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Implementing empowerment group education in diabetes
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Medical Sciences.
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2004 In: Patient Educ Couns (Patient Education and Counseling), ISSN 0738-3991, Vol. 3, no 53, 319-24 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
2004. Vol. 3, no 53, 319-24 p.
URN: urn:nbn:se:uu:diva-97421OAI: oai:DiVA.org:uu-97421DiVA: diva2:172369
Available from: 2008-09-01 Created: 2008-09-01Bibliographically approved
In thesis
1. Patient Education for People with Type 2 Diabetes in Primary Health Care
Open this publication in new window or tab >>Patient Education for People with Type 2 Diabetes in Primary Health Care
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The general aim of this thesis was to evaluate different aspects of patient education for people with type 2 diabetes in Swedish primary health care.

The evaluation was conducted in a primary health care setting in central Sweden and in Swedish primary health care in its entirety. Seven centres in central Sweden had implemented the empowerment programme for patients with type 2 diabetes. Data on 16 care providers’ views on implementing the programme were collected in focus-group interviews. The effect and the patients’ experiences of the programme were evaluated in a randomized controlled trial (RCT) (n=101) and in individual interviews (n=28). In the RCT, 50 patients were assigned to the programme and 51 patients to routine diabetes care. The patients answered a 27-item questionnaire and BMI and HbA1c were measured, before the intervention and at one-year follow-up. Further, data from 485 primary health care centres with 91,637 diabetic patients were collected to evaluate patient education in Swedish primary health care in its entirety.

The care providers experienced conflicting roles in changing from expert to facilitator in the empowerment programme. The programme improved patients’ confidence in diabetes knowledge and contributed to their experience of self-control, while patients in the routine diabetes care experienced external control. Of the 485 centres, 50% reported having checklist-driven individual counselling and 8% that they individualized the counselling based upon patients’ needs. Most centres (>90%) set individual goals, but only one-third involved patients in the final decisions regarding their goals. Setting individual goals was found to have an impact on patients’ possibilities to reach national treatment targets.

In conclusion, the implementation of empowerment in patient education demands support to care providers in order to influence patients’ self-care. Furthermore, patients need to reflect upon necessary self-care changes and also set individual goals to facilitate the reaching of national treatment targets.

Place, publisher, year, edition, pages
Uppsala: Universitetsbiblioteket, 2008. 68 p.
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 367
Diabetes mellitus, empowerment, patient education, primary health care
National Category
urn:nbn:se:uu:diva-9200 (URN)978-91-554-7254-2 (ISBN)
Public defence
2008-09-26, Samlingssalen, Psykiatricentrum, Centrallasarettet, Ing 29, Västerås, 13:15
Available from: 2008-09-01 Created: 2008-09-01 Last updated: 2010-10-06Bibliographically approved

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