Impact of a self-care education programme on patients with type 2 diabetes in primary care in the Basque Country

BMC Public Health

Rafael Rotaeche Del Campo³  Miren Bakarne Aguirre Sorondo⁶  Lourdes Gorostidi Fano⁵  Ana Oses Portu⁵  Tomás Méndez Sampedro⁸  Rosario Sanz Echave⁴  Miren Nekane Urquiza Bengoa^1,10  Amaya Zenarutzabeitia Pikatza²  Koldo Piñera Elorriaga^1,11  María Ángeles Rua Portu¹  Lourdes Ochoa de Retana Garcia⁴  Emma del Campo Pena⁹  Juan Carlos Arbonies Ortiz⁹  Kalliopi Vrotsou⁶  Álvaro Sánchez Perez⁷  Estibaliz Gamboa Moreno⁴ 

[1] Bidebieta Health Centre, Osakidetza, Pº Julio Urkijo, San Sebastián, Gipuzkoa s/n - 20016, Spain;Unidad Docente de Medicina familiar y Comunitaria de Bizkaia, Osakidetza, c/ Luis Power 18 planta 4, 48014, Bilbao, Spain;Alza Health Centre, Osakidetza, Paseo de Larratxo 95, San Sebastián, Spain;Pasajes San Pedro Health Centre, Osakidetza, c/ Marinos nº 1, Pasajes San Pedro, Gipuzkoa 20110, Spain;Hondarribia Health Center, Osakidetza, c/ Matxin de Arzu nº 2, Hondarribia, Gipuzkoa 20280, Spain;Primary Care Research Unit of Gipuzkoa, Osakidetza, Pº Doctor Begiristain, Donostia s/n 20014, Spain;Primary Care Research Unit of Bizkaia, Osakidetza, c/ Luis Power 18 planta 4, Bilbao 48014, Spain;Ortuella Health Center, Osakidetza, Avda. Minero, Ortuella, Bizkaia s/n - 48530, Spain;Beraun Health Centre, Osakidetza, Av. Galtzaraborda 67, Renteria, Gipuzkoa, Spain;Gazalbide-Txagorritxu Health Centre, Osakidetza, c/ Chile, 9-01009, Vitoria-Gasteiz, Spain;O + Berri, Fundación Vasca de Innovación e Investigación Sanitarias, Plaza Asua, 1. 48150, Sondika, Bizkaia, Spain

关键词: Primary care;    Education;    Self-management;    Diabetes Mellitus type 2;    Chronic disease;   

Others  :  1162160
DOI  :  10.1186/1471-2458-13-521

 received in 2013-04-15, accepted in 2013-05-17,  发布年份 2013

【 摘 要 】

Background

Type 2 diabetes mellitus (DM2) is a disease with high prevalence and significant impact in terms of mortality and morbidity. The increased prevalence of the disease requires the implementation of new strategies to promote patient self-management. The Spanish Diabetes Self-Management Program (SDSMP) has proven to be effective in other settings. The objective of this study is to assess its effectiveness in terms of care for DM2 patients in primary care settings within the Basque Health Service – Osakidetza (Spain).

Method/Design

This is a randomised clinical trial in which patients diagnosed with DM2, 18–79 years of age, from four health regions within the Basque Health Service will be randomised into two groups: an intervention group, who will follow the SDSMP, and a control group, who will receive usual care in accordance with the clinical guidelines for DM2 and existing regulations in our region. The intervention consists of 2,5 hour-group sessions once a week for six weeks. The sessions cover target setting and problem solving techniques, promotion of physical exercise, basic knowledge of nutrition, proper use of medication, effective communication with relatives and health professionals, and basic knowledge about DM2 and its complications. This content is complemented by educational material: books, leaflets and CDs. The primary outcome measure will be the change in glycated haemoglobin (HbA1c), and secondary outcome measures will include changes in levels of physical activity and intake of fruit and vegetables, cardiovascular risk, quality of life, self-efficacy, number of consultations and drug prescriptions. The results will be analysed 6, 12 and 24 months after the intervention.

Discussion

If the intervention were to be effective, the programme should be spread to the entire diabetic population in the Basque Country and it could also be applied for other diseases.

Trial registration

ClinicalTrials.gov identifier NCT01642394

【 授权许可】

   
2013 Gamboa Moreno et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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