Are group-based self-management programmes suitable for all patients with type 2 diabetes?

Autor: Knutsen Førsteamanuensis, Ingrid Ruud, Bossy, Dagmara, Foss, Christina
Předmět:
Zdroj: Norwegian Journal of Clinical Nursing / Sykepleien Forskning; 5/22/2017, p1-12, 12p, 3 Charts
Abstrakt: Background: Group-based self-management programmes are arranged for patients with type 2 diabetes to increase coping skills and prevent complications of type 2 diabetes. However, it is uncertain whether the programmes are attractive to all groups of patients. International studies show that patients who fail to comply with recommendations on lifestyle and have a low socioeconomic status are under-represented in group-based self-management programmes. Objective: The study examines a Norwegian sample of type 2 diabetes patients and aims to investigate the percentage who have attended group-based self-management programmes, and characteristics of participants and non-participants. Method: This is a descriptive cross-sectional study for which 298 patients with type 2 diabetes completed a questionnaire (84.2% response rate). Chi-square test and logistic regression analysis were used to compare participants and non-participants. Result: In the study, 61% of participants are men and 39% are women, and the mean age is 60 years. Altogether 38% of the respondents had participated in group-based self-management programmes. Significant differences emerged when comparing participants with non-participants. Among participants, the majority were women and persons with a higher education, while smokers were in the majority among non-participants. Physical activity was strongly correlated with participation. Conclusion: The findings reveal selection bias in group-based self-management programmes and indicate the need to develop and test alternative programmes to reach more groups of patients in the population. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index