A taxonomy for diabetes educational interventions

Elasy, Tom A.; Ellis, Shelly; Brown, Anne; Pichert, James W.

doi:10.1016/s0738-3991(00)00150-6

Cited by 45 publications

(42 citation statements)

References 50 publications

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“…Elasy et al (31), in examining controlled trials of diabetes education that used glycemic control as an outcome for descriptions of the education provided to patients, found most programs to be quite conventional. Most focused only on the patient.…”

Section: Do Interventions Focused On Disease Management By the Patienmentioning

confidence: 99%

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Management of Chronic Disease by Patients

Clark

2003

Annu. Rev. Public Health

219

160

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Key Words self-management, disease management, self-regulation, disease management assessment s Abstract Chronic conditions dominate health care in most parts of the world, including the United States. Management of a disease by the patient is central to control of its effects. A wide range of influences in the person's social and physical environments enhance or impede management efforts. Interventions to improve management by patients can produce positive outcomes including better monitoring of a condition, fewer symptoms, enhanced physical and psychosocial functioning, and reduced health care use. Successful programs have been theory based. Self-regulation is a promising framework for the development of interventions. Nonetheless, serious gaps in understanding and improving disease management by patients remain because of an emphasis on clinical settings for program delivery, neglect of the factors beyond patient behavior that enable or deter effective management, limitations of study designs in much work to date, reliance on short-term rather than long-term assessments, and failure to evaluate the independent contribution of various program components. MANAGEMENT OF CHRONIC DISEASE BY PATIENTSControl of chronic disease continues to dominate the agenda of health care systems; this is because primary prevention and cure are not available for many diseases, and because the population worldwide is living longer with accompanying chronic conditions. Just as it is difficult to put what we know about primary prevention fully into practice (e.g., change behavioral patterns related to diet, physical activity levels, smoking, etc.), so too is it difficult to put into practice what is known about secondary prevention, that is, preventing and managing effects of disease. This chapter explores the factors that enable people with chronic disease to keep their conditions under control. Optimum disease management by the patient for purposes of this discussion is defined as the means to achieve the highest degree of functioning and lowest level of symptoms given the severity of a condition.Worldwide the leading causes of death are heart disease, cancer, and stroke, even in countries where infectious diseases rage. A range of other diseases, although intrinsically less likely to lead to premature death, are exceedingly costly in terms 0163 290 CLARK Figure 1Most common causes of death, United States. Rates are age adjusted to 2000 total U.S. population. These data are adapted from (53).of human suffering and economic productivity. Arthritis, diabetes, and asthma are good examples; HIV/AIDS is another. Although an infectious disease, the potential for slowing progression has caused HIV/AIDS to become a chronic condition as well.The overall burden of chronic disease in the United States is substantial. Figure 1 illustrates the numbers of cases of the major chronic conditions seen in the United States (54). Further, a host of other diseases, each striking smaller numbers of individuals (Parkinson's disease and cystic fibrosis a...

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Section: Do Interventions Focused On Disease Management By the Patienmentioning

confidence: 99%

“…Elasy et al (31) found lecturing patients to be the form of education used most by professionals (81%). However, one third (30%-33%) involved the more active process of goal setting.…”

Section: Do Interventions Focused On Disease Management By the Patienmentioning

confidence: 99%

Management of Chronic Disease by Patients

Clark

2003

Annu. Rev. Public Health

219

160

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“…19,26,45,64 The use of an interactive style and demonstration and practice are recommended in preference to a didactic style to maximise the comprehension and retention of information. 21,[26][27][28]65,66 However, interactive styles can be more time-intensive.…”

Section: Delivery Styles Used In Information Provisionmentioning

confidence: 99%

Community-Based Stroke Information for Clients with Stroke and Their Carers: Is There Congruency Between Actual and Recommended Practice?

Eames

Hoffmann

McKenna

et al. 2008

Topics in Stroke Rehabilitation

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Stroke is a leading cause of death and disability in the Western world, 1-3 with up to two thirds of stroke survivors living with some level of disability. 1,4 The provision of information is recognised as a key feature of poststroke management for clients with stroke, their carers, and their families, [5][6][7] and it can improve client and carer knowledge, reduce client depression, and increase some aspects of client satisfaction. 8 However, details of postdischarge information provision for community-dwelling stroke clients and their carers have received little attention in the literature. This article begins with a discussion of the recommendations from the literature regarding the content, format, delivery style, and timing components of information provision about stroke. Where stroke-specific recommendations do not exist in the literature, general health education recommendations are provided. A study that explored the way in which services provide information to community-based clients with stroke and/or their carers is then described and the literature recommendations are subsequently compared to the results of the study.Purpose: Information provision is an integral part of poststroke care, and there is a need to identify how to provide it most effectively. Intervention details, such as content, delivery style, format, and timing, are infrequently reported in the literature. This project describes in detail the provision of information to clients with stroke and their carers by community services in Brisbane, Australia, and compares these to current recommendations in the literature. Method: Fifty-seven metropolitan-based community services were surveyed regarding the content, delivery style, format, and timing of information available to clients with stroke and their carers, using a telephone-administered questionnaire designed for this study. Results: Services provided information using a range of formats and delivery styles. The most frequently provided topics were information on services and benefits available and practical management strategies. Less than 75% of services provided written information to most of their clients and/or carers. Less than 40% of services considered client and carer input when designing written information materials. Conclusion: Community services surveyed in this study demonstrated congruency with some, but not all, of the current content, format, and delivery style recommendations in the literature. Areas for improvement are discussed. Key words: cerebrovascular accident, consumer health information, health education, patient education, stroke, teaching Content of Information ProvisionAs clients with stroke transition from inpatient care to the early post hospital-discharge phase, their need, and that of their carers, for clinical 15-18 A fear of recurrence of stroke and the subsequent need for information regarding secondary prevention is particularly strong for community-based clients with stroke and their carers. 10,11,14,15,17,18 Therefore, information about a wide r...

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“…The VDRTC also developed and tested a training program called "Sugar Is Not a Poison" for dietitians, who learned to intensify diabetes medical nutrition management in the post-DCCT era (143). Finally, the VDRTC has joined other DRTCs in calling attention to the need for careful educational research in diabetes (144,145).…”

Section: Clinical Interventions and Outcomes Re-mentioning

confidence: 99%