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Declining structured diabetes education in those with type 2 diabetes: A plethora of individual and organisational reasons

Coates, Vivien, Slevin, Mary, Carey, Marian, Slater, Paul and Davies, Mark (2017) Declining structured diabetes education in those with type 2 diabetes: A plethora of individual and organisational reasons. Patient Education and Counseling, Inpres . [Journal article]

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URL: http://linkinghub.elsevier.com/retrieve/pii/S073839911730589X

DOI: 10.1016/j.pec.2017.10.013

Abstract

Objectiveto identify the expressed reasons adults with type 2 diabetes decline structured diabetes education (SDE).Methodscross sectional survey of 335 adults with type 2 diabetes who had declined SDE within the past two years, from across Northern Ireland and England.Standardised instruments comprising The Diabetes Attitude Scale, Diabetes Empowerment Scale (Short Form), and Diabetes Knowledge Test plus a questionnaire to elicit the reasons for declining SDE were used.ResultsMean age 57.6 years (±21.1) 50.7% males, predominantly of White ethnicity (85.7%). They were most frequently invited to attend by a diabetes specialist nurse (36%), general practitioner (27%) or practice nurse (19%).Although a diversity of reasons for declining SDE were cited the most common were; ‘The course was too long’ (47.2%), ‘I have other health problems’ (41.2%) and they had other priorities (33.4%).Hierarchical cluster analysis revealed that expressed reasons for declining SDE were highly individualised.ConclusionThe wide range of reasons that impeded attendance suggests there is no simple solution that will improve attendance rates.Practice implicationsIn the same way that medical treatment for diabetes is becoming increasingly individualised, educational provision should be encouraged to move away from a one size fits all model.

Item Type:Journal article
Keywords:Structured education; Type 2 diabetes; Non-attendance
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
Institute of Nursing and Health Research > Person-centred Practice Research Centre
ID Code:38995
Deposited By: Professor Vivien Coates
Deposited On:15 Dec 2017 10:08
Last Modified:01 Nov 2018 23:23

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