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Diabetes structured self-management education programmes: a narrative review and current innovations
Sudesna Chatterjee1, Melanie J Davies2, Simon Heller3
1Diabetes Research Centre, University of Leicester, Leicester, UK; Department of Diabetes and Endocrinology, University Hospitals of Leicester, Leicester, UK.
The Lancet. Diabetes & Endocrinology
|October 4, 2017
Summary
Empowering individuals with diabetes through self-management education programs improves health outcomes. These evidence-based programs enhance patient knowledge and motivation, leading to better diabetes control and fewer complications.
Area of Science:
- Endocrinology
- Public Health
- Behavioral Medicine
Background:
- Type 1 and type 2 diabetes share long-term complications, preventable with intensive glycemic management.
- Patient empowerment and self-management skills are crucial for improved health outcomes in diabetes care.
Purpose of the Study:
- To review the efficacy and cost-effectiveness of diabetes self-management education (DSME) programs.
- To highlight the impact of DSME on patient knowledge, skills, motivation, and health outcomes.
- To emphasize the need for tailored and accessible DSME programs globally.
Main Methods:
- Review of evidence-based diabetes self-management education programs over the past 20 years.
- Analysis of program components, delivery methods, and impact on patient outcomes.
- Consideration of factors influencing program access and uptake.
Main Results:
- DSME programs are efficacious and cost-effective in promoting diabetes self-management.
- Improvements in patient knowledge, skills, and motivation lead to better biomedical, behavioral, and psychosocial outcomes.
- Program variability exists in curriculum, delivery, technology, and philosophy.
Conclusions:
- Diabetes self-management education is vital for preventing or delaying complications.
- Tailoring programs to specific populations (considering diabetes type, ethnicity, literacy, etc.) is essential.
- Global strategies to enhance access to and uptake of DSME are urgently needed.
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