Long-term effects of a structured intensive diabetes education programme (SIDEP) in patients with Type 2 diabetes mellitus-a 4-year follow-up study
Aims Patient education is a very important part of diabetes care. However, until now, little data has been presented about the long‐term effectiveness of structured intensive diabetes education programmes (SIDEP) for people with Type 2 diabetes mellitus. Methods People with Type 2 diabetes (n = 54...
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| Veröffentlicht in: | Diabetic medicine 2007-01, Vol.24 (1), p.55-62 |
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| creator | Ko, S.-H. Song, K.-H. Kim, S.-R. Lee, J.-M. Kim, J.-S. Shin, J.-H. Cho, Y.-K. Park, Y.-M. Jeong, J.-H. Yoon, K.-H. Cha, B.-Y. Son, H.-Y. Ahn, Y.-B. |
| description | Aims Patient education is a very important part of diabetes care. However, until now, little data has been presented about the long‐term effectiveness of structured intensive diabetes education programmes (SIDEP) for people with Type 2 diabetes mellitus.
Methods People with Type 2 diabetes (n = 547) hospitalized from December 1999 to December 2000 were randomly assigned to two groups. Two hundred and nineteen patients undertook an inpatient SIDEP and the remaining patients received conventional glycaemic control without intensive education. After discharge, all patients were monitored regularly. Laboratory data were obtained, and adherence to self‐care behaviour was determined on a five‐point scale by questionnaires completed annually.
Results Of the patients who completed the SIDEP, 160 (73.1%) were followed up for more than 4 years. The mean HbA1c (7.9 ± 1.2 vs. 8.7 ± 1.6%; P |
| doi_str_mv | 10.1111/j.1464-5491.2007.02013.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764314801</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>764314801</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4673-ec2aec3fed3f8cde54b0b51fe239a0ff0ad5de98f5b410d4d5decb096e0871e3</originalsourceid><addsrcrecordid>eNqNkUuOEzEQhlsIxGQCV0De8Fp08Kvj7sUsUCbMjBQC0kSwtNzu8uDQj2C7J8k9OABn4WS4STTZIbyxS_X9VeX6kwQRPCHxvFtPCJ_yNOMFmVCMxQRTTNhk9ygZPSQeJyMsOE0ZFuQsOfd-jTGhBSueJmdEUCoYzUbJz0XX3qUBXIPAGNDBo84ghXxwvQ69gwrZNkDr7T2gyqoSAngEVa9VsF2LNq67c6ppAL25vbmcf34bcbSJOWhjqa0N39Bqv4Hfv-hJ3UBd29D7VCGe7kE5ZLq67rZpv4l9-2r_LHliVO3h-fEeJ6sP89XsOl18urqZvV-kmk8FS0FTBZoZqJjJdQUZL3GZEQOUFQobg1WVVVDkJis5wRUfIl3iYgo4FwTYOHl9KBs_8aMHH2RjvY7DqRa63ksx5YzwPG52nLz6JznNC8qzPItgfgC167x3YOTG2Ua5vSRYDtbJtRwckoNDcrBO_rVO7qL0xbFHXzZQnYRHryLw8ggor1VtnGq19Scu53nOxTDsxYHb2hr2_z2AvPw4H15Rnx701gfYPeiV-y7j1kUmvy6v5OzLNV3eiqVcsT9bh8cj</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68924585</pqid></control><display><type>article</type><title>Long-term effects of a structured intensive diabetes education programme (SIDEP) in patients with Type 2 diabetes mellitus-a 4-year follow-up study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Ko, S.-H. ; Song, K.-H. ; Kim, S.-R. ; Lee, J.-M. ; Kim, J.-S. ; Shin, J.-H. ; Cho, Y.-K. ; Park, Y.-M. ; Jeong, J.-H. ; Yoon, K.-H. ; Cha, B.-Y. ; Son, H.-Y. ; Ahn, Y.-B.</creator><creatorcontrib>Ko, S.-H. ; Song, K.-H. ; Kim, S.-R. ; Lee, J.-M. ; Kim, J.-S. ; Shin, J.-H. ; Cho, Y.-K. ; Park, Y.-M. ; Jeong, J.-H. ; Yoon, K.-H. ; Cha, B.-Y. ; Son, H.-Y. ; Ahn, Y.-B.</creatorcontrib><description>Aims Patient education is a very important part of diabetes care. However, until now, little data has been presented about the long‐term effectiveness of structured intensive diabetes education programmes (SIDEP) for people with Type 2 diabetes mellitus.
Methods People with Type 2 diabetes (n = 547) hospitalized from December 1999 to December 2000 were randomly assigned to two groups. Two hundred and nineteen patients undertook an inpatient SIDEP and the remaining patients received conventional glycaemic control without intensive education. After discharge, all patients were monitored regularly. Laboratory data were obtained, and adherence to self‐care behaviour was determined on a five‐point scale by questionnaires completed annually.
Results Of the patients who completed the SIDEP, 160 (73.1%) were followed up for more than 4 years. The mean HbA1c (7.9 ± 1.2 vs. 8.7 ± 1.6%; P < 0.05) and the frequency of hospitalization related to diabetes per patient per year (0.3 ± 0.6 vs. 0.8 ± 0.9; P < 0.05) was significantly lower in the SIDEP group than in the control group. The SIDEP group adhered more closely to self‐care behaviour than the control group over 4 years (P < 0.05). People with Type 2 diabetes mellitus of longer duration and those treated with insulin had poorer HbA1c at follow‐up.
Conclusions A well‐designed, intensive patient education programme is necessary for people with diabetes. However, regular and sustained reinforcement with encouragement is also required to maintain optimal glycaemic control, especially in insulin‐treated patients.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2007.02013.x</identifier><identifier>PMID: 17227325</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Biological and medical sciences ; Case-Control Studies ; Diabetes Mellitus, Type 2 - therapy ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Follow-Up Studies ; glycated haemoglobin ; Hospitalization - trends ; Humans ; inpatient education ; Male ; Medical sciences ; Middle Aged ; Patient Education as Topic - methods ; Self Care - trends ; self-care behaviour ; structured intensive diabetes education programme ; Time ; Type 2 diabetes mellitus</subject><ispartof>Diabetic medicine, 2007-01, Vol.24 (1), p.55-62</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4673-ec2aec3fed3f8cde54b0b51fe239a0ff0ad5de98f5b410d4d5decb096e0871e3</citedby><cites>FETCH-LOGICAL-c4673-ec2aec3fed3f8cde54b0b51fe239a0ff0ad5de98f5b410d4d5decb096e0871e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-5491.2007.02013.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-5491.2007.02013.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,4010,27900,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18488471$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17227325$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ko, S.-H.</creatorcontrib><creatorcontrib>Song, K.-H.</creatorcontrib><creatorcontrib>Kim, S.-R.</creatorcontrib><creatorcontrib>Lee, J.-M.</creatorcontrib><creatorcontrib>Kim, J.-S.</creatorcontrib><creatorcontrib>Shin, J.-H.</creatorcontrib><creatorcontrib>Cho, Y.-K.</creatorcontrib><creatorcontrib>Park, Y.-M.</creatorcontrib><creatorcontrib>Jeong, J.-H.</creatorcontrib><creatorcontrib>Yoon, K.-H.</creatorcontrib><creatorcontrib>Cha, B.-Y.</creatorcontrib><creatorcontrib>Son, H.-Y.</creatorcontrib><creatorcontrib>Ahn, Y.-B.</creatorcontrib><title>Long-term effects of a structured intensive diabetes education programme (SIDEP) in patients with Type 2 diabetes mellitus-a 4-year follow-up study</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims Patient education is a very important part of diabetes care. However, until now, little data has been presented about the long‐term effectiveness of structured intensive diabetes education programmes (SIDEP) for people with Type 2 diabetes mellitus.
Methods People with Type 2 diabetes (n = 547) hospitalized from December 1999 to December 2000 were randomly assigned to two groups. Two hundred and nineteen patients undertook an inpatient SIDEP and the remaining patients received conventional glycaemic control without intensive education. After discharge, all patients were monitored regularly. Laboratory data were obtained, and adherence to self‐care behaviour was determined on a five‐point scale by questionnaires completed annually.
Results Of the patients who completed the SIDEP, 160 (73.1%) were followed up for more than 4 years. The mean HbA1c (7.9 ± 1.2 vs. 8.7 ± 1.6%; P < 0.05) and the frequency of hospitalization related to diabetes per patient per year (0.3 ± 0.6 vs. 0.8 ± 0.9; P < 0.05) was significantly lower in the SIDEP group than in the control group. The SIDEP group adhered more closely to self‐care behaviour than the control group over 4 years (P < 0.05). People with Type 2 diabetes mellitus of longer duration and those treated with insulin had poorer HbA1c at follow‐up.
Conclusions A well‐designed, intensive patient education programme is necessary for people with diabetes. However, regular and sustained reinforcement with encouragement is also required to maintain optimal glycaemic control, especially in insulin‐treated patients.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>glycated haemoglobin</subject><subject>Hospitalization - trends</subject><subject>Humans</subject><subject>inpatient education</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Education as Topic - methods</subject><subject>Self Care - trends</subject><subject>self-care behaviour</subject><subject>structured intensive diabetes education programme</subject><subject>Time</subject><subject>Type 2 diabetes mellitus</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUuOEzEQhlsIxGQCV0De8Fp08Kvj7sUsUCbMjBQC0kSwtNzu8uDQj2C7J8k9OABn4WS4STTZIbyxS_X9VeX6kwQRPCHxvFtPCJ_yNOMFmVCMxQRTTNhk9ygZPSQeJyMsOE0ZFuQsOfd-jTGhBSueJmdEUCoYzUbJz0XX3qUBXIPAGNDBo84ghXxwvQ69gwrZNkDr7T2gyqoSAngEVa9VsF2LNq67c6ppAL25vbmcf34bcbSJOWhjqa0N39Bqv4Hfv-hJ3UBd29D7VCGe7kE5ZLq67rZpv4l9-2r_LHliVO3h-fEeJ6sP89XsOl18urqZvV-kmk8FS0FTBZoZqJjJdQUZL3GZEQOUFQobg1WVVVDkJis5wRUfIl3iYgo4FwTYOHl9KBs_8aMHH2RjvY7DqRa63ksx5YzwPG52nLz6JznNC8qzPItgfgC167x3YOTG2Ua5vSRYDtbJtRwckoNDcrBO_rVO7qL0xbFHXzZQnYRHryLw8ggor1VtnGq19Scu53nOxTDsxYHb2hr2_z2AvPw4H15Rnx701gfYPeiV-y7j1kUmvy6v5OzLNV3eiqVcsT9bh8cj</recordid><startdate>200701</startdate><enddate>200701</enddate><creator>Ko, S.-H.</creator><creator>Song, K.-H.</creator><creator>Kim, S.-R.</creator><creator>Lee, J.-M.</creator><creator>Kim, J.-S.</creator><creator>Shin, J.-H.</creator><creator>Cho, Y.-K.</creator><creator>Park, Y.-M.</creator><creator>Jeong, J.-H.</creator><creator>Yoon, K.-H.</creator><creator>Cha, B.-Y.</creator><creator>Son, H.-Y.</creator><creator>Ahn, Y.-B.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><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><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200701</creationdate><title>Long-term effects of a structured intensive diabetes education programme (SIDEP) in patients with Type 2 diabetes mellitus-a 4-year follow-up study</title><author>Ko, S.-H. ; Song, K.-H. ; Kim, S.-R. ; Lee, J.-M. ; Kim, J.-S. ; Shin, J.-H. ; Cho, Y.-K. ; Park, Y.-M. ; Jeong, J.-H. ; Yoon, K.-H. ; Cha, B.-Y. ; Son, H.-Y. ; Ahn, Y.-B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4673-ec2aec3fed3f8cde54b0b51fe239a0ff0ad5de98f5b410d4d5decb096e0871e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>glycated haemoglobin</topic><topic>Hospitalization - trends</topic><topic>Humans</topic><topic>inpatient education</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Education as Topic - methods</topic><topic>Self Care - trends</topic><topic>self-care behaviour</topic><topic>structured intensive diabetes education programme</topic><topic>Time</topic><topic>Type 2 diabetes mellitus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ko, S.-H.</creatorcontrib><creatorcontrib>Song, K.-H.</creatorcontrib><creatorcontrib>Kim, S.-R.</creatorcontrib><creatorcontrib>Lee, J.-M.</creatorcontrib><creatorcontrib>Kim, J.-S.</creatorcontrib><creatorcontrib>Shin, J.-H.</creatorcontrib><creatorcontrib>Cho, Y.-K.</creatorcontrib><creatorcontrib>Park, Y.-M.</creatorcontrib><creatorcontrib>Jeong, J.-H.</creatorcontrib><creatorcontrib>Yoon, K.-H.</creatorcontrib><creatorcontrib>Cha, B.-Y.</creatorcontrib><creatorcontrib>Son, H.-Y.</creatorcontrib><creatorcontrib>Ahn, Y.-B.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><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><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ko, S.-H.</au><au>Song, K.-H.</au><au>Kim, S.-R.</au><au>Lee, J.-M.</au><au>Kim, J.-S.</au><au>Shin, J.-H.</au><au>Cho, Y.-K.</au><au>Park, Y.-M.</au><au>Jeong, J.-H.</au><au>Yoon, K.-H.</au><au>Cha, B.-Y.</au><au>Son, H.-Y.</au><au>Ahn, Y.-B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term effects of a structured intensive diabetes education programme (SIDEP) in patients with Type 2 diabetes mellitus-a 4-year follow-up study</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2007-01</date><risdate>2007</risdate><volume>24</volume><issue>1</issue><spage>55</spage><epage>62</epage><pages>55-62</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims Patient education is a very important part of diabetes care. However, until now, little data has been presented about the long‐term effectiveness of structured intensive diabetes education programmes (SIDEP) for people with Type 2 diabetes mellitus.
Methods People with Type 2 diabetes (n = 547) hospitalized from December 1999 to December 2000 were randomly assigned to two groups. Two hundred and nineteen patients undertook an inpatient SIDEP and the remaining patients received conventional glycaemic control without intensive education. After discharge, all patients were monitored regularly. Laboratory data were obtained, and adherence to self‐care behaviour was determined on a five‐point scale by questionnaires completed annually.
Results Of the patients who completed the SIDEP, 160 (73.1%) were followed up for more than 4 years. The mean HbA1c (7.9 ± 1.2 vs. 8.7 ± 1.6%; P < 0.05) and the frequency of hospitalization related to diabetes per patient per year (0.3 ± 0.6 vs. 0.8 ± 0.9; P < 0.05) was significantly lower in the SIDEP group than in the control group. The SIDEP group adhered more closely to self‐care behaviour than the control group over 4 years (P < 0.05). People with Type 2 diabetes mellitus of longer duration and those treated with insulin had poorer HbA1c at follow‐up.
Conclusions A well‐designed, intensive patient education programme is necessary for people with diabetes. However, regular and sustained reinforcement with encouragement is also required to maintain optimal glycaemic control, especially in insulin‐treated patients.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17227325</pmid><doi>10.1111/j.1464-5491.2007.02013.x</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Case-Control Studies Diabetes Mellitus, Type 2 - therapy Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Follow-Up Studies glycated haemoglobin Hospitalization - trends Humans inpatient education Male Medical sciences Middle Aged Patient Education as Topic - methods Self Care - trends self-care behaviour structured intensive diabetes education programme Time Type 2 diabetes mellitus |
| title | Long-term effects of a structured intensive diabetes education programme (SIDEP) in patients with Type 2 diabetes mellitus-a 4-year follow-up study |
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