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

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 Q What is the best method of patient education for middle aged patients with type 2 diabetes?

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


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded {data collectors and outcome assessors}.*

Embedded ImageFollow-up period:

3 and 15 months.

Embedded ImageSetting:

community-based study in Würzburg, Germany.

Embedded ImagePatients:

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.

Embedded ImageIntervention:

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 …

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  • * See glossary.

  • Information provided by author.

  • For correspondence: Dr B Kulzer, Research Institute of the Diabetes Academy Mergentheim, Bad Mergentheim, Germany. kulzer{at}

  • Source of funding: German Federal Bureau for Research and Technology.

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