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A self-management approach to patient education for type 2 diabetes was more effective than a didactic approach

Clinical impact ratings GP/FP/Primary care IM/Ambulatory care Endocrine

Key Words: diabetes mellitus (type 2) • patient education • self care

The first 150 words of the full text of this article appear below.

METHODS
Design: randomised controlled trial.

Allocation: {concealed^*}.

Blinding: blinded {data collectors and outcome assessors}.^*

Follow-up period: 3 and 15 months.

Setting: community-based study in Würzburg, Germany.

Patients: 193 patients 40–65 years of age (mean age 56 y, 50% men) who had type 2 diabetes, no insulin treatment, stimulated C peptide >0.8 nmol/l, body mass index (BMI) >26.7 (mean 32) kg/m², and no acute psychiatric illness.

Intervention: didactic oriented group intervention (4 sessions, 90 min each) focusing on acquisition of knowledge, skills, and information about treatment of diabetes (n = 64); self-management oriented group intervention (12 sessions, 90 min each) focusing on emotional, cognitive, and motivational processes of behaviour change (n = 63); and self-management oriented individual intervention (6 individual and 6 group sessions) with the same content as the second group (n = 66). The interventions were conducted by 4 trained health psychologists and had a median . . . [Full text of this article]

Andrew Farmer, MD

University of Oxford, Oxford, UK

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Glossary
Evid. Based Med. 2007 12: 160. (in Glossary) [Extract] [Full Text] [PDF]