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Experience-based group education in type 2 diabetes - A randomised controlled trial
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.
2004 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 53, no 3, 291-298 p.Article in journal (Refereed) Published
Abstract [en]

Few studies have demonstrated an effect of educational interventions on glycaemic control in persons with Type 2 diabetes longer than 3-6 months after baseline. We aimed to investigate the effectiveness of an experience-based group educational programme 24 months after baseline and to pinpoint mediators that might play a role in achieving desired metabolic outcomes. We conducted a randomised controlled trial inviting self-referred persons with Type 2 diabetes (N = 77 randomised). The pharmacist-led, year-long intervention was based on participants experiences of glucose regulation during the monthly group discussions. We measured HbA(1c) at 0, 6, 12, and 24 months and a questionnaire was administered at baseline and final follow-up. Our findings indicated that participating in the intervention programme significantly decreased HbA(1c) by 0.4% at 24 months after baseline. Initial HbA(1c), satisfaction with own diabetes-related knowledge, and treatment were found directly related to glycaemic outcomes. The intervention group exercised more in order to lower blood-glucose levels and was also more able to predict current blood-glucose levels before measuring it. Experience-based group education was effective in decreasing participants' HbA(1c), 1-year after completed intervention. Early effect of the intervention was followed by relapse after 12 months and a new, significant decrease at 24 months; this dual course implies that follow-up of educational interventions should involve several consecutive measurements to capture possible late effects. Both biomedical and subjective factors played a role in accounting for the variance of HbA(1c) at 2-year follow-up after baseline.

Place, publisher, year, edition, pages
2004. Vol. 53, no 3, 291-298 p.
Keyword [en]
patient education, diabetes mellitus, randomised controlled trial, HbA1c
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-152361DOI: 10.1016/j.pec.2003.10.009ISI: 000222282400006OAI: oai:DiVA.org:uu-152361DiVA: diva2:413380
Available from: 2011-04-28 Created: 2011-04-28 Last updated: 2011-10-17Bibliographically approved

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