Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
Patient Educ Couns. 2012 Jan;86(1):98-105. doi: 10.1016/j.pec.2011.04.008. Epub 2011 May 17.
To evaluate the efficacy of ongoing group based diabetes self-management education (DSME) for patients with type 2 diabetes.
146 patients were randomised to either group education or waiting list control. Primary outcomes were A1C and patient activation measured with patient activation measure (PAM).
There were no differences in the primary outcomes between the groups at 12 months, but the control group had an increase in A1C of 0.3% points during follow-up. Diabetes knowledge and some self-management skills improved significantly in the intervention group compared to the control group. A sub group analysis was conducted for the quartile with the highest A1C at baseline (>7.7, n=18 in both groups). There were significant improvements within the intervention group at 12 month follow-up for both A1C and PAM and a trend for better outcome in the intervention group compared to the control.
The locally developed ongoing diabetes self-management education programs prevented an increase in A1C and can have an effect on A1C in patients with higher A1C level.
Locally developed programs may be less effective than programs developed for studies.
评估针对 2 型糖尿病患者的正在进行的基于小组的糖尿病自我管理教育（DSME）的疗效。
将 146 名患者随机分为小组教育组或候补名单对照组。主要结局指标是糖化血红蛋白（A1C）和患者激活测量工具（PAM）测量的患者激活程度。
在 12 个月时，两组之间的主要结局指标没有差异，但对照组在随访期间 A1C 增加了 0.3%。与对照组相比，干预组的糖尿病知识和一些自我管理技能显著提高。对基线 A1C 最高的四分位数（>7.7，两组均为 18 例）进行了亚组分析。在 12 个月的随访中，干预组的 A1C 和 PAM 均有显著改善，与对照组相比，干预组的结果有改善趋势。
当地开发的持续糖尿病自我管理教育计划可防止 A1C 升高，并可能对 A1C 水平较高的患者产生影响。
当地开发的计划可能不如为研究开发的计划有效。
