Association between education and quality of diabetes care in Switzerland

Flatz, Aline; Casillas, Alejandra; Stringhini, Silvia; Zuercher, Emilie; Burnand, Bernard; Peytremann‐Bridevaux, Isabelle

doi:10.2147/ijgm.s77139

Cited by 25 publications

(23 citation statements)

References 26 publications

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“…Authors of other studies have also hypothesized that older patients might be more motivated to look after their health and adhere to their medications than young patients . Patients with a high level of education are likely to have better means to fund treatment or private medical care than less educated patients, and there is some evidence of a correlation between education level and the quality of diabetes care and outcomes . This hypothesis is also consistent with the association seen in our data between lower country income and poor glycaemic control.…”

Section: Discussionsupporting

confidence: 91%

“…33 Patients with a high level of education are likely to have better means to fund treatment or private medical care than less educated patients, and there is some evidence of a correlation between education level and the quality of diabetes care and outcomes. 34 This hypothesis is also consistent with the association seen in our data between lower country income and poor glycaemic control. As might be expected, having a time since diagnosis of T2D of at least 10 years compared with 0 to 5 years was also strongly correlated with poor glycaemic control.…”

Section: Education (Vs Higher Education )supporting

confidence: 93%

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Glycaemic control in patients with type 2 diabetes initiating second‐line therapy: Results from the global DISCOVER study programme

Khunti

Chen

Cid‐Ruzafa³

et al. 2019

Diabetes Obesity Metabolism

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Aim To assess glycaemic control and factors associated with poor glycaemic control at initiation of second‐line therapy in the DISCOVER programme. Materials and methods DISCOVER (NCT02322762 and NCT02226822) comprises two similar prospective observational studies of 15 992 people with type 2 diabetes (T2D) initiating second‐line glucose‐lowering therapy in 38 countries across six regions (Africa, Americas, South‐East Asia, Eastern Mediterranean, Europe and Western Pacific). Data were collected using a standardized case report form. Glycated haemoglobin (HbA1c) levels were measured according to standard clinical practice in each country, and factors associated with poor glycaemic control (HbA1c >8.0%) were evaluated using hierarchical regression models. Results HbA1c levels were available for 80.9% of patients (across‐region range [ARR] 57.5%‐97.5%); 92.2% (ARR 59.2%‐99.1%) of patients had either HbA1c or fasting plasma glucose levels available. The mean HbA1c was 8.3% (ARR 7.9%‐8.7%). In total, 26.7% of patients had an HbA1c level ≥9.0%, with the highest proportions in South‐East Asia (35.6%). Factors associated with having HbA1c >8.0% at initiation of second‐line therapy included low education level, low country income, and longer time since T2D diagnosis. Conclusions The poor levels of glycaemic control at initiation of second‐line therapy suggest that intensification of glucose‐lowering treatment is delayed in many patients with T2D. In some countries, HbA1c levels are not routinely measured. These findings highlight an urgent need for interventions to improve monitoring and management of glycaemic control worldwide, particularly in lower‐middle‐ and upper‐middle‐income countries.

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Section: Discussionsupporting

confidence: 91%

Section: Education (Vs Higher Education )supporting

confidence: 93%

Glycaemic control in patients with type 2 diabetes initiating second‐line therapy: Results from the global DISCOVER study programme

Khunti

Chen

Cid‐Ruzafa³

et al. 2019

Diabetes Obesity Metabolism

View full text Add to dashboard Cite

show abstract

“…In contrast, among patients who had had an education lower than middle school, diabetes education was not associated with positive glycaemic control. This finding is in line with previously reported educational disparities in terms of the process and outcomes of diabetes care, such as glucose checks, medical check‐ups, glucose levels and quality of life . It appears that current diabetes education might be particularly unsuccessful for those with low educational attainment in terms of performing self‐care to maintain glycaemic control.…”

Section: Discussionsupporting

confidence: 90%

“…Moreover, in studies on the care process and health outcomes of diabetes, lower educational attainment has been reported to be associated with a lower likelihood of getting diabetes education or eye examinations, and lower quality of life . Lower educational attainment—which is closely associated with a decreased ability to communicate, understand and engage in diabetes self‐care—might have a negative impact on the effect of diabetes education on health behaviours or outcomes.…”

Section: Introductionmentioning

confidence: 99%

Educational attainment moderates the associations of diabetes education with health outcomes

Kim

2016

Int J of Nursing Practice

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Diabetes education is a critical element of care for people with diabetes. However, the associations between diabetes education and self-care or health outcomes have not been clearly demonstrated at a national level. The aims of this study were to examine the associations of attendance of diabetes education classes with health behaviours and glycaemic control, and to understand whether these associations were moderated by level of educational attainment. Data were analysed for 456 adults from the 2012 Korea National Health and Nutrition Examination Survey V, collected from January 2010 to December 2012. No significant differences were observed between patients who had attended diabetes education classes and those who had never attended for factors such as smoking, drinking, exercise, nutrition therapy or glycaemic control. There was a significant interaction effect between receiving diabetes education and level of educational attainment on obtaining optimal glycaemic control. Attending diabetes education was positively associated with optimal glycaemic control among patients with more than a high school education but was negatively associated with it among those with less than middle school education. Diabetes education programmes need to be tailored to the needs and cognitive capacities of the target population.

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“…This study result in agreement with Fahad et al [14] who reported that diabetes has an impact on various fitness outcomes which include QOL, diabetes impaired all dimensions of health except intellectual health and ache and illustrated that less than one fourth of diabetic patients had proper high-quality of life (21.3%), and maximum diabetic patients (seventy eight, 78%) had bad exceptional of existence. This study result is also supported by Aliasghar et al [15] who illustrated that six studies, which examined the effect of diabetes on HRQoL (health related quality of life), compared HRQoL in people with and without diabetes and reported negative outcomes of type 2 diabetes on HRQoL.…”

Section: Discussionsupporting

confidence: 85%

Effect of educational nursing program on quality of life for patients with type II diabetes mellitus at Assiut University Hospital

Mostafa¹,

Ahmed²,

Anwar³

2018

JNEP

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Background: Diabetes mellitus constantly changes a patient's life. Patient's self care, consisting of daily insulin injections or oral anti-diabetic agents, self monitoring of blood glucose and diabetic diet has an impact on QOL. The aim of the present study was to assess quality of life for patients with type II diabetes mellitus, to develop and implement an educational nursing program for patients with type II diabetes mellitus, to evaluate the effect of applying the educational nursing program on quality of life for patients with type II diabetes mellitus pre and after two months from application of educational program. Methods: The study was conducted in the internal medicine department, internal medicine and diabetes clinic at University Hospital (Assiut-Egypt). Sixty adult patients were divided randomly equally into two groups (study group and control group) thirty for each group. The following tools were utilized for data collection: first tool "Structured patient interview questionnaire sheet"; it included two parts (socio-demographic characteristic and medical data), second tool "World Health Organization Quality of life (WHOQOL-WHO) scale". Results: In the control group 40% of diabetic patients had good quality of life score while in the study group 100% had good quality of life after application of the educational program. Conclusions:The results of the present study concluded that: according to the control group, there was no statistically significant difference pre and post program in all domains of quality of life scale. According to the study group there was a highly significant effect of educational program on promotion of quality of life in physical, psychological, and social domains scale. Recommendations: Providing a written educational nursing program is of great importance for the patients.

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Association between education and quality of diabetes care in Switzerland

Cited by 25 publications

References 26 publications

Glycaemic control in patients with type 2 diabetes initiating second‐line therapy: Results from the global DISCOVER study programme

Glycaemic control in patients with type 2 diabetes initiating second‐line therapy: Results from the global DISCOVER study programme

Educational attainment moderates the associations of diabetes education with health outcomes

Effect of educational nursing program on quality of life for patients with type II diabetes mellitus at Assiut University Hospital

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