Effects of the Diabetes Manual 1:1 structured education in primary care

Diabetic Medicine : a Journal of the British Diabetic Association
Jackie SturtJeremy Dale

Abstract

To determine the effects of the Diabetes Manual on glycaemic control, diabetes-related distress and confidence to self-care of patients with Type 2 diabetes. A cluster randomized, controlled trial of an intervention group vs. a 6-month delayed-intervention control group with a nested qualitative study. Participants were 48 urban general practices in the West Midlands, UK, with high population deprivation levels and 245 adults with Type 2 diabetes with a mean age of 62 years recruited pre-randomization. The Diabetes Manual is 1:1 structured education designed for delivery by practice nurses. Measured outcomes were HbA(1c), cardiovascular risk factors, diabetes-related distress measured by the Problem Areas in Diabetes Scale and confidence to self-care measured by the Diabetes Management Self-Efficacy Scale. Outcomes were assessed at baseline and 26 weeks. There was no significant difference in HbA(1c) between the intervention group and the control group [difference -0.08%, 95% confidence interval (CI) -0.28, 0.11]. Diabetes-related distress scores were lower in the intervention group compared with the control group (difference -4.5, 95% CI -8.1, -1.0). Confidence to self-care Scores were 11.2 points higher (95% CI 4.4, 18.0) in ...Continue Reading

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Citations

Sep 17, 2010·Advances in Therapy·Stephan Jacob, Manuel Serrano-Gil
Jun 13, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Jenni MurrayAllan House
May 16, 2014·Canadian Journal of Diabetes·Helen JonesCatherine Yu
Jul 31, 2013·Journal of Evaluation in Clinical Practice·Frances E GriffithsJackie Sturt
Apr 12, 2013·Nursing Research and Practice·Helen Altman KleinGary Klein
Aug 2, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·K WinkleyA Forbes
Jun 11, 2015·Scandinavian Journal of Caring Sciences·Nete SchwennesenIngrid Willaing
Jul 29, 2010·Qualitative Health Research·Frances GriffithsJackie Sturt
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Jun 22, 2019·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·John DoupisNikolaos Tentolouris
Jan 17, 2020·Journal of Clinical Nursing·Jorge Caro-BautistaJosé Miguel Morales-Asencio
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