Lasting impact of an implemented self‐management programme for people with type 2 diabetes referred from primary care: a one‐group, before–after design

Fløde, Mari; Iversen, Marjolein M.; Aarflot, Morten; Haltbakk, Johannes

doi:10.1111/scs.12398

Cited by 9 publications

(3 citation statements)

References 20 publications

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“…A home-based educational intervention for native Americans with type 2 diabetes by Shah et al 25 found a significant increase in patient activation. Another self-management intervention for diabetic patients in Norwegian primary care demonstrated a persistent increase in their level of activation 26 . In their secondary analysis of a randomised trial of self-care for patients with depression and comorbidities, McCusker et al 27 found that activation significantly improved in both coached and non-coached groups at 6 months' follow-up.…”

Section: Discussionmentioning

confidence: 99%

Activating primary care COPD patients with multi-morbidity through tailored self-management support

Ansari

Hosseinzadeh

Dennis

et al. 2020

npj Prim. Care Respir. Med.

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Given the dearth of COPD self-management interventions that specifically acknowledge multi-morbidity in primary care, we aimed to activate COPD patients through personalised self-management support that recognised the implications of co-morbidities. This single-group experimental study included patients aged 40−84 with a spirometry diagnosis of COPD and at least one co-morbidity. A self-management education programme for COPD in the context of multi-morbidity, based on the Health Belief Model, was tailored and delivered to participants by general practice nurses in face-to-face sessions. At 6 months' follow-up, there was significant improvement in patient activation (p < 0.001), COPD-related quality of life (p = 0.012), COPD knowledge (p < 0.001) and inhaler device technique (p = 0.001), with no significant change in perception of multi-morbidity (p = 0.822) or COPD-related multimorbidity (0.084). The programme improved patients' self-efficacy for their COPD as well as overall health behaviour. The findings form an empirical basis for further testing the programme in a large-scale randomised controlled trial.

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Section: Discussionmentioning

confidence: 99%

Activating primary care COPD patients with multi-morbidity through tailored self-management support

Ansari

Hosseinzadeh

Dennis

et al. 2020

npj Prim. Care Respir. Med.

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“…Despite absence of gender differences in diabetes knowledge scores, those of female participants improved significantly after education programme. 19 In another study of 392 patients with T2DM, 62.5% had an average knowledge of diabetes which denotes to a score of 7-11 over total score of 14. 20 There were no significant association between diabetes knowledge scores and demographic features.…”

Section: Discussionmentioning

confidence: 97%

Assessing efficacy of diabetes school using diabetes knowledge scale in Turkey

Taskiran¹,

Cansu

2019

Int J Res Med Sci

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Background: Diabetes education, as an essential component of diabetes management, improves various aspects of diabetes mellitus including lowering Haemoglobin A1c. There is a number of surveys evaluating diabetes knowledge.Methods: The purpose of this study to measure diabetes knowledge of patients with diabetes mellitus after a structured group education programme named as diabetes school. This study is an observational study and the design is a cohort study. The study took place in 2017-2018. The duration of follow-up is 4 weeks. Fifty-four patients aged over 18 with a previous diagnosis of diabetes mellitus, who attended to the diabetes school education programme, were included to the study. Twenty-three patients participated in the true-false version of the revised Michigan diabetes knowledge questionnaire before and after the programme.Results: Twenty female and 3 male patients were aged 60.43±9.97 years. The scores improved significantly after the education programme (7.61±4.59 vs 12.39±3.35, p<0.0001). The number of patients correctly identifying more than half of the statements showed a steep increase after the programme (n=6, 26.0% vs n=17, 73.9%). Before education programme 13 had poor knowledge, 9 had moderate, and 1 had good knowledge. After completion 6 had poor knowledge, 11 had moderate, and 5 had good knowledge.Conclusions: Diabetes school is effective in improving diabetes knowledge in patients with diabetes mellitus. Revised Michigan Diabetes Knowledge Questionnaire can be used to evaluated diabetes knowledge. It may aid to detect the subgroup of patients who are lack knowledge of various aspects of diabetes mellitus.

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“…Several community‐based DSME programs have been developed and show promise for improving diabetes self‐management behavioral outcomes in various populations, including rural communities and minority groups (Lorig et al, ; Philis‐Tsimikas et al, ; Samuel‐Hodge et al, ; Towne, Smith, Ahn, & Ory, ). DSME programs have also demonstrated positive effects on patient activation (Fløde, Iversen, Aarflot, & Haltbakk, ; Frosch et al, ; Ledford, Ledford, & Childress, ; Lorig, Ritter, Villa, & Armas, , ). However, little is known about how DSME can facilitate patient activation and engagement in diabetes preventive health services.…”

Section: Discussionmentioning

confidence: 99%

Impact of a community‐based approach to patient engagement in rural, low‐income adults with type 2 diabetes

Glenn

Nichols

Enriquez

et al. 2019

Public Health Nursing

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Objective This secondary analysis examined the relationships between Patient Activation Measure (PAM) scores, use of health services, and HgA1C. Design A feasibility study was conducted for a community‐based intervention for high‐risk adults with uncontrolled diabetes. Data were collected at baseline and monthly, including PAM and modified Diabetes Self‐Management Assessment Report Tool. Intervention Participants (n = 58) were randomized to a 3‐month nurse (RN) telephone management or community health worker (CHW) in‐home intervention, focusing on medication adherence, timely follow‐up, diabetes self‐management coaching, and linkage to resources. Results Sample was mostly female (73%), African‐American (90%), low income (75%), high school education or less (80%), and mean age of 59 years. A positive association between PAM score and self‐reported diabetes care recommendations was found (r = .356, p = .014) and significant correlation between baseline PAM score and HgA1C levels (r = −.306, p = .029). A paired samples t test showed statistically significant increases in PAM scores in the CHW intervention group (mean increase +8.5, CI [+2.49 to +14.65]); baseline (M = 60.31, SD = 13.3) to end of study ([M = 68.89, SD = 16.39], t(22) = 2.924, p = .008 [two‐tailed]). Conclusion A community‐based approach to diabetes management demonstrated a positive effect on patient activation. Although disparities in health care access among rural, low‐income populations exist, community‐based interventions show potential for improving patient engagement in diabetes management and recommended health services.

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Lasting impact of an implemented self‐management programme for people with type 2 diabetes referred from primary care: a one‐group, before–after design

Cited by 9 publications

References 20 publications

Activating primary care COPD patients with multi-morbidity through tailored self-management support

Activating primary care COPD patients with multi-morbidity through tailored self-management support

Assessing efficacy of diabetes school using diabetes knowledge scale in Turkey

Impact of a community‐based approach to patient engagement in rural, low‐income adults with type 2 diabetes

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