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

European Diabetes Nursing Pub Date : 2011-11-28 DOI:10.1002/edn.188

A Clarke SRN, HDipDNS, MSc, PhD

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引用次数: 9

Abstract

Evaluation is an essential component of structured diabetes education with most established programmes showing positive effects at group level. However, evaluation of post-educational intervention outcomes is dependent on the participant completing the programme. There is, currently, little research into the psychological or demographic attributes of non-attendees for post-educational intervention evaluation.

This study aimed to use the evaluation of a structured diabetes education programme in order to explore the characteristics of participants and determine if any association existed between personal characteristics and benefits of attendance and/or non-attendance for post-programme evaluation.

Using a convenience sample of people, a pre-post research design was employed to identify the psychological characteristics of people who benefit from and those who fail to complete an educational intervention programme for type 2 diabetes. The sample consisted of valid responses from 392 (98%, n=401) participants attending the Community Orientated Diabetes Education (CODE) programme, a structured diabetes education programme delivered to people with type 2 diabetes in the Republic of Ireland. The programme is based on an empowering philosophy with the main outcome measurement being diabetes-related empowerment, quality of life (QOL), knowledge, weight and biomedical markers.

In all, 237 (60%) completed the post-programme evaluation and demonstrated positive outcomes in empowerment, QOL and knowledge at group level but these were not sustained at individual level. However, over one-third of participants did not attend for post-evaluation and these were more likely to be younger and report poorer QOL.

The findings indicate the need to evaluate change at an individual level and to target younger people to retain their attendance for the full educational intervention. Copyright © 2011 FEND. Published by John Wiley & Sons, Ltd.

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面向2型糖尿病患者的社区糖尿病教育(CODE)项目的有效性

评估是结构化糖尿病教育的重要组成部分，大多数已建立的项目在群体层面显示出积极的效果。然而，对教育后干预结果的评估取决于参与者是否完成了课程。目前，对非参与者的心理或人口学属性进行教育干预后评估的研究很少。本研究旨在对一个结构化的糖尿病教育项目进行评估，以探索参与者的特征，并确定个人特征与参加和/或不参加项目后评估的益处之间是否存在任何关联。使用方便的人群样本，采用前后研究设计来确定受益于和未能完成2型糖尿病教育干预计划的人的心理特征。样本包括392名(98%，n=401)参加社区糖尿病教育(CODE)项目的参与者的有效回复，CODE是爱尔兰共和国向2型糖尿病患者提供的结构化糖尿病教育项目。该方案以赋权理念为基础，主要衡量结果是与糖尿病相关的赋权、生活质量、知识、体重和生物医学指标。总共有237人(60%)完成了项目后评估，并在群体层面上显示出在赋权、生活质量和知识方面的积极结果，但这些结果在个人层面上没有持续。然而，超过三分之一的参与者没有参加后评估，这些参与者更可能是年轻人，报告的生活质量更差。研究结果表明，需要在个人层面上评估变化，并以年轻人为目标，以保持他们参加全面的教育干预。版权所有©2011中华生态科学研究院。John Wiley &出版;儿子,有限公司

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European Diabetes Nursing

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