Therapeutic education among adults with type 2 diabetes: effects of a three-day intervention on perceived competence,self-management behaviours and glycaemic control

Abstract

The purpose of this study was to evaluate the impact of a three-day therapeutic education programme on perceived competence, self-management behaviours (i.e. physical activity, diet and medication) and glycaemic control among adults with type 2 diabetes. A total of 120 participants were included in this randomized, wait list control group trial. The results confirm that therapeutic education may be a powerful healthcare intervention to improve lifestyle and health status of people with type 2 diabetes. We observed that the education programme used in this study generated positive changes in glycaemic control and adherence to physical activity and diet after three months follow-up. Furthermore, the intervention positively impacted participants’ perceived competence towards physical activity and diet. The latter finding is of particular importance, given that perceived competence has been found to be involved in long-term adherence to self-management behaviours.

Keywords

therapeutic education diabetes perceived competence physical activity diet glycaemic control self-management

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References

Deakin

McShane

Cade

Williams

. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2005; 2: CD003417.

Mensing

Boucher

Cypress

National standards for diabetes self-management education. Diabetes Care. 2005; 28: S72–S79.

Gary

Genkinger

Guallar

Peyrot

Brancati

. Meta-analysis of randomized educational and behavioral interventions in type 2 diabetes. Diabetes Educ. 2003; 29: 488–501.

Norris

Lau

Smith

Schmid

Engelgau

. Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care. 2002; 25: 1159–1171.

Albano

Crozet

d’Ivernois

. Analysis of the 2004–2007 literature on patient education in diabetes: results and trends. Acta Diabetologica. 2008; 45: 211–219.

Lagger

Pataky

Golay

. Efficacy of therapeutic patient education in chronic diseases and obesity. Patient Educ Couns. 2010; 79: 283–286.

Norris

Engelgau

Naranyan

KMV

. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 2001; 24: 561–587.

Glasgow

. Translating research to practice: lessons learned, areas for improvement, and future directions. Diabetes Care. 2003; 26: 2451–2456.

Peyrot

. Behavior change in diabetes education. Diabetes Educ. 1999; 25: 62–73.

10.

Krichbaum

Aarestad

Buethe

. Exploring the connection between self-efficacy and effective diabetes self-management. Diabetes Educ. 2003; 29: 653–662.

11.

Williams

McGregor

Zeldman

Freedman

Elder

Deci

. Promoting glycemic control through diabetes self-management: evaluating a patient activation intervention. Patient Educ Couns. 2005; 56: 28–34.

12.

Bandura

. Self-efficacy: The Exercise of Control. New York, USA: Freeman; 1997.

13.

Williams

Bond

. The roles of self-efficacy, outcome expectancies and social support in the self-care behaviours of diabetics. Psychol Health Med. 2002; 7: 127–141.

14.

Toobert

Hampson

Glasgow

. The Summary of Diabetes Self-Care Activities Measure. Results from 7 studies and a revised scale. Diabetes Care. 2000; 23; 943–950.

15.

Williams

McGregor

Zeldman

Freedman

Deci

. Testing a self-determination theory process model for promoting glycemic control through diabetes self-management. Health Psychol. 2004; 23: 58–66.