What does theory-driven evaluation add to the analysis of self-reported outcomes of diabetes education? A comparative realist evaluation of a participatory patient education approach

Patient Education and Counseling
Regitze Anne Saurbrey PalsIngrid Willaing

Abstract

To explore the effects of the Next Education (NEED) patient education approach in diabetes education. We tested the use of the NEED approach at eight intervention sites (n=193). Six additional sites served as controls (n=58). Data were collected through questionnaires, interviews and observations. We analysed data using descriptive statistics, logistic regression and systematic text condensation. Results from logistic regression demonstrated better overall assessment of education program experiences and enhanced self-reported improvements in maintaining medications correctly among patients from intervention sites, as compared to control sites. Interviews and observations suggested that improvements in health behavior could be explained by mechanisms related to the education setting, including using person-centeredness and dialogue. However, similar mechanisms were observed at control sites. Observations suggested that the quality of group dynamics, patients' motivation and educators' ability to facilitate participation in education, supported by the NEED approach, contributed to better results at intervention sites. The use of participatory approaches and, in particular, the NEED patient education approach in group-based diabet...Continue Reading

References

May 25, 2005·Patient Education and Counseling·Robert M Anderson, Martha M Funnell
Sep 6, 2008·Patient Education and Counseling·Dominick L FroschCarol M Mangione
Feb 3, 2009·Diabetic Medicine : a Journal of the British Diabetic Association·T C SkinnerUNKNOWN DESMOND Collaborative
Sep 22, 2012·Diabetes Care·Linda HaasUNKNOWN 2012 Standards Revision Task Force
Dec 12, 2012·Scandinavian Journal of Public Health·Kirsti Malterud
Jan 17, 2015·Indian Journal of Endocrinology and Metabolism·Natasja K Jensen, Regitze Anne Saurbrey Pals

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