Diabetes Mellitus, Type 2
Conditions
Keywords
self-efficacy, health behavior, patient education, health education
Brief summary
The goal of this randomized controlled trial is to determine if greater effectiveness can be achieved by the addition of lay-led self-management patient education to regular professionally-led diabetes patient education in comparison to regular professionally-led diabetes patient education only.
Detailed description
In the current health care environment, it is unacceptable for patient education programs to merely provide information. Rather, educational programs must concentrate on behavior change and on supporting patients to become more confident and motivated in participating in managing their health. Persons with type 2 diabetes attending a Diabetes Education Centre will be assigned to either a group that receives regular professionally-led diabetes patient education (control group) or to to a group that receives regular professionally-led diabetes patient education augmented by lay-led self-management education i.e., the Stanford six-session Chronic Disease Self-Management Program (experimental group). Data will be collected at two points in time (0 and 6 months). Outcome measures will show if participants who receive self-management training in addition to regular patient education are able to:manage their diabetes more effectively; engage in the specific behaviors that keep the condition from worsening; achieve more control over their condition; and use the health care system more effectively.
Interventions
Professionally-led diabetes patient education delivered by health professionals over a two day period
Professionally-led diabetes patient education led by nurse and dietitian over a two day period augmented by participation in the Stanford Chronic Disease Self-Management Program. This program takes place for 2 1/2 hours per week for six consecutive weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* adults with type 2 diabetes
Exclusion criteria
* cognitive impairment * unable to speak English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A1C | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Self-management behaviors | 6 months |
| Self-efficacy levels | 6 months |
| Health status | 6 months |
| Cholesterol levels | 6 months |
Countries
Canada