Effectiveness of a community orientated diabetes education (CODE) programme for people with type 2 diabetes

Clarke, Anna

doi:10.1002/edn.188

Cited by 6 publications

(9 citation statements)

References 16 publications

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“…Pre-post questionnaires and physiological measures were used to assess the CODE (Community Oriented Diabetes Education) program with positive trends but not significant changes in physiological measures. However, there was a significant increase in participants’ knowledge scores, coping ability, motivation to change, and making informed decisions about their diabetes [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

Searching for Real-World Effectiveness of Health Care Innovations: Scoping Study of Social Prescribing for Diabetes

Pilkington¹,

Loef

Polley

2017

J Med Internet Res

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BackgroundSocial prescribing is a process whereby primary care patients are linked or referred to nonmedical sources of support in the community and voluntary sector. It is a concept that has arisen in practice and implemented widely in the United Kingdom and has been evaluated by various organizations.ObjectiveThe aim of our study was to characterize, collate, and analyze the evidence from evaluation of social prescribing for type 2 diabetes in the United Kingdom and Ireland, comparing information available on publicly available websites with the published literature.MethodsWe used a broad, pragmatic definition of social prescribing and conducted Web-based searches for websites of organizations providing potentially relevant services. We also explored linked information. In parallel, we searched Medline, PubMed, Cochrane Library, Google Scholar, and reference lists for relevant studies published in peer-reviewed journals. We extracted the data systematically on the characteristics, any reported evaluation, outcomes measured and results, and terminology used to describe each service.ResultsWe identified 40 UK- or Ireland-based projects that referred people with type 2 diabetes and prediabetes to nonmedical interventions or services provided in the community. We located evaluations of 24 projects; 11 as published papers, 12 as Web-based reports, and 1 as both a paper and a Web-based report. The interventions and services identified included structured group educational programs, exercise referral schemes, and individualized advice and support with signposting of health-related activities in the community. Although specific interventions such as community-based group educational programs and exercise referral have been evaluated in randomized controlled trials, evaluation of individualized social prescribing services involving people with type 2 diabetes has, in most cases, used pre-post and mixed methods approaches. These evaluations report generic improvement in a broad range of outcomes and provide an insight into the criteria for the success of social prescribing services.ConclusionsOur study revealed the varied models of social prescribing and nonmedical, community-based services available to people with type 2 diabetes and the extent of evaluation of these, which would not have been achieved by searching databases alone. The findings of this scoping study do not prove that social prescribing is an effective measure for people with type 2 diabetes in the United Kingdom, but can be used to inform future evaluation and contribute to the development of the evidence base for social prescribing. Accessing Web-based information provides a potential method for investigating how specific innovative health concepts, such as social prescribing, have been translated, implemented, and evaluated in practice. Several challenges were encountered including defining the concept, focusing on process plus intervention, and searching diverse, evolving Web-based sources. Further exploration of this approach will inform future rese...

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Section: Resultsmentioning

confidence: 99%

Searching for Real-World Effectiveness of Health Care Innovations: Scoping Study of Social Prescribing for Diabetes

Pilkington¹,

Loef

Polley

2017

J Med Internet Res

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“…Five additional records were identified through manual searches ( 50 , 80 ) and citation list ( 62 , 104 , 110 ). Seventy-one studies were finally included: sixty-one cross-sectional studies ( 34 , 35 , 44 , 45 , 47 – 69 , 71 – 78 , 80 , 83 – 88 , 91 – 97 , 99 – 102 , 104 – 111 ), five observational prospective studies ( 36 , 70 , 81 , 82 , 89 ), four randomized controlled trials (RCTs) ( 79 , 90 , 98 , 103 ) and one pre-post intervention study ( 46 ). Figure 2 shows the flowchart of the selection process of the studies'.…”

Section: Resultsmentioning

confidence: 99%

“…The overall bias in RCTs was high in two studies ( 79 , 98 ) and unclear in another two ( 90 , 103 ). The only pre-post study failed to clearly report information on different items and it was thus rated as being of poor quality ( 46 ). The full quality assessment can be found in Supplementary material 3 .…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-two studies ( n = 5,005) ( 44 – 46 , 49 , 51 , 52 , 56 , 68 , 70 , 72 , 74 , 79 , 81 , 82 , 84 , 85 , 91 , 95 , 98 – 100 , 104 ) evaluated the relationship between empowerment-related constructs and general QoL in patients with T2DM. Specific patient empowerment scales were used in six studies ( 44 – 46 , 49 , 51 , 52 ) while self-efficacy was used in the remaining sixteen studies ( 56 , 68 , 70 , 72 , 74 , 79 , 81 , 82 , 84 , 85 , 91 , 95 , 98 – 100 , 104 ). One study ( 44 ) used ANOVA to quantify this association and was not included in the MA.…”

Section: Resultsmentioning

confidence: 99%

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The relationship between patient empowerment and related constructs, affective symptoms and quality of life in patients with type 2 diabetes: a systematic review and meta-analysis

Duarte-Díaz

Perestelo‐Pérez

Rivero‐Santana

et al. 2023

Front. Public Health

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IntroductionThe aim of this systematic review is to assess the relationship between patient empowerment and other empowerment-related constructs, and affective symptoms and quality of life in patients with type 2 diabetes.MethodsA systematic review of the literature was conducted, according to the PRISMA guidelines. Studies addressing adult patients with type 2 diabetes and reporting the association between empowerment-related constructs and subjective measures of anxiety, depression and distress, as well as self-reported quality of life were included. The following electronic databases were consulted from inception to July 2022: Medline, Embase, PsycINFO, and Cochrane Library. The methodological quality of the included studies was analyzed using validated tools adapted to each study design. Meta-analyses of correlations were performed using an inverse variance restricted maximum likelihood random-effects.ResultsThe initial search yielded 2463 references and seventy-one studies were finally included. We found a weak-to-moderate inverse association between patient empowerment-related constructs and both anxiety (r = −0.22) and depression (r = −0.29). Moreover, empowerment-related constructs were moderately negatively correlated with distress (r = −0.31) and moderately positively correlated with general quality of life (r = 0.32). Small associations between empowerment-related constructs and both mental (r = 0.23) and physical quality of life (r = 0.13) were also reported.DiscussionThis evidence is mostly from cross-sectional studies. High-quality prospective studies are needed not only to better understand the role of patient empowerment but to assess causal associations. The results of the study highlight the importance of patient empowerment and other empowerment-related constructs such as self-efficacy or perceived control in diabetes care. Thus, they should be considered in the design, development and implementation of effective interventions and policies aimed at improving psychosocial outcomes in patients with type 2 diabetes.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020192429, identifier CRD42020192429.

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“…For people with Type 2 DM, attending and engaging with structured education programmes was most highly ranked. Research into structured education programmes for people with Type 2 DM in Ireland has been lacking, but recent studies have demonstrated the efficacy of structured education in Ireland [ 24 ]. However, a significant proportion of people with Type 2 DM are either not offered or do not attend structured education programmes [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Prioritising target behaviours for research in diabetes: Using the nominal group technique to achieve consensus from key stakeholders

et al. 2016

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Plain english summaryThe behaviour of people with diabetes (e.g. taking medication) and the behaviour of doctors and other healthcare professionals (e.g. checking patients’ blood sugar) are important. Our research group wanted to select one patient behaviour and one healthcare professional behaviour as topics to research in Ireland. Patients and healthcare professionals are not usually asked to help decide on research topics. In this study, we wanted to bring together patients, healthcare professionals and policy makers to help us decide on the most important target behaviours for research in diabetes in Ireland.We worked with 24 participants, including people with diabetes, diabetes healthcare professionals and policy makers. First, participants suggested behaviours they thought were important to target for research in diabetes. Participants then attended a meeting and ranked which of the behaviours were the most important and discussed the results of the rankings as a group. We identified the most highly ranked patient and healthcare professional behaviours. The top ranked behaviour for people with Type 1 diabetes was to ‘take insulin as required’ and for people with Type 2 diabetes was to ‘attend and engage with structured education programmes’. ‘Engage in collaborative goal setting with patients’ was the top ranked behaviour for healthcare professionals.Our study shows it is possible for researchers to work with people with diabetes, healthcare professionals and policy makers to decide on research topics. The top ranked behaviours will now be researched by our group in Ireland.Abstract Background Working with patients, healthcare providers, and policy makers to prioritise research topics may enhance the relevance of research and increase the likelihood of translating research findings into practice. The aim of the present study was to work with key stakeholders to identify, and achieve consensus on, the most important target behaviours for research in diabetes in Ireland. Methods Twenty-four participants, including people with diabetes, diabetes healthcare professionals and policy makers, took part in a nominal group technique consensus process. Through an online survey, participants generated lists of important target behaviours in three areas: managing Type 1 diabetes, managing Type 2 diabetes and preventing Type 2 diabetes. Participants then attended a research prioritisation meeting and ranked target behaviours in two rounds, with group discussion between ranking rounds. For each of the three key areas, the six top ranked behaviours relevant to people with diabetes and healthcare professionals were identified. Results In most cases, the most highly ranked behaviour was the same for Ranking 1 and Ranking 2 and consensus increased in relation to endorsement of top ranked behaviours. However, some behaviours did change position between rankings. The top behaviour relevant to people with Type 1 diabetes was ‘taking insulin as required’ and for people with Type 2 diabetes was ‘attending and engaging with struc...

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Effectiveness of a community orientated diabetes education (CODE) programme for people with type 2 diabetes

Cited by 6 publications

References 16 publications

Searching for Real-World Effectiveness of Health Care Innovations: Scoping Study of Social Prescribing for Diabetes

Searching for Real-World Effectiveness of Health Care Innovations: Scoping Study of Social Prescribing for Diabetes

The relationship between patient empowerment and related constructs, affective symptoms and quality of life in patients with type 2 diabetes: a systematic review and meta-analysis

Prioritising target behaviours for research in diabetes: Using the nominal group technique to achieve consensus from key stakeholders

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