A 5-year randomized controlled study of learning, problem solving ability, and quality of life modifications in people with type 2 diabetes managed by group care.
Objective: To study time course changes in knowledge, problem solving ability, and quality of life in patients with type 2 diabetes managed by group compared with individual care and education.Research Design and Methods: We conducted a 5-year randomized controlled clinical trial of continuing syste...
| Publicado en: | Diabetes Care Vol. 27; no. 3; pp. 670 - 676 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
American Diabetes Association
Mar2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106742838&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106742838 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01495992 1G7 jtl: Diabetes Care issn: 01495992 maglogo: N pubinfo: dt: Mar2004 vid: 27 iid: 3 pid: 1367 pub: American Diabetes Association place: Arlington, Virginia artinfo: ui: 106742838 106742838 NLM14988283 2004092423 10.2337/diacare.27.3.670 NLM14988283 106742838 ppf: 670 ppct: 6 formats: tig: atl: A 5-year randomized controlled study of learning, problem solving ability, and quality of life modifications in people with type 2 diabetes managed by group care. aug: au: Trento M Passera P Borgo E Tomalino M Bajardi M Cavallo F Porta M Trento, Marina Passera, Pietro Borgo, Enrica Tomalino, Marco Bajardi, Marina Cavallo, Franco Porta, Massimo affil: Department of Internal Medicine, University of Turin, Torino, Italy sug: subj: Diabetes Mellitus, Type 2 Therapy Health Knowledge Problem Solving Psychotherapy, Group Quality of Life Analysis of Covariance Clinical Trials Confidence Intervals Descriptive Statistics Male Middle Age Multiple Regression P-Value Questionnaires Funding Source Human Middle Aged: 45-64 years Male ab: Objective: To study time course changes in knowledge, problem solving ability, and quality of life in patients with type 2 diabetes managed by group compared with individual care and education.Research Design and Methods: We conducted a 5-year randomized controlled clinical trial of continuing systemic education delivered by group versus individual diabetes care in a hospital-based secondary care diabetes unit. There were 120 patients with non-insulin-treated type 2 diabetes enrolled and randomly allocated to group or individual care. Eight did not start and 28 did not complete the study. The main outcome measures were knowledge of diabetes, problem solving ability, quality of life, HbA1c, BMI, and HDL cholesterol.Results: Knowledge of diabetes and problem solving ability improved from year 1 with group care and worsened among control subjects (P<0.001 for both). Quality of life improved from year 2 with group care but worsened with individual care (P<0.001). HbA1c level progressively increased over 5 years among control subjects (+1.7%, 95% CI 1.1-2.2) but not group care patients (+0.1%, -0.5 to 0.4), in whom BMI decreased (-1.4, -2.0 to -0.7) and HDL cholesterol increased (+0.14 mmol/l, 0.07-0.22).Conclusions: Adults with type 2 diabetes can acquire specific knowledge and conscious behaviors if exposed to educational procedures and settings tailored to their needs. Traditional one-to-one care, although delivered according to optimized criteria, is associated with progressive deterioration of knowledge, problem solving ability, and quality of life. Better cognitive and psychosocial results are associated with more favorable clinical outcomes. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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