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Field test of a group education program for type 2 diabetes: measures and predictors of success on individual and group levels
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
2001 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 44, no 2, 129-139 p.Article in journal (Refereed) Published
Abstract [en]

We per-formed field testing of a previously described group education program for type 2 diabetes. HbA(1c) levels at start, 6 and 12 months were collected and demographic factors examined to identify predictors of long-term glycemic control on individual and group levels. "Glycemic success" comprised of (1) achieving target values of HbA(1c) less than or equal to 6.5% and/or (2) decreasing HbA(1c) progressively, depending on initial values. Groups in the field test and previous pilot-study (N = 105) decreased their mean HbA(1c) significantly after 6 months, implying that diabetes mass education led by pharmacists could be possible in the future. Target HbA(1c) less than or equal to 6.5% was seen in 51% at start and 63% after 12 months (P = 0.023). Initial HbA(1c) and BMI were the most important success predictors; age, sex, duration, and civil status showed no effects. Overweight individuals relapsed after initially decreasing their HbA(1c), emphasizing the need for long-term support in weight management. Experienced loneliness affected outcomes, indicating interaction between diet self-care and social relations.

Place, publisher, year, edition, pages
2001. Vol. 44, no 2, 129-139 p.
Keyword [en]
type 2 diabetes, patient education, HbA(1c) follow-up, loneliness
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-152376DOI: 10.1016/S0738-3991(00)00170-1ISI: 000170502700004OAI: oai:DiVA.org:uu-152376DiVA: diva2:413377
Available from: 2011-04-28 Created: 2011-04-28 Last updated: 2017-12-11Bibliographically approved

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Rosenqvist, Urban

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