Naslov
How feasible and effective is patients empowerment approach in persons with Type 2 diabetes

Autori
Pibernik, Mirjana ; Cindrić, Ljubica ; Vilček, Marija ; Renar, Ivana ; Metelko, Željko

Izvornik
Diabetologia (0012-186X) 43 (2000), Suppl 1; A220-A220

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kongresno priopcenje, znanstveni

Ključne riječi
Patient empowerment; type 2 diabetec patients
(Patient empowerment; type 2 diabetic patients)

Sažetak
Background and Aims: Patient empowerment approach, an increasingly recommended model in diabetes care, is still being followed by scarce clinical evaluations. This study was aimed to check its feasibility and efficacy in Type 2 diabetic patients, aged 40-60 years and commonly characterized by HbA1C>8.5% during a period of at least one year. Methods: 88 Type 2 diabetic persons meeting the criteria were consecutively recruited among patients scheduled for their regular medical check-ups, and planned for individual interviews aimed at stimulating them to join an empowerment course. The course was structured in accordance with C. Feste, including sessions referring to goal setting, problem solving, coping with diabetes, coping with stress, seeking social support and staying motivated. Health-related data were collected from the patients’ files. Health related locus of control was determined by the Perceived Locus of Health Control Questionnaire. Results:18 patients (20%) were motivated to participate in the programme and 11% of them attended it regularly during six weeks. Twenty-six (30%) were not willing to participate, 18 (20%) were prevented by situational reasons, while 26 (30%) did not attend their scheduled medical check-ups at all. The patients’ attitude towards the empowerment course was not shown to be connected with their age (50.1 yrs +/-6.9 in attenders vs 51.2 yrs +/-7.2 in non-attenders p=0.58), duration of diabetes (6.5 yrs +/-3.9 vs 4.7yrs +/- 4.4 yrs p=0.18) or previous HbA1C (9.8% +/-1.0 vs 9.3%+/-1.1 p=0.12 ), but was related to the type of therapy ( 55% insulin users in attenders vs 31% in non-attenders p<0.05), presence of complications (56% with one and more complications in attenders vs 26% in non-attenders p<0.05) and health locus of control referring to chance externality, which was higher in the group of non-attenders (16. 4 +/- 3.2 vs 23.6 +/- 4.1 p<0.05). Patients included in the course subsequently improved their metabolic control ( z = 2.01 p=0.02), but became again comparable with non-attenders after a three-month follow-up period (p=0.55) ). Conclusion: The psychosocial, empowerment based education was shown to be feasible and beneficial in 20% of Type 2 diabetic patients with poor metabolic control. The effects did not seem to be stable during a follow-up period. Background and Aims: Patient empowerment approach, an increasingly recommended model in diabetes care, is still being followed by scarce clinical evaluations. This study was aimed to check its feasibility and efficacy in Type 2 diabetic patients, aged 40-60 years and commonly characterized by HbA1C>8.5% during a period of at least one year. Methods: 88 Type 2 diabetic persons meeting the criteria were consecutively recruited among patients scheduled for their regular medical check-ups, and planned for individual interviews aimed at stimulating them to join an empowerment course. The course was structured in accordance with C. Feste, including sessions referring to goal setting, problem solving, coping with diabetes, coping with stress, seeking social support and staying motivated. Health-related data were collected from the patients’ files. Health related locus of control was determined by the Perceived Locus of Health Control Questionnaire. Results:18 patients (20%) were motivated to participate in the programme and 11% of them attended it regularly during six weeks. Twenty-six (30%) were not willing to participate, 18 (20%) were prevented by situational reasons, while 26 (30%) did not attend their scheduled medical check-ups at all. The patients’ attitude towards the empowerment course was not shown to be connected with their age (50.1 yrs +/-6.9 in attenders vs 51.2 yrs +/-7.2 in non-attenders p=0.58), duration of diabetes (6.5 yrs +/-3.9 vs 4.7yrs +/- 4.4 yrs p=0.18) or previous HbA1C (9.8% +/-1.0 vs 9.3%+/-1.1 p=0.12 ), but was related to the type of therapy ( 55% insulin users in attenders vs 31% in non-attenders p<0.05), presence of complications (56% with one and more complications in attenders vs 26% in non-attenders p<0.05) and health locus of control referring to chance externality, which was higher in the group of non-attenders (16. 4 +/- 3.2 vs 23.6 +/- 4.1 p<0.05). Patients included in the course subsequently improved their metabolic control ( z = 2.01 p=0.02), but became again comparable with non-attenders after a three-month follow-up period (p=0.55) ). Conclusion: The psychosocial, empowerment based education was shown to be feasible and beneficial in 20% of Type 2 diabetic patients with poor metabolic control. The effects did not seem to be stable during a follow-up period.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA