Evaluating the Impact of Diabetes Self-Management Education Methods on Knowledge, Attitudes and Behaviours of Adult Patients With Type 2 Diabetes Mellitus
| Autor: | Colleen O'Connor, Alicia C. Garcia, Laura Adam |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Adult Blood Glucose Male medicine.medical_specialty Health Knowledge Attitudes Practice Endocrinology Diabetes and Metabolism media_common.quotation_subject Health Behavior 030209 endocrinology & metabolism Diabetes self management 03 medical and health sciences chemistry.chemical_compound Social support Young Adult 0302 clinical medicine Endocrinology Patient Education as Topic Diabetes mellitus Internal medicine Internal Medicine Medicine Humans Hypoglycemic Agents 030212 general & internal medicine media_common Aged Glycated Hemoglobin Adult patients business.industry Self-Management Type 2 Diabetes Mellitus General Medicine Middle Aged medicine.disease Focus group chemistry Feeling Diabetes Mellitus Type 2 Female Glycated hemoglobin business |
| Zdroj: | Canadian journal of diabetes. 42(5) |
| ISSN: | 2352-3840 |
| Popis: | Objectives Diabetes self-management refers to all activities patients undertake to care for their illness, promote health and prevent the long- and short-term effects of diabetes. This study compared the effectiveness of 2 diabetes self-management education methods by examining changes in glycated hemoglobin (A1C) levels and knowledge, attitudes and behaviours (KABs) after traditional group education (TE) or with diabetes conversation maps (CMs). The CMs group was postulated to show greater decrease in A1C levels and improved KABs scores compared to the TE group. Methods A sample of 21 eligible clients from Diabetes Care Guelph were randomly assigned into 2 groups: 10 receiving education through CMs and 11 through TE. Changes in knowledge and attitude were determined by using questionnaires and repeated-measures pretest and post-test design before and after the education sessions. Changes in A1C levels were determined by comparing values at baseline and at 3 months after receiving diabetes education. Two focus groups were conducted to obtain participants' perceptions of the education methods and self-reported KAB changes. Results Significant differences in knowledge and attitude score changes were observed from baseline/initial education and after 3 months. Both groups had significant decreases in A1C levels from baseline to 3 months afterward. Focus groups revealed themes common to both groups, such as benefits of early education, the need for multiple lifestyle behaviour changes and feelings about social support. Conclusions CMs had a significant impact and are effective for group education. The changes observed may lead to improved diabetes self-management, thus reducing costly health complications related to poorly controlled diabetes. |
| Databáze: | OpenAIRE |
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