Empowerment-based education for established type 2 diabetes in rural England

Akhter, K., Bunn, C. , Graffy, J., Donald, S., Ward, C. and Simmons, D. (2017) Empowerment-based education for established type 2 diabetes in rural England. Practical Diabetes International, 34(3), pp. 83-88. (doi:10.1002/pdi.2088)

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People with newly-diagnosed type 2 diabetes are offered structured education, but there are few programmes for those with established diabetes. The empowerment-based education approach from the United States has been advocated as one approach that supports self-management, but is not used in England. The aim of this study was to assess the acceptability of empowerment-based diabetes education for patients with established type 2 diabetes. One 3.5-hour workshop was offered to participants joining a trial of peer support in rural Cambridgeshire, UK. Four main aspects of self-care (carbohydrates and portion size; truths and myths about diabetes; know your numbers and medications; keeping active and foot care) were addressed, followed by a question and answer session. Change in diabetes knowledge and participant perspectives were evaluated using questionnaires. Qualitative evaluation was by ethnographic observation of sessions. Patient expectations were met in 93.5% of participants. Aspects thought to be particularly useful related to diet and carbohydrates and also medications. Ethnography revealed five main themes: diet, group process, health service experience, within session peer support, and educator clinical grounding. Sixty percent of those participating increased their ability to answer diabetes knowledge-based questions. Adopting the ‘empowerment approach’ is a valid method of diabetes education for those with established type 2 diabetes in England. Delivery by experienced educators is important to address queries that arise during the sessions.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Bunn, Dr Christopher
Authors: Akhter, K., Bunn, C., Graffy, J., Donald, S., Ward, C., and Simmons, D.
Subjects:H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Social Scientists working in Health and Wellbeing
College of Social Sciences > School of Social and Political Sciences
Journal Name:Practical Diabetes International
ISSN (Online):1528-252X
Published Online:10 April 2017
Copyright Holders:Copyright © 2017 John Wiley & Sons
First Published:First published in Practical Diabetes International 34(3):83-88
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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