Effect of a participatory patient education programme (NExt EDucation) in group-based patient education among Danes with type 2 diabetes

TY - JOUR

T1 - Effect of a participatory patient education programme (NExt EDucation) in group-based patient education among Danes with type 2 diabetes

AU - Christoffersen, Lea A.N.

AU - Hansen, Anne K.

AU - Pals, Regitze A.S.

AU - Willaing, Ingrid

AU - Siersma, Volkert

AU - Olesen, Kasper

PY - 2020/9/1

Y1 - 2020/9/1

N2 - Objective: To assess the effect of a participatory group-based education programme for individuals with type 2 diabetes, Next Education. Method: In a quasi-experimental study, individuals with type 2 diabetes were recruited from 14 Danish municipalities with a patient education programme. Eight municipalities using Next Education were intervention sites; six control sites used usual group-based education programmes. Data were collected through questionnaires at baseline and at 3 and 12 months after programmes ended. Changes in quality of life (EQ-5D-5L), diabetes-related emotional distress (PAID-5), physical activity, diet, foot care and sense of coherence (SOC-13) were assessed in generalised linear mixed models. Results: At baseline, 310 participants (52.6% females, mean age 62.5 years [SD = 10.7] and a mean duration of type 2 diabetes of 6.9 years [SD = 8.4]) participated in Next Education (n = 234) or group-based education (n = 76) at control sites. Compared with participants at control sites, participants at intervention sites had significantly larger sense of coherence scores at 3 (9.4%, p = 0.03) and 12 (9.8%, p = 0.02) months of follow-up. Other measures did not differ significantly between groups. Discussion: It is likely that person-centeredness and high degrees of user participation at the intervention sites improved sense of coherence among Danes with type 2 diabetes.

AB - Objective: To assess the effect of a participatory group-based education programme for individuals with type 2 diabetes, Next Education. Method: In a quasi-experimental study, individuals with type 2 diabetes were recruited from 14 Danish municipalities with a patient education programme. Eight municipalities using Next Education were intervention sites; six control sites used usual group-based education programmes. Data were collected through questionnaires at baseline and at 3 and 12 months after programmes ended. Changes in quality of life (EQ-5D-5L), diabetes-related emotional distress (PAID-5), physical activity, diet, foot care and sense of coherence (SOC-13) were assessed in generalised linear mixed models. Results: At baseline, 310 participants (52.6% females, mean age 62.5 years [SD = 10.7] and a mean duration of type 2 diabetes of 6.9 years [SD = 8.4]) participated in Next Education (n = 234) or group-based education (n = 76) at control sites. Compared with participants at control sites, participants at intervention sites had significantly larger sense of coherence scores at 3 (9.4%, p = 0.03) and 12 (9.8%, p = 0.02) months of follow-up. Other measures did not differ significantly between groups. Discussion: It is likely that person-centeredness and high degrees of user participation at the intervention sites improved sense of coherence among Danes with type 2 diabetes.

KW - diabetes self-management

KW - dialogue tools

KW - mixed models

KW - participatory methods

KW - Patient education

U2 - 10.1177/1742395318799843

DO - 10.1177/1742395318799843

M3 - Journal article

C2 - 30227718

AN - SCOPUS:85058615834

SN - 1742-3953

JO - Chronic Illness

JF - Chronic Illness

ER -