Field test of a group education program for type 2 diabetes: measures and predictors of success on individual and group levels

Patient Educ Couns. 2001 Aug;44(2):129-39. doi: 10.1016/s0738-3991(00)00170-1.

Abstract

We performed 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) < or =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) < or =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.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude to Health
  • Diabetes Mellitus, Type 2 / etiology
  • Diabetes Mellitus, Type 2 / metabolism
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Diabetes Mellitus, Type 2 / psychology
  • Female
  • Glycated Hemoglobin A / metabolism
  • Humans
  • Interpersonal Relations
  • Loneliness
  • Male
  • Middle Aged
  • Needs Assessment
  • Obesity / complications
  • Obesity / prevention & control
  • Patient Education as Topic / methods
  • Patient Education as Topic / standards*
  • Predictive Value of Tests
  • Program Evaluation
  • Self Care / methods
  • Self Care / standards
  • Self-Help Groups / standards*
  • Social Support
  • Surveys and Questionnaires
  • Sweden
  • Treatment Outcome

Substances

  • Glycated Hemoglobin A