Field test of a group education program for type 2 diabetes: measures and predictors of success on individual and group levels
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
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.
type 2 diabetes, patient education, HbA(1c) follow-up, loneliness
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-152376DOI: 10.1016/S0738-3991(00)00170-1ISI: 000170502700004OAI: oai:DiVA.org:uu-152376DiVA: diva2:413377