Evaluation of patient-reported outcomes data in structured diabetes education intervention: 2-year follow-up data of patient empowerment programme
| Autor: | Frank W. K. Chan, Carlos K. H. Wong, Eric Yuk Fai Wan, C. H. Pak, William Wong, Cindy L. K. Lam, Anca Ka Chun Chan |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Health Status Endocrinology Diabetes and Metabolism education 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Endocrinology Patient Education as Topic Quality of life Diabetes mellitus medicine Humans Patient Reported Outcome Measures Prospective Studies 030212 general & internal medicine Patient participation Prospective cohort study Health Education Aged Self-management business.industry Middle Aged medicine.disease Self Care Diabetes Mellitus Type 2 Quality of Life cardiovascular system Physical therapy Female Health education Patient-reported outcome Observational study Patient Participation business Follow-Up Studies circulatory and respiratory physiology |
| Zdroj: | Endocrine. 54:422-432 |
| ISSN: | 1559-0100 1355-008X |
| DOI: | 10.1007/s12020-016-1015-5 |
| Popis: | To examine the effects of a structured group-based education programme, patient empowerment programme (PEP), compared with usual care on 2-year changes in patient-reported outcomes (PRO) in patients with diabetes mellitus (DM). A prospective observational study of 715 patients (PEP/non-PEP: 390/325) was conducted to complete the baseline PRO survey and followed up for 2 years. Health-related quality of life (HRQOL) was measured using the short-form 12 at baseline and annually at two follow-up assessments, which yielded physical and mental component summary and SF-6D preference-based scores. Perceived control over diabetes and general health status were measured using the patient enablement instrument (PEI) and global rating scale (GRS) at follow-ups. When compared with non-PEP, PEP participants significantly reported improvement in health condition (GRS score 0; 24.55 % vs 10.16 %; odds ratio = 2.502; P = 0.018) in 2 years and enabled the self-perceived control over diabetes (PEI score 0; 72.20 % vs 38.40 %; odds ratio = 3.25; P 0.001) in 1-year follow-up but no sustained effects in year 2 (52.65 % vs 39.04 %; odds ratio = 1.366; P = 0.265). There were no significant differences between PEP and non-PEP groups in the changes in quality of life scores (all P 0.05) at 1 year. Although HRQOL scores deteriorated over 2-year period in both groups, PEP participants reported similar changes in HRQOL scores to that of non-PEP. PEP for DM patients preserved self-perceived disease control and health condition, whereas PEP participants perceived their HRQOL similar to that of non-PEP participants. Findings of PRO should be considered alongside clinical outcomes when evaluating the overall benefits of PEP. |
| Databáze: | OpenAIRE |
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