behavioural agreement.

Lifestyle Changes in Diet and Physical Activities after Group Education for Type 2 Diabetes—The Active Ingredient in the Education. A Qualitative Study

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