Short-term efficacy of high intensity group and individual education in patients with type 2 diabetes: a randomized single-center trial.

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  • Additional Information
    • Source:
      Publisher: Springer Country of Publication: Italy NLM ID: 7806594 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1720-8386 (Electronic) Linking ISSN: 03914097 NLM ISO Abbreviation: J Endocrinol Invest
    • Publication Information:
      Publication: 2014- : Berlin : Springer
      Original Publication: Milano, Published for the Italian Society of Endocrinology by Editrice Kurtis.
    • Subject Terms:
      Patient Education as Topic* ; Self Care* ; Self-Help Groups*; Diabetes Mellitus, Type 2/*therapy; Blood Glucose/analysis ; Body Mass Index ; Diabetes Mellitus, Type 2/psychology ; Female ; Follow-Up Studies ; Glycated Hemoglobin/analysis ; Glycemic Index ; Humans ; Male ; Middle Aged ; Prognosis ; Quality of Life ; Surveys and Questionnaires
    • Abstract:
      Purpose: The aim of this randomized study was to examine the efficacy of two high intensity educational programs: the conversation maps-based (CM™) education and the individual education (IE), compared to usual care (UC) in a cohort of type 2 diabetic (T2DM) patients.
      Methods: Ninety T2DM outpatients (30 per group) were randomized and 79 finished the study and were analyzed. The CM™ and IE groups received four educational sessions at 0, 4, 8 and 12 weeks, while the UC group received two brief individual sessions at 0 and 12 weeks. We evaluated glycemic control (HbA1c), diabetes treatment, body mass index (BMI) and carried out a questionnaire survey at three time points (before intervention, at 12 and at 32 weeks) to assess patients' satisfaction, attitudes toward diabetes and dietary knowledge.
      Results: All the three groups showed a significant and comparable reduction of both HbA1c and BMI. Diabetes therapy needed to be reinforced in a higher percentage of cases (39.3%) among UC patients compared to the IE (14.8%; p = 0.04) and the CM™ (8.3%; p = 0.01) groups. At 32 weeks Diabetes Treatment Satisfaction (DTSQ Q1 + Q4-8) significantly improved in the CM™ group (25.8 ± 4.5 vs. 22.4 ± 6.0; p < 0.01) and attitudes toward diabetes (ATT19) significantly improved in the IE group (58.0 ± 4.7 vs. 55.3 ± 5.1; p = 0.02).
      Conclusions: Our trial provides preliminary data regarding the efficacy of structured group and individual education on achieving better glyco-metabolic control without drug therapy reinforcement and with positive effects on patients' attitude and treatment satisfaction.
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    • Contributed Indexing:
      Keywords: Conversation map; Individual education; Treatment satisfaction; Type 2 diabetes
    • Accession Number:
      0 (Blood Glucose)
      0 (Glycated Hemoglobin A)
      0 (hemoglobin A1c protein, human)
    • Publication Date:
      Date Created: 20180812 Date Completed: 20190726 Latest Revision: 20221207
    • Publication Date:
      20221213
    • Accession Number:
      10.1007/s40618-018-0929-6
    • Accession Number:
      30097902