Low attendance at structured education for people with newly diagnosed type 2 diabetes: General practice characteristics and individual patient factors predict uptake

Patient Education and Counseling
Kirsty WinkleyKhalida Ismail

Abstract

The aims were to determine the association between individual and neighbourhood factors and attendance at structured education amongst people with newly diagnosed type 2 diabetes (T2DM). Multi-level analysis of questionnaire data from a prospective cohort of adults newly diagnosed T2DM. Setting was primary care, London, UK. Main outcome was attendance at structured education within 2 years. Of 1790 people recruited, attendance data were available for 1626 (91%). Only 22.4% (n=365/1626) attended education. Attendance was independently associated with female gender (OR 1.28, 95% CI 1.05-1.46), lower HbA1c (OR 0.98 mmol/mol 95% CI 0.97-0.99) and non-smoker status (OR 1.36, 95% CI 1.07-1.55). General practice covariates, achievement of primary care targets for glycaemic control (OR 1.05, 95% C.I. 1.01-1.08) and recording of retinal screening (OR 0.96, 95% C.I. 0.93-0.99) were independently associated with attendance but unexplained general practice clustering accounted for 17% of the variance. Education uptake is low amongst people with new onset T2DM. Attenders are more likely to be female, non-smokers with better HbA1c. General practices achieving glycaemic targets are more likely to have patients who attend education. Strategies...Continue Reading

References

Nov 1, 1993·Diabetic Medicine : a Journal of the British Diabetic Association·J E OverlandD K Yue
Apr 25, 2000·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·M LagerlundM Lambe
Mar 29, 2002·Diabetes/metabolism Research and Reviews·Elizabeth G EakinMondi Mason
Jul 23, 2002·JAMA : the Journal of the American Medical Association·Dean SchillingerAndrew B Bindman
Apr 21, 2004·The Diabetes Educator·Russell RothmanMichael Pignone
Sep 29, 2004·Health Affairs·Katherine Baicker, Amitabh Chandra
Aug 23, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·T A DeakinD C Greenwood
Jan 10, 2008·Diabetes Care·Martha M FunnellMichael A Weiss
Feb 16, 2008·BMJ : British Medical Journal·M J DaviesUNKNOWN Diabetes Education and Self Management for Ongoing and Newly Diagnosed Collaborative
Sep 23, 2008·Patient Education and Counseling·Baiju R Shah, Gillian L Booth
Jun 12, 2010·Diabetic Medicine : a Journal of the British Diabetic Association·M C GullifordS Sivaprasad
Sep 3, 2010·Nursing Research·Andrea S WallaceDarren A Dewalt
Aug 8, 2013·Psychosomatic Medicine·Katherine TwistKhalida Ismail
Aug 2, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·K WinkleyA Forbes

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Citations

Apr 11, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·K WinkleyA Forbes
Jun 23, 2020·Health Technology Assessment : HTA·Kirsty WinkleyKhalida Ismail
May 15, 2020·International Journal of Integrated Care·Reetu ZaroraDavid Simmons
Oct 21, 2018·BMC Health Services Research·Jamie RossElizabeth Murray
Jul 25, 2020·JMIR Diabetes·Shaira BaptistaUNKNOWN My Diabetes Coach Research Group

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