Group based self-management strategies in people with type 2 diabetes mellitus

Deakin, Trudi; Cade, Janet; Williams, Drw

doi:10.1002/14651858.cd003417

Cited by 11 publications

(8 citation statements)

References 26 publications

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“…Patient education group meetings have been shown to be effective for people with type 2 diabetes mellitus, improving knowledge and self-management (18,19). We found that patients highly appreciated the presented background information about adrenal insufficiency and it was the subject of discussion between patients.…”

Section: Discussionmentioning

confidence: 84%

A glucocorticoid education group meeting: an effective strategy for improving self-management to prevent adrenal crisis

Repping-Wuts

Stikkelbroeck

Noordzij

et al. 2013

European Journal of Endocrinology

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Objective: To assess self-management in patients receiving glucocorticoid replacement therapy for primary or secondary adrenal failure before and 6 months after a glucocorticoid education group meeting. Methods: All patients with primary or secondary adrenal insufficiency, treated at the Department of Medicine, Division of Endocrinology, were invited by their endocrinologist to participate in a 3-h glucocorticoid education group meeting, consisting of a lecture about the disease and glucocorticoid doses adjustments in case of stress, followed by an instruction on how to inject hydrocortisone i.m. Finally, all participants could practise the i.m. injection and discuss their experience with (imminent) adrenal crises with other patients and the health care providers. Two weeks before the meeting and 6 months after the meeting, patients were asked to fill out a questionnaire about how they would act in six different conditions (e.g. febrile illness or vomiting). Results: Of the 405 patients who were invited, 246 patients (61%) participated. At baseline the response by the participants on the questionnaire was 100% (nZ246) and at follow-up 74% (nZ183). At follow-up, significantly more participants (P%0.005) gave the correct answers to how to act in different situations (e.g. self-administration of a glucocorticoid injection and phone contact in case of vomiting/diarrhoea without fever). Moreover, the use of self-management tools, such as having a 'medicine passport (travel document with information about disease and medication) (PZ0.007) or SOS medallion (PZ0.0007)', increased. Conclusion: A glucocorticoid education group meeting for patients with adrenal failure seems helpful to improve self-management and proper use of stress-related glucocorticoid dose adjustment.

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Section: Discussionmentioning

confidence: 84%

A glucocorticoid education group meeting: an effective strategy for improving self-management to prevent adrenal crisis

Repping-Wuts

Stikkelbroeck

Noordzij

et al. 2013

European Journal of Endocrinology

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“…Despite that, Thors Adolfsson et al (14) found that Swedish primary health care is dominated by checklist-driven counselling or pre-planned education programmes with set goals. The benefits of group education as opposed to individual education are illuminated in several studies, with ambiguous findings (15)(16)(17)(18)(19)(20). Duration of illness is seldom discussed as an issue of interest in these studies, implying that its contribution to our understanding of learning to live with illness remains to be explored.…”

Section: Introductionmentioning

confidence: 99%

Learning to live with illness: experiences of persons with recent diagnoses of diabetes mellitus

Kneck

Klang

Fagerberg

2011

Scandinavian Caring Sciences

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Learning to live with illness: experiences of persons with recent diagnoses of diabetes mellitus. Background. The process of learning to live with an illness is complex. By better understanding the learning process for persons with diabetes in the early stage of the illness, the role of the health care can be shown. Scandinavian Journal of Caring Method.A qualitative descriptive design was used, and interviews were conducted.Thirteen informants with a recent diagnosis of diabetes were included and asked to narrate about their experience of living with diabetes. Qualitative inductive content analysis was used.Findings. Four themes emerged: 'taken over by a new reality', 'the body plays a role in life', 'different ways to learn' and 'the healthcare service as a necessary partner'. Conclusion.People with short-term experience of the illness gained knowledge through personal resources such as their own experience and self-reflection. The learning process includes an inner dialogue between the self, the body and the life. Informants were concerned with grasping a new reality and understanding a different self and body where lifestyle changes and uncertainty were present. When health care was accessible and sensitive to their needs, those with short-term experience of DM chose the staff as key players in the early stages of their life with diabetes.

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“…,Deakin et al 2005, Whittemore et al 2005, Peyrot & Rubin 2007, Funnell et al 2008, Lanting et al 2008, Xu et al 2008, Zhong et al2011, Qiu et al 2012) -Age, educational levels, type of diabetes and duration of diabetes are significantly associated with diabetes knowledge, self-care agency and self-care activities(Sousa et al2006) -Partner 's influenceMartire et al 2010) -Health literacy(Schillinger et al2002, Krichbaum et al 2003, Tang et al 2008, Osborn et al 2010, associated with advanced age, lower educational attainment and lower economic status(Paasche-Orlow et al 2005) -Health beliefs, attitudes, health literacy, influenced in turn by culture and language capabilities (Nam et al 2011) -Reflective process and decision-making (Rockwell & Riegel 2001). -Patients' adherence, attitudes, beliefs (Nam et al 2011) -Family habits in Latin ethnic minorities (Weiler & Crist 2009) -Linguistic barriers, some ethnic minorities and lower educational levels (Karter et al2000) -Social support (Xu et al2008, Osborn et al2010, Nam et al 2011, Zhong et al 2011) -Helplessness and frustration from lack of glycaemic control (Nagelkerk et al 2006) -Stress, frustration, social isolation, interpersonal conflicts, depression and fear (Gazmararian et al 2009) -Fear and hypoglycaemic attacks (Wild et al 2007) -Depression (Jerant et al 2005, Egede & Ellis 2008) and psychosocial distress (Chiechanowski et al 2000) -Gender differences (Fitzgerald et al 1995, Sousa & Zauszniewski 2005, Whittemore et al 2005, Tang et al 2008) -Positive attitudes towards diabetes (Zhong et al 2011) -Beliefs about illness (Harvey & Lawson 2009) -Self-care skills (Tang et al 2008) -Problems with weight, difficulty exercising, fatigue, low family support (Jerant et al 2005) -Personal values, problem-solving skills and ability to accept responsibility (Williams et al 2008) -Age, motivation, understanding of disease (Dalewitz et al 2000)…”

mentioning

confidence: 99%

Factors influencing self‐management in patients with type 2 diabetes: a quantitative systematic review protocol

Bagnasco

Giacomo

Mora

et al. 2013

Journal of Advanced Nursing

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An initial summary will be made by tabulating the data; the review will be reported in a narrative style and be developed according to the PRISMA guidelines. The protocol for the systematic review will allow us to identify, among the factors influencing self-management in people with Type II diabetes, the personal characteristics most relevant to the factors of motivation and empowerment. In addition, the systematic review will also identify an appropriate self-management model.

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Group based self-management strategies in people with type 2 diabetes mellitus

Cited by 11 publications

References 26 publications

A glucocorticoid education group meeting: an effective strategy for improving self-management to prevent adrenal crisis

A glucocorticoid education group meeting: an effective strategy for improving self-management to prevent adrenal crisis

Learning to live with illness: experiences of persons with recent diagnoses of diabetes mellitus

Factors influencing self‐management in patients with type 2 diabetes: a quantitative systematic review protocol

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