Abstract
Purpose
The aim of this randomized study was to examine the efficacy of two high intensity educational programs: the conversation maps-based (CM™) education and the individual education (IE), compared to usual care (UC) in a cohort of type 2 diabetic (T2DM) patients.
Methods
Ninety T2DM outpatients (30 per group) were randomized and 79 finished the study and were analyzed. The CM™ and IE groups received four educational sessions at 0, 4, 8 and 12 weeks, while the UC group received two brief individual sessions at 0 and 12 weeks. We evaluated glycemic control (HbA1c), diabetes treatment, body mass index (BMI) and carried out a questionnaire survey at three time points (before intervention, at 12 and at 32 weeks) to assess patients’ satisfaction, attitudes toward diabetes and dietary knowledge.
Results
All the three groups showed a significant and comparable reduction of both HbA1c and BMI. Diabetes therapy needed to be reinforced in a higher percentage of cases (39.3%) among UC patients compared to the IE (14.8%; p = 0.04) and the CM™ (8.3%; p = 0.01) groups. At 32 weeks Diabetes Treatment Satisfaction (DTSQ Q1 + Q4–8) significantly improved in the CM™ group (25.8 ± 4.5 vs. 22.4 ± 6.0; p < 0.01) and attitudes toward diabetes (ATT19) significantly improved in the IE group (58.0 ± 4.7 vs. 55.3 ± 5.1; p = 0.02).
Conclusions
Our trial provides preliminary data regarding the efficacy of structured group and individual education on achieving better glyco-metabolic control without drug therapy reinforcement and with positive effects on patients’ attitude and treatment satisfaction.
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Abbreviations
- CM™:
-
Conversation Map
- IE:
-
Individual education
- UC:
-
Usual care
- BMI:
-
Body mass index
- HbA1c:
-
Glycated hemoglobin
- DTSQ:
-
Diabetes Treatment Satisfaction Questionnaire
- GICR-IACPR:
-
Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology
- ATT19:
-
Diabetes Integration Scale-19
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All procedures performed were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.
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Informed consent was obtained from all individual participants included in the study.
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Reale, R., Tumminia, A., Romeo, L. et al. Short-term efficacy of high intensity group and individual education in patients with type 2 diabetes: a randomized single-center trial. J Endocrinol Invest 42, 403–409 (2019). https://doi.org/10.1007/s40618-018-0929-6
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DOI: https://doi.org/10.1007/s40618-018-0929-6