Effectiveness of a community orientated diabetes education (CODE) programme for people with type 2 diabetes
DOI:
https://doi.org/10.1002/edn.188Keywords:
type 2 diabetes, education, empowerment, quality of life, knowledgeAbstract
AbstractEvaluation is an essential component of structured diabetes education with most established programmes showing positive effects at group level. However, evaluation of post-educational intervention outcomes is dependent on the participant completing the programme. There is, currently, little research into the psychological or demographic attributes of non-attendees for post-educational intervention evaluation.
This study aimed to use the evaluation of a structured diabetes education programme in order to explore the characteristics of participants and determine if any association existed between personal characteristics and benefits of attendance and/or non-attendance for post-programme evaluation.
Using a convenience sample of people, a pre-post research design was employed to identify the psychological characteristics of people who benefit from and those who fail to complete an educational intervention programme for type 2 diabetes. The sample consisted of valid responses from 392 (98%, n=401) participants attending the Community Orientated Diabetes Education (CODE) programme, a structured diabetes education programme delivered to people with type 2 diabetes in the Republic of Ireland. The programme is based on an empowering philosophy with the main outcome measurement being diabetes-related empowerment, quality of life (QOL), knowledge, weight and biomedical markers.
In all, 237 (60%) completed the post-programme evaluation and demonstrated positive outcomes in empowerment, QOL and knowledge at group level but these were not sustained at individual level. However, over one-third of participants did not attend for post-evaluation and these were more likely to be younger and report poorer QOL.
The findings indicate the need to evaluate change at an individual level and to target younger people to retain their attendance for the full educational intervention.
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References
Diabetes Expert Advisory Group First Report. Naas, Co Kildare: Health Service Executive, 2008.
Gillett M, Dallosso HM, Dixon S, et al. Delivering the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cost effectiveness analysis. BMJ2010;341:c4093. doi: 10.1136/bmj.c4093.
Deakin TA, Cade JE, Williams R, et al. Structured patient education: the Diabetes X-PERT Programme makes a difference. Diabet Med 2006; 23:944–54.
Clarke A. Delivering diabetes education in the community to meet local needs. J Diabetes Nurs 2008;12: 348–57.
Forde R, Dinneen S, Humphreys M, et al. Review of Diabetes Structured Education: Republic of Ireland. Naas, Co Kildare: Health Service Executive, 2009.
Gucciardi E, DeMelo M, Offeinheim A, et al. Patient factors associated with attrition from a self-management education programme. J Eval Gun Pract 2007;13:913–9.
Norris SL, Lau J, Smith SJ, et al. Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care 2002;25:1159–71.
Gucciardi E. A systematic review of attrition from diabetes education services: strategies to improve attrition and retention research. Can J Diabetes 2008;32:53–65.
Mensing C, Boucher J, Cypress M, etal. National standards for diabetes self-management education. Diabetes Care 2004;27:5143–50.
Anderson RM, Fitzgerald JT, Gruppen LD, et al. The Diabetes Empowerment Scale-Short Form (DES-SF). Diabetes Care 2003;26: 1641–2.
Bech P. Male depression: stress and aggression as pathways to major depression. In Depression: Social and economic time bomb. Dawson A, Tylee A (eds). London: BMJ Books, 2001; 63–6.
Beeney LJ, Bakry AA, Dunn SM. Patient psychological and information needs when the diagnosis is diabetes. Patient Educ Couns 1996;29: 106–16.
Bandura A. Self-Efficacy in Changing Societies. Cambridge University Press, 1995.
Davies MJ, Heller S, Skinner TC, et al. Effectiveness of the diabetes education and self-management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. BMJ 2008;336(7642):491–5. Epub 2008 Feb 14.
Anderson RJ, Freedland KE, Clouse RE, et al. The prevalence of bid depression depression in adults with diabetes: a meta-analysis. Diabetes Care 1995;24:1069–78.
Koch T, Kralik D, Taylor J. Men living with diabetes: minimizing the intrusiveness of the disease. J Clin Nurs 1995;9:247–54.
Rossi PH, Lipsey MW, Freeman HE. Evaluation: A systematic approach 7th edn. Thousand Oaks, CA: Sage, 2004.
Burns D, Soward AC, Skelly AH, etal. Effective recruitment and retention strategies for older members of rural minorities. Diabetes Educator 2008; 34:1045–52.
Katzer L, Bradshaw AJ, Horwath CC, et al. Evaluation of a `nondieting' stress reduction program for overweight women: a randomized trial. Am J Health Promot 2008;22:264–74.
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