One-year follow-up effects of diabetes rehabilitation for patients with prolonged self-management difficulties
The aim of this study is to determine effects and the role of facilitators of empowerment of a Multidisciplinary Intensive Education Programme (MIEP) for diabetic patients with prolonged self-management difficulties. Glycemic control (HbA1c), health-related quality of life (HR-QoL) and facilitators...
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| Veröffentlicht in: | Patient education and counseling 2006, Vol.60 (1), p.16-23 |
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| creator | Keers, Joost C. Bouma, Jelte Links, Thera P. ter Maaten, Jan C. Gans, Rijk O.B. Wolffenbuttel, Bruce H.R. Sanderman, Robbert |
| description | The aim of this study is to determine effects and the role of facilitators of empowerment of a Multidisciplinary Intensive Education Programme (MIEP) for diabetic patients with prolonged self-management difficulties. Glycemic control (HbA1c), health-related quality of life (HR-QoL) and facilitators of empowerment (health locus of control and coping) were measured in 99 participants of MIEP at baseline (
T
0), 3 (
T
1) and 12 months (
T
2) follow-up and in 231 non-referred consecutive outpatients. HbA1c improved at
T
2, although initial improvement was partially lost. Patients improved in most HR-QoL domains, without any relapse at
T
2. At
T
2, participants no longer differed from the average outpatients in any outcome. Initially, the HbA1c of men and women improved equally, but at
T
2 women consolidated improvement, whereas men relapsed. After MIEP, patients became more empowered (both at
T
1 and
T
2), explaining additional variance in HR-QoL improvement. The aim of MIEP to empower patients, rather than trying to solve problems for them seems effective. |
| doi_str_mv | 10.1016/j.pec.2004.10.013 |
| format | Article |
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T
0), 3 (
T
1) and 12 months (
T
2) follow-up and in 231 non-referred consecutive outpatients. HbA1c improved at
T
2, although initial improvement was partially lost. Patients improved in most HR-QoL domains, without any relapse at
T
2. At
T
2, participants no longer differed from the average outpatients in any outcome. Initially, the HbA1c of men and women improved equally, but at
T
2 women consolidated improvement, whereas men relapsed. After MIEP, patients became more empowered (both at
T
1 and
T
2), explaining additional variance in HR-QoL improvement. The aim of MIEP to empower patients, rather than trying to solve problems for them seems effective.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2004.10.013</identifier><identifier>PMID: 16332466</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Analysis of Variance ; Diabetes mellitus ; Diabetes Mellitus - rehabilitation ; Follow-Up Studies ; Glycated Hemoglobin A - metabolism ; Humans ; Internal-External Control ; Linear Models ; Middle Aged ; Netherlands ; Nursing ; Patient education ; Patient Education as Topic - methods ; Patient empowerment ; Quality of Life ; Self Care ; Self-management</subject><ispartof>Patient education and counseling, 2006, Vol.60 (1), p.16-23</ispartof><rights>2004 Elsevier Ireland Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-42784085a050bfb48975087ee86b4a07e8d0803c7655de4d17b10ddf856477283</citedby><cites>FETCH-LOGICAL-c394t-42784085a050bfb48975087ee86b4a07e8d0803c7655de4d17b10ddf856477283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pec.2004.10.013$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,4025,27927,27928,27929,45999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16332466$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keers, Joost C.</creatorcontrib><creatorcontrib>Bouma, Jelte</creatorcontrib><creatorcontrib>Links, Thera P.</creatorcontrib><creatorcontrib>ter Maaten, Jan C.</creatorcontrib><creatorcontrib>Gans, Rijk O.B.</creatorcontrib><creatorcontrib>Wolffenbuttel, Bruce H.R.</creatorcontrib><creatorcontrib>Sanderman, Robbert</creatorcontrib><title>One-year follow-up effects of diabetes rehabilitation for patients with prolonged self-management difficulties</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>The aim of this study is to determine effects and the role of facilitators of empowerment of a Multidisciplinary Intensive Education Programme (MIEP) for diabetic patients with prolonged self-management difficulties. Glycemic control (HbA1c), health-related quality of life (HR-QoL) and facilitators of empowerment (health locus of control and coping) were measured in 99 participants of MIEP at baseline (
T
0), 3 (
T
1) and 12 months (
T
2) follow-up and in 231 non-referred consecutive outpatients. HbA1c improved at
T
2, although initial improvement was partially lost. Patients improved in most HR-QoL domains, without any relapse at
T
2. At
T
2, participants no longer differed from the average outpatients in any outcome. Initially, the HbA1c of men and women improved equally, but at
T
2 women consolidated improvement, whereas men relapsed. After MIEP, patients became more empowered (both at
T
1 and
T
2), explaining additional variance in HR-QoL improvement. The aim of MIEP to empower patients, rather than trying to solve problems for them seems effective.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus - rehabilitation</subject><subject>Follow-Up Studies</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>Humans</subject><subject>Internal-External Control</subject><subject>Linear Models</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Nursing</subject><subject>Patient education</subject><subject>Patient Education as Topic - methods</subject><subject>Patient empowerment</subject><subject>Quality of Life</subject><subject>Self Care</subject><subject>Self-management</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFu3CAQhlHVqtmkfYBeIp9682ZYMGD1VEVpGylSLukZYRgSVtg4YCfK25fVrpRbTwzMN7-Gj5BvFLYUqLjab2e02x0Ar_ctUPaBbKiSrO0o4x_JBiRTLet7ekbOS9kDgBCcfiZnVDC240JsyHQ_YfuGJjc-xZhe23Vu0Hu0S2mSb1wwAy5YmoxPZggxLGYJaapwbuZa4lS517A8NXNOMU2P6JqC0bejmcwjjrVfM7wPdo2VLl_IJ29iwa-n84L8_XXzcP2nvbv_fXv98661rOdLy3dScVCdgQ4GP3DVyw6URFRi4AYkKgcKmJWi6xxyR-VAwTmvOsGl3Cl2Qb4fc-tazyuWRY-hWIzRTJjWoiXQXgrWVZAeQZtTKRm9nnMYTX7TFPRBst7rKlkfJB-equQ6c3kKX4cR3fvEyWoFfhwBrF98CZh1sVWVRRdyNatdCv-J_wd8-I3i</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Keers, Joost C.</creator><creator>Bouma, Jelte</creator><creator>Links, Thera P.</creator><creator>ter Maaten, Jan C.</creator><creator>Gans, Rijk O.B.</creator><creator>Wolffenbuttel, Bruce H.R.</creator><creator>Sanderman, Robbert</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2006</creationdate><title>One-year follow-up effects of diabetes rehabilitation for patients with prolonged self-management difficulties</title><author>Keers, Joost C. ; Bouma, Jelte ; Links, Thera P. ; ter Maaten, Jan C. ; Gans, Rijk O.B. ; Wolffenbuttel, Bruce H.R. ; Sanderman, Robbert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-42784085a050bfb48975087ee86b4a07e8d0803c7655de4d17b10ddf856477283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus - rehabilitation</topic><topic>Follow-Up Studies</topic><topic>Glycated Hemoglobin A - metabolism</topic><topic>Humans</topic><topic>Internal-External Control</topic><topic>Linear Models</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Nursing</topic><topic>Patient education</topic><topic>Patient Education as Topic - methods</topic><topic>Patient empowerment</topic><topic>Quality of Life</topic><topic>Self Care</topic><topic>Self-management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keers, Joost C.</creatorcontrib><creatorcontrib>Bouma, Jelte</creatorcontrib><creatorcontrib>Links, Thera P.</creatorcontrib><creatorcontrib>ter Maaten, Jan C.</creatorcontrib><creatorcontrib>Gans, Rijk O.B.</creatorcontrib><creatorcontrib>Wolffenbuttel, Bruce H.R.</creatorcontrib><creatorcontrib>Sanderman, Robbert</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keers, Joost C.</au><au>Bouma, Jelte</au><au>Links, Thera P.</au><au>ter Maaten, Jan C.</au><au>Gans, Rijk O.B.</au><au>Wolffenbuttel, Bruce H.R.</au><au>Sanderman, Robbert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>One-year follow-up effects of diabetes rehabilitation for patients with prolonged self-management difficulties</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2006</date><risdate>2006</risdate><volume>60</volume><issue>1</issue><spage>16</spage><epage>23</epage><pages>16-23</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>The aim of this study is to determine effects and the role of facilitators of empowerment of a Multidisciplinary Intensive Education Programme (MIEP) for diabetic patients with prolonged self-management difficulties. Glycemic control (HbA1c), health-related quality of life (HR-QoL) and facilitators of empowerment (health locus of control and coping) were measured in 99 participants of MIEP at baseline (
T
0), 3 (
T
1) and 12 months (
T
2) follow-up and in 231 non-referred consecutive outpatients. HbA1c improved at
T
2, although initial improvement was partially lost. Patients improved in most HR-QoL domains, without any relapse at
T
2. At
T
2, participants no longer differed from the average outpatients in any outcome. Initially, the HbA1c of men and women improved equally, but at
T
2 women consolidated improvement, whereas men relapsed. After MIEP, patients became more empowered (both at
T
1 and
T
2), explaining additional variance in HR-QoL improvement. The aim of MIEP to empower patients, rather than trying to solve problems for them seems effective.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>16332466</pmid><doi>10.1016/j.pec.2004.10.013</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 0738-3991 1873-5134 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adaptation, Psychological Adult Aged Analysis of Variance Diabetes mellitus Diabetes Mellitus - rehabilitation Follow-Up Studies Glycated Hemoglobin A - metabolism Humans Internal-External Control Linear Models Middle Aged Netherlands Nursing Patient education Patient Education as Topic - methods Patient empowerment Quality of Life Self Care Self-management |
| title | One-year follow-up effects of diabetes rehabilitation for patients with prolonged self-management difficulties |
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