A Delphi consensus study introducing a Problem And attRibutes-bAsed DIabetes self-manaGeMent (PARADIGM) intervention...

Area of Science:

• Health Education
• Chronic Disease Management
• Behavioral Science

Background:

• Standardized interventions are crucial for effective patient self-management.
• Lack of consensus on core attributes previously hindered intervention design.
• Type 2 diabetes self-management requires structured educational approaches.

Purpose of the Study:

• To develop a problem-based curriculum for type 2 diabetes self-management.
• To define core intervention attributes based on stakeholder input.
• To structure the curriculum around five core attributes identified through concept analysis.

Main Methods:

• A Delphi process involving physicians, clinical epidemiologists, and allied health professionals was used.
• Eleven rounds of online meetings were conducted over six months to achieve consensus.
• Core self-management skills were identified for each of the five defined attributes.

Main Results:

• Consensus was reached on core self-management skills for each attribute.
• Five model cases and associated interactions were developed for problem-based learning sessions.
• The curriculum was structured for group-based delivery in healthcare settings.

Conclusions:

• The developed curriculum provides a clear conceptual definition for diabetes self-management interventions.
• Standardization of interventions can enhance their effectiveness in promoting self-management.
• This structured curriculum can empower individuals with type 2 diabetes to better manage their condition.