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A Delphi consensus study introducing a Problem And attRibutes-bAsed DIabetes self-manaGeMent (PARADIGM) intervention
Manal M Othman1, Hanan Khudadad2, Ragae Dughmosh3
1Department of Population Medicine, College of Medicine, QU Health, Qatar University, Doha, Qatar; Department of Medicine, Hamad General Hospital, Doha, Qatar; Diabetes Self-Management Study Group, Qatar Metabolic Institute, Hamad General Hospital, Doha, Qatar.
Aim:
Encouraging patients to improve their self-management behavior based on a strict definition of the intervention is important for a standardized delivery but, until recently, there was no consensus on the core attributes that define such an intervention. The purpose of this study is to generate a core-attribute based and stakeholder-informed problem-based curriculum for promotion of type 2 diabetes self-management structured around five core attributes derived from a previous concept analysis that defined the intervention.
Methods:
Using a Delphi process for consensus achievement, physicians, clinical epidemiologists and allied health care professionals completed eleven rounds of online meetings over 6 months.
Results:
Core self-management skills were identified by consensus for each of the five attributes and then used to design a model case and interactions of a problem-based self-management education intervention for delivery in a health care setting. Five model cases and associated interactions were developed by consensus for delivery in group-based and problem-based learning sessions.
Conclusions:
The final structured curriculum will be useful to inform and standardize diabetes self-management based on a clear conceptual definition of the intervention and can thus help make the latter more effective tools for encouraging persons with type 2 diabetes to self manage their condition.
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