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Insights into optimized educational accessibility and provision for patients living with diabetes mellitus : a model for the post-pandemic era, informed by survey data

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Hanson, Petra, Parmar, Dilan, Deo, Pranay, Whyteoshodi, Daniella, Gotts, Charlotte, O'Hare, Paul J., Randeva, Harpal S. and Barber, Thomas M. (2022) Insights into optimized educational accessibility and provision for patients living with diabetes mellitus : a model for the post-pandemic era, informed by survey data. Lifestyle Medicine, 3 (3). e64. doi:10.1002/lim2.64 ISSN 2688-3740.

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Official URL: https://doi.org/10.1002/lim2.64

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Abstract

Background
Patient education represents the key element in the management of diabetes mellitus (DM) and has changed dramatically during the last 3 years. Uptake of structured education is poor, and patient perception of received education varies greatly. The purpose of this study was to assess patients’ perception of adequacy of delivered education, barriers to attending structured courses and preferences for ongoing DM-related education.

Methods
Patients living with Type 2 DM attending diabetes clinics were invited to complete a questionnaire about their understanding of DM, adequacy of offered education and desired features of future courses, following their clinic appointment at University Hospitals Coventry and Warwickshire (UHCW). Those interested (n = 146) completed this questionnaire.

Results
Participants’ mean age was 58.2 years (standard deviation [SD] 13.6, median 59, interquartile range [IQR] 50–66), mean body mass index 34.5 Kgm–2 (SD 9.1, median 33.7 Kgm–2, IQR 29.8–41.7) and duration of T2DM was 13 years (SD 10, median 10 years, IQR 3–19). Thirty-one per cent of participants received no education at the time of their diagnosis with 51% of participants reporting no ongoing DM-related education. Thirty-seven per cent of participants did not understand the meaning of HbA1c. Preference for face-to-face versus remote delivery of DM-related education was roughly split, with 51% preferring the former. Attention to self-compassion and mental health needs were identified as key elements currently missing from DM-related education.

Conclusion
The provision of DM-related education pre-pandemic did not meet patients’ needs. Gaining insight and understanding into the gaps within current DM-related educational provision and patient preferences for its delivery are key strategies in the development of reformed DM-related education that will ultimately equip patients with improved self-management skills.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Diabetes , Diabetics , Diabetics -- Care, Patient education
Journal or Publication Title: Lifestyle Medicine
Publisher: Wiley
ISSN: 2688-3740
Official Date: 31 July 2022
Dates:
DateEvent
31 July 2022Published
1 June 2022Accepted
Volume: 3
Number: 3
Article Number: e64
DOI: 10.1002/lim2.64
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 11 August 2022
Date of first compliant Open Access: 11 August 2022
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