Group education improves outcomes in type-2 diabetes

Group education for patients with type-2 diabetes has been successful in changing attitudes and behaviour towards the condition and improving health, according to study findings from England and Scotland.

The research is the first to back the recommendation of group-structured education, featured in the diabetes NSF.

For the study, 824 adults with newly diagnosed type-2 diabetes were recruited from 207 practices in England and Scotland. Patients were assigned to receive six hours of structured education in a group supervised by two trained health professionals or usual care.

The group education programme was DESMOND (Diabetes Education and Self Management for Ongoing and Newly Diagnosed). It tries to elicit rather than dictate how to improve behaviours that affect the condition.

Assessment showed HbA1c levels had decreased more in the intervention group at 1.49 per cent than in controls, where improvement was 1.21 per cent.

The intervention group showed an average weight loss after 12 months of 2.98 kg, while the control group only lost 1.86 kg.

BMJ Online

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