Deakin, TA, Cade, JE, Williams, DRR et al. (1 more author) (2006) Structured patient education: the Diabetes X-PERT Programme makes a difference. Diabetic Medicine, 23 (9). 944 - 954. ISSN 0742-3071
Abstract
Aims. To develop a patient-centred, group-based self-management programme (X-PERT), based on theories of empowerment and discovery learning, and to assess the effectiveness of the programme on clinical, lifestyle and psychosocial outcomes. Methods. Adults with Type 2 diabetes (n= 314), living in Burnley, Pendle or Rossendale, Lancashire, UK were randomized to either individual appointments (control group) (n= 157) or the X-PERT Programme (n= 157). X-PERT patients were invited to attend six 2-h group sessions of self-management education. Outcomes were assessed at baseline, 4 and 14 months. Results. One hundred and forty-nine participants (95%) attended the X-PERT Programme, with 128 (82%) attending four or more sessions. By 14 months the X-PERT group compared with the control group showed significant improvements in the mean HbA1c(-0.6% vs. + 0.1%, repeated measures ANOVA, P< 0.001). The number needed to treat (NNT) for preventing diabetes medication increase was 4 [95% confidence interval (CI) 3, 7] and NNT for reducing diabetes medication was 7 (95% CI 5, 11). Statistically significant improvements were also shown in the X-PERT patients compared with the control patients for body weight, body mass index (BMI), waist circumference, total cholesterol, self-empowerment, diabetes knowledge, physical activity levels, footcare, fruit and vegetable intake, enjoyment of food and treatment satisfaction. Conclusions. Participation in the X-PERT Programme by adults with Type 2 diabetes was shown at 14 months to have led to improved glycaemic control, reduced total cholesterol level, body weight, BMI and waist circumference, reduced requirement for diabetes medication, increased consumption of fruit and vegetables, enjoyment of food, knowledge of diabetes, self-empowerment, self-management skills and treatment satisfaction.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2006, Wiley. This is the accepted version of the following article:Deakin, TA, Cade, JE, Williams, DRR and Greenwood, DC (2006) Structured patient education: the Diabetes X-PERT Programme makes a difference. Diabetic Medicine, 23 (9). 944 - 954, which has been published in final form at: http://dx.doi.org/10.1111/j.1464-5491.2006.01906.x |
Keywords: | Randomized controlled trial; glycated haemoglobin; patient-centred care; structured group education; diet; type 2 diabetes |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Environment (Leeds) > School of Food Science and Nutrition (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Genetics, Health and Therapeutics (LIGHT) > Division of Epidemiology & Biostatistics (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 14 Jul 2014 12:08 |
Last Modified: | 15 Jul 2014 11:34 |
Published Version: | http://dx.doi.org/10.1111/j.1464-5491.2006.01906.x |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/j.1464-5491.2006.01906.x |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:79639 |