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Organizing and delivering diabetes education and self-care support: findings of scoping project
Angus Forbes1, Alison While, Peter Griffiths
1Florence Nightingale School of Nursing and Midwifery, King’s College London, 57 Waterloo Road, London, UK. angus.forbes@kcl.ac.uk
Objective:
To provide an overview of current research and development on the organization and delivery of diabetes education and self-care support, incorporating stakeholder perspectives.
Method:
Four methods were used: literature review (159 papers and 52 grey literature items); patient participation event (n = 38); online survey of professionals (n = 423) and patients (n= 495); and, a conference.
Results:
The literature review identified themes relating to the organization and delivery of diabetes and self-care support: structure and flexibility in models of education; accessibility; patient choice; integrating self-care within the overall care system; quality improvement; peer educators; health literacy; efficiency in delivery; telecare models; feedback technologies; care planning; psychological intervention; and self-care outcome measures. This generated four models to provide a framework to help shape the development of diabetes self-care: a diabetes education pathway; integrating self-care and clinical care; choice as a method of optimizing care; and an integrated framework for delivering diabetes self-care.
Conclusion:
The clinical benefit of the identified models need to be evaluated.
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