Effects of the diabetes manual 1:1 structured education in primary care

Sturt, Jackie, Whitlock, Sandra, Fox, Claudine, Hearnshaw, Hilary, Farmer, A. J., Wakelin, M., Eldridge, Sandra, Griffiths, Frances and Dale, Jeremy (2008) Effects of the diabetes manual 1:1 structured education in primary care. Diabetic Medicine, Vol.25 (No.6). pp. 722-731. doi:10.1111/j.1464-5491.2008.02451.x ISSN 0742-3071.

[thumbnail of WRAP_Sturt_DM_RCT_accepted_PDF_Feb_08.pdf]

Preview

PDF
WRAP_Sturt_DM_RCT_accepted_PDF_Feb_08.pdf - Unspecified Version - Requires a PDF viewer.
Download (505kB)

Official URL: http://dx.doi.org/10.1111/j.1464-5491.2008.02451.x

Request Changes to record.

Abstract

Aims

To determine the effects of the Diabetes Manual on glycaemic control, diabetes-related distress and confidence to self-care of patients with Type 2 diabetes. Methods

A cluster randomized, controlled trial of an intervention group vs. a 6-month delayed-intervention control group with a nested qualitative study. Participants were 48 urban general practices in the West Midlands, UK, with high population deprivation levels and 245 adults with Type 2 diabetes with a mean age of 62 years recruited pre-randomization. The Diabetes Manual is 1:1 structured education designed for delivery by practice nurses. Measured outcomes were HbA1c, cardiovascular risk factors, diabetes-related distress measured by the Problem Areas in Diabetes Scale and confidence to self-care measured by the Diabetes Management Self-Efficacy Scale. Outcomes were assessed at baseline and 26 weeks. Results

There was no significant difference in HbA1c between the intervention group and the control group [difference −0.08%, 95% confidence interval (CI) −0.28, 0.11]. Diabetes-related distress scores were lower in the intervention group compared with the control group (difference −4.5, 95% CI −8.1, −1.0). Confidence to self-care Scores were 11.2 points higher (95% CI 4.4, 18.0) in the intervention group compared with the control group. The patient response rate was 18.5%. Conclusions

In this population, the Diabetes Manual achieved a small improvement in patient diabetes-related distress and confidence to self-care over 26 weeks, without a change in glycaemic control. Further study is needed to optimize the intervention and characterize those for whom it is more clinically and psychologically effective to support its use in primary care.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health 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 Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Library of Congress Subject Headings (LCSH):	Diabetes -- Treatment -- Great Britain, Patient education -- Great Britain
Journal or Publication Title:	Diabetic Medicine
Publisher:	Blackwell
ISSN:	0742-3071
Official Date:	28 June 2008
Dates:	Date Event 28 June 2008 Published
Volume:	Vol.25
Number:	No.6
Page Range:	pp. 722-731
DOI:	10.1111/j.1464-5491.2008.02451.x
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	Diabetes UK, Medical Research Council (Great Britain) (MRC)
URI:	https://wrap.warwick.ac.uk/240/

Export / Share Citation

Data sourced from Thomson Reuters' Web of Knowledge

Request changes or add full text files to a record

Repository staff actions (login required)

View Item