Konferensartikel

Diabetes Group Education versus Individual Counseling: Review of Conflicting Evidence

Taridzo Chomutare
Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, Tromsø, Norway

Eirik Arsand
Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, Tromsø, Norway

Gunnar Hartvigsen
Department of Computer Science, University of Tromsø - The Arctic University of Norway, Tromsø, Norway

Ladda ner artikel

Ingår i: SHI 2015, Proceedings from The 13th Scandinavien Conference on Health Informatics, June 15-17, 2015, Tromsø, Norway

Linköping Electronic Conference Proceedings 115:15, s. 93-97

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Publicerad: 2015-06-26

ISBN: 978-91-7685-985-8

ISSN: 1650-3686 (tryckt), 1650-3740 (online)

Abstract

Current guidelines for diabetes self-management such as from the National Institute for Health and Care Excellence (NICE) do not mention group education or use of electronic applications as part of their recommendations. Perhaps this is partially because there is lack of quality evidence supporting use of either intervention. This review examines what appears to be conflicting evidence regarding clinical outcomes of group education and individual counselling strategies for people with diabetes. A final set of 14 studies was included, with a total number of 30977 participants. More than half of the studies found no significant difference between group education and individual counselling or motivational interviews. Two studies favoured group education, while two favoured individual counselling. Understanding the merits of the different approaches is important for informing health education strategies, but so far the evidence remains conflicting for clinical outcomes.

Nyckelord

Diabetes; group education; tailored care.

Referenser

1. Adlerberth A, Rosengren A, Bresäter LE, Waller L, Ehnberg S, Welin L. [Group education in a diabetes school improves the metabolic control]. Läkartidningen. 1992 Jun 3;89(23):2106–7.

2. Steinsbekk A, Rygg LØ, Lisulo M, Rise MB, Fretheim A. Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res. 2012;12:213.

3. Sperl-Hillen J, Beaton S, Fernandes O, Von Worley A, Vazquez-Benitez G, Hanson A, et al. Are benefits from di-abetes self-management education sustained? Am J Manag Care. 2013 Feb;19(2):104–12.

4. Sarkadi A, Rosenqvist U. Field test of a group education program for type 2 diabetes: measures and predictors of success on individual and group levels. Patient Educ Couns. 2001 Aug;44(2):129–39.

5. Sperl-Hillen J, Beaton S, Fernandes O, Von Worley A, Vazquez-Benitez G, Parker E, et al. Comparative effectiveness of patient education methods for type 2 diabetes: a randomized controlled trial. Arch Intern Med. 2011 Dec 12;171(22):2001–10.

6. Brown SA. Effects of educational interventions in diabetes care: a meta-analysis of findings. Nurs Res. 1988 Aug;37(4):223–30.

7. Wilson SR. Individual versus group education: is one better? Patient Educ Couns. 1997 Dec;32(1 Suppl):S67–75.

8. Brown SA. Studies of educational interventions and outcomes in diabetic adults: a meta-analysis revisited. Patient Educ Couns. 1990 Dec;16(3):189–215.

9. Årsand E, Frøisland DH, Skrøvseth SO, Chomutare T, Tatara N, Hartvigsen G, et al. Mobile health applications to assist patients with diabetes: lessons learned and design implications. J Diabetes Sci Technol. 2012;6(5):1197–206.

10. Cafazzo JA, Casselman M, Hamming N, Katzman DK, Palmert MR. Design of an mHealth app for the self-management of adolescent type 1 diabetes: A pilot study. J Med Internet Res. 2012;14(3):1–20.

11. Chomutare T, Tatara N, Årsand E, Hartvigsen G. De-signing a diabetes mobile application with social network support. Stud Health Technol Inform. 2013;188:58–64.

12. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009 Aug 18;151(4):264–9, W64.

13. Huang X, Lin J, Demner-Fushman D. Evaluation of PICO as a knowledge representation for clinical questions. AMIA Annu Symp Proc AMIA Symp AMIA Symp. 2006;359–63.

14. Hwee J, Cauch-Dudek K, Victor JC, Ng R, Shah BR. Diabetes education through group classes leads to better care and outcomes than individual counselling in adults: a population-based cohort study. Can J Public Health Rev Can Santé Publique. 2014 Jun;105(3):e192–7.

15. Merakou K, Knithaki A, Karageorgos G, Theodoridis D, Barbouni A. Group patient education: effectiveness of a brief intervention in people with type 2 diabetes mellitus in primary health care in Greece: a clinically controlled trial. Health Educ Res. 2015 Apr;30(2):223–32.

16. Vadstrup ES, Frølich A, Perrild H, Borg E, Røder M. Effect of a group-based rehabilitation programme on glycaemic control and cardiovascular risk factors in type 2 diabetes patients: the Copenhagen Type 2 Diabetes Rehabilitation Project. Patient Educ Couns. 2011 Aug;84(2):185–90.

17. Smith SM, Paul G, Kelly A, Whitford DL, O’Shea E, O’Dowd T. Peer support for patients with type 2 diabetes: cluster randomised controlled trial. BMJ. 2011 Feb 15;342:d715.

18. Endevelt R, Peled R, Azrad A, Kowen G, Valinsky L, Heymann AD. Diabetes prevention program in a Mediterranean environment: individual or group therapy? An effectiveness evaluation. Prim Care Diabetes. 2015 Apr;9(2):89–95.

19. Khunti K, Gray LJ, Skinner T, Carey ME, Realf K, Dallosso H, et al. Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled tri-al in primary care. BMJ. 2012;344:e2333.

20. Mash RJ, Rhode H, Zwarenstein M, Rollnick S, Lombard C, Steyn K, et al. Effectiveness of a group diabetes educa-tion programme in under-served communities in South Af-rica: a pragmatic cluster randomized controlled trial. Dia-bet Med J Br Diabet Assoc. 2014 Aug;31(8):987–93.

21. Dinneen SF, O’Hara MC, Byrne M, Smith D, Courtney CH, McGurk C, et al. Group follow-up compared to individual clinic visits after structured education for type 1 di-abetes: a cluster randomised controlled trial. Diabetes Res Clin Pract. 2013 Apr;100(1):29–38.

22. Vadstrup ES, Frølich A, Perrild H, Borg E, Røder M. Health-related quality of life and self-related health in patients with type 2 diabetes: effects of group-based rehabili-tation versus individual counselling. Health Qual Life Out-comes. 2011;9:110.

23. Simmons D, Prevost AT, Bunn C, Holman D, Parker RA, Cohn S, et al. Impact of Community Based Peer Support in Type 2 Diabetes: A Cluster Randomised Controlled Trial of Individual and/or Group Approaches. PloS One. 2015;10(3):e0120277.

24. Rautio N, Jokelainen J, Oksa H, Saaristo T, Peltonen M, Niskanen L, et al. Participation, socioeconomic status and group or individual counselling intervention in individ-uals at high risk for type 2 diabetes: one-year follow-up study of the FIN-D2D-project. Prim Care Diabetes. 2012 Dec;6(4):277–83.

25. Rosenbek Minet LK, Wagner L, Lønvig EM, Hjelmborg J, Henriksen JE. The effect of motivational interviewing on glycaemic control and perceived com-petence of diabetes self-management in patients with type 1 and type 2 diabetes mellitus after attending a group education programme: a randomised controlled trial. Diabetologia. 2011 Jul;54(7):1620–9.

26. Lau C, Vistisen D, Toft U, Tetens I, Glümer C, Pedersen O, et al. The effects of adding group-based lifestyle counselling to individual counselling on changes in plasma glucose levels in a randomized con-trolled trial: the Inter99 study. Diabetes Metab. 2011 Dec;37(6):546–52.

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