Primary Care Diabetes
Volume 3, Issue 2 , Pages 103-109 , May 2009

Supporting diabetes self-management in primary care: Pilot-study of a group-based programme focusing on diet and exercise

  • Hilde Bastiaens

      Affiliations

    • Department of General Practice, Interdisciplinary Healthcare and Geriatrics, University of Antwerp, Belgium
    • Corresponding Author InformationCorresponding author at: Department of General Practice, University of Antwerp, Universiteitsplein 1, Gebouw R Lokaal 3.15, 2610 Wilrijk, Belgium. Tel.: +32 3 8202529; fax: +32 3 8202526.
  • ,
  • Patricia Sunaert

      Affiliations

    • Department of General Practice and Primary Health Care, University of Ghent, Belgium
  • ,
  • Johan Wens

      Affiliations

    • Department of General Practice, Interdisciplinary Healthcare and Geriatrics, University of Antwerp, Belgium
  • ,
  • Bernard Sabbe

      Affiliations

    • Department of Neuroscience, University of Antwerp, Belgium
  • ,
  • Lutgarde Jenkins

      Affiliations

    • DiabetesProject Aalst, Belgium
  • ,
  • Frank Nobels

      Affiliations

    • OLV-Hospital, Aalst, Belgium
  • ,
  • Boris Snauwaert

      Affiliations

    • Department of General Practice and Primary Health Care, University of Ghent, Belgium
  • ,
  • Paul Van Royen

      Affiliations

    • Department of General Practice, Interdisciplinary Healthcare and Geriatrics, University of Antwerp, Belgium

Received 28 January 2009 ,Accepted 1 February 2009.

References 

  1. Funnell M, Brown T, Childs B, et al. National standards for diabetes self-management education. Diabetes Care. 2008;31:S97–S104
  2. National Institute for Health and Clinical Excellence, Diabetes type 2: the management of diabetes type 2, Clinical Guideline 66, London, 2008, see <www.nice.org.uk>.
  3. Van Eygen L, Sunaert P, Feyen L, et al. Priorities for diabetes primary care Europe. Primary Care Diabetes. 2008;2:3–8
  4. International Diabetes Federation, Diabetes Atlas, IDF, Brussels, 2003, see <www.eatlas.idf.org>.
  5. J. Wens, P. Sunaert, F. Nobels, et al. Guideline for good medical practice, type 2 diabetes, Antwerp, 2005, see <http://www.wvvh.be/Page.aspx?id=1007>.
  6. Funnell M, Anderson B. Patient empowerment: a look back, o look ahead. Diabet. Educ. 2003;29:454–462
  7. Anderson R, Funnell M, Carlson A, et al. Facilitating self-care through empowerment, in: F. Snoek, T. Skinner, Psychology in Diabetes Care. John Wiley & Sons Ltd.; 2000;pp. 69–97
  8. Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469–2475
  9. Ajoulat I, d’Hoore W, Deccache A. Patient empowerment in theory and practice: polysemy or cacophonie. Patient Educ. Couns. 2007;66:13–23
  10. Norris S, Engelgau M, Venkat K, Narayan . Effectiveness of self-management training in type 2 diabets: a systematic review of randomized controlled trials. Diabetes Care. 2001;24:561–587
  11. Gary T, Genkinger J, Guallar E, et al. Meta-analysis of randomized educational and behavioral interventions in type 2 diabetes. Diabet. Educ. 2003;29(3):488–501
  12. Steed L, Cooke D, Newman S. A systematic review of psychosocial outcomes following education, self-management and psychosocial interventions in diabetes mellitus. Patient Educ. Couns. 2003;51:5–15
  13. Ellis S, Speroff T, Dittus R, et al. Diabetes patient education: a meta-analysis and meta-regression. Patient Educ. Couns. 2004;52:97–105
  14. Ishmail K, Winkley K, Rabe-Jesketh S. Systematic review and meta-analysis of randomized controlled trials of psychological interventions to improve glycemic control in patients with type 2 diabetes. Lancet. 2004;363:1589–1597
  15. Shojania K, Ranji S, McDonald K, et al. Effects of quality improvement strategies for type 2 diabetes on glycemic control. A meta-regression analysis. JAMA. 2006;296(4):427–440
  16. Clark M. Diabetes self-management education: a review of published studies. Primary Care Diabetes. 2008;2:113–120
  17. Deakin T, Mcshane C, Cade J, Williams R. Group based training for self-management strategies in people with type 2 diabetes. Cochrane Database Syst. Rev. 2005;2:CD003417
  18. Rijken R, Jones M, Heijmans M, Dixon A. Chapter six: supporting self-management. In:  Notle E,  McKee M editor. Caring for People with Chronic Conditions. A Health System Perspective, European Observatory on Health Systems and Policy Series. Berkshire: Open University Press; 2008;
  19. National Institute for Clinical Excellence, Guidance on the use of patient-education models for diabetes, Technology Appraisal 60, London, 2006, see <www.nice.org.uk>.
  20. Nolte E, McKee M. Chapter One: Caring for people with a chronic condition: an introduction. In:  Notle E,  McKee M editor. Caring for People with Chronic Conditions. A Health System Perspective. European Observatory on Health Systems and Policy Series. Berkshire: Open University Press; 2008;
  21. Mathieu C, Nobels F, Peeters G, et al. Quality and organization of the care for diabetes 2. Brussels: Report of the Belgium Health Care Knowledge Centre; 2006;see <www.centredexpertise.fgov.be>
  22. Wagner E. Chronic disease management: what will it take to improve care for chronic illness. Eff. Clin. Pract. 1998;1:2–4
  23. Bodenheimer T, Wagner E, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288(4):1775–1779
  24. Epping-Jordan J, Pruitt S, Bengoa R, Wagner E. Improving the quality of health care for chronic conditions. Qual. Saf. Health Care. 2004;13:299–305
  25. Sunaert P, Bastiaens H, Feyen L, et al. Het diabetesproject Aalst: ontwikkeling en implementatie van een regionaal zorgprogramma voor diabetes type 2 in de eerste lijn: deel 1. Huisarts nu. 2008;37:76–81
  26. Anderson R, Funnell M, Butler P, et al. Patient empowerment: results of a randomized controlled trial. Diabetes Care. 1995;18:943–949
  27. Anderson B, Funnell M. The Art of Empowerment. Stories and Strategies for Diabetes Educators. 2nd edition. United States: American Diabetes Association; 2005;
  28. Doherty Y, James P, Roberts S. Stage of change counseling. In:  Snoek F,  Skinner T editor. Psychology in Diabetes Care. John Wiley & Sons Ltd.; 2000;pp. 99–139.
  29. Bandura A. Self-efficacy: towards a unifying theory of behavior change. Psychol. Rev. 1997;84:191–215
  30. Krichbaum K, Aerestad V, Buethe M. Exploring the connection between self-efficacy and effective diabetes self-management. Diabet. Educ. 2003;29(4):653–662
  31. Gollwitzer P. Implementation intentions: strong effects of simple plans. Amer. Psychol. 1999;54:493–503
  32. Schilts M, Horowitz M, Townsend M. Goal setting as a strategy for dietary and physical activity behavior change: a review of the literature. Am. J. Health Promotion. 2004;19(2):81–93
  33. Clark M, Hampson S. Implementing a psychological intervention to improve lifestyle self-management in patients with type 2 diabetes. Patient Educ. Counsel. 2001;42:247–256
  34. Miller W, Rollnick S. Motivational Interviewing: Preparing People for Change. New York: Guilford Press; 2002;
  35. Maes S, Karoly P. Self-regulation assessment and intervention in physical health and illness: a review. Appl. Psychol. Lit. Rev. 2005;54:267–299
  36. Craig C, Marshall A, Sjostrom M, et al. International physical activity questionnaire: 12-country reliability and validity. Med. Sci. Sports Exerc. 2003;35:1381–1395
  37. Vandelanotte C, De Bourdeaudhuij I, Philippaerts R, et al. Reliability and validity of a computerized and Dutch version of the International Physical Activity Questionnaire (IPAQ). J. Phys. Act. Health. 2005;2:63–75
  38. Polonsky W, Anderson B, Loher P, et al. Assessment of diabetes-related distress. Diabetes Care. 1995;18:754–760
  39. Welch G, Jacobson A, Polonsky W. The problem areas in diabetes scale: an evaluation of its clinical utility. Diabetes Care. 1997;20:760–766
  40. Snoek F, Pouwer F, Welch G, Polonsky W. Diabetes-related emotional distress in Dutch and U.S. diabetic patients. Cross-cultural validity of the Problem Areas in Diabetes Scale. Diabetes Care. 2000;23:1305–1309
  41. Welch G, Weinger K, Anderson B, Polonsky W. Responsiveness of the problem areas in diabetes (PAID) questionnaire. Diabetes UK. 2003;20:69–72
  42. Stratton I, Adlet A, Haw N, et al. Association of glycaemia with macro-vascular and micro-vascular complications of type 2 diabetes (UKPDS 35): prospective observational study. Br. Med. J. 2000;321:405–412
  43. Reilly T, Peiser B. Seasonal variations in health related human physical activity. Sports Med. 2006;36:473–485
  44. Lorig K, Hurwicz ML, Sobel D, et al. A national dissemination of an evidence-based self-management program: a process evaluation study. Patient Educ. Counsel. 2005;59:69–79
  45. Deakin T, Cade J, Williams R, Greenwood D. Structured patient education: the diabetes X-PERT programme makes a difference. Diabetic Med. 2006;23:944–954
  46. Pibernic-Okanovic M, Prasek M, Poljijcanin-Filipovoc T, et al. Patient Educ. Counsel. 2004;52:193–199
  47. Thoolen B, De Ridder D, Bensing J, et al. The effectiveness of a self-management intervention in patients with screen-detected type 2 diabetes. Diabetes Care. 2007;30:2832–2837
  48. Pouwer F, Beekman A, Luback C, Snoeck F. Nurses’ recognition and registration of depression, anxiety and diabetes-specific emotional problems in outpatients with diabetes mellitus. Patient Educ. Couns. 2005;60:235–240
  49. Trento M, Passera P, Borgo E, et al. A 5-year randomized controlled study of learning, problem solving ability, and quality of life modifications in people with type 2 diabetes managed by group care. Diabetes Care. 2004;27:670–675

PII: S1751-9918(09)00007-2

doi: 10.1016/j.pcd.2009.02.001

Primary Care Diabetes
Volume 3, Issue 2 , Pages 103-109 , May 2009