TY - JOUR
T1 - Increasing patient activation through diabetes self-management education
T2 - Outcomes of DESMOND in regional Western Australia
AU - Miller, Venus M.
AU - Davies, Melanie J.
AU - Etherton-Beer, Christopher
AU - McGough, Sophie
AU - Schofield, Deborah
AU - Jensen, Jessica F.
AU - Watson, Natasha
PY - 2020/4
Y1 - 2020/4
N2 - Objective: To evaluate the effects of the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) program on patient activation in adults living with type 2 diabetes (T2D). Methods: 233 individuals attended a DESMOND program in 26 locations across regional Western Australia. Individuals completed the Patient Activation Measure (PAM) prior to and immediately after DESMOND participation. Results: Patient Activation significantly increased by 9.7 points from pre to post DESMOND intervention (p < 0.001, z = −7.94). Of all participants who exhibited an increase in patient activation, 87% (n = 142) experienced a clinically significant (>5 point) increase. Post-DESMOND participation, an 86% reduction (from 6% −0.9%) in the proportion of participants scoring in the lowest PAM level (Level 1) was observed (p < 0.01). Conclusion: DESMOND, a structured diabetes self-management education (DSME) program aimed at strengthening the role of people living with type 2 diabetes in self-managing their healthcare, significantly increased patient activation in a real-world setting. Practice implications: In line with international diabetes guidelines it is recommended that people living with T2D, particularly those with lower levels of activation, attend an evidence based DSME such as DESMOND to increase their capacity to effectively self-manage their condition.
AB - Objective: To evaluate the effects of the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) program on patient activation in adults living with type 2 diabetes (T2D). Methods: 233 individuals attended a DESMOND program in 26 locations across regional Western Australia. Individuals completed the Patient Activation Measure (PAM) prior to and immediately after DESMOND participation. Results: Patient Activation significantly increased by 9.7 points from pre to post DESMOND intervention (p < 0.001, z = −7.94). Of all participants who exhibited an increase in patient activation, 87% (n = 142) experienced a clinically significant (>5 point) increase. Post-DESMOND participation, an 86% reduction (from 6% −0.9%) in the proportion of participants scoring in the lowest PAM level (Level 1) was observed (p < 0.01). Conclusion: DESMOND, a structured diabetes self-management education (DSME) program aimed at strengthening the role of people living with type 2 diabetes in self-managing their healthcare, significantly increased patient activation in a real-world setting. Practice implications: In line with international diabetes guidelines it is recommended that people living with T2D, particularly those with lower levels of activation, attend an evidence based DSME such as DESMOND to increase their capacity to effectively self-manage their condition.
KW - Diabetes education
KW - Patient activation
KW - Patient self-management
KW - Type 2 diabetes mellitus
UR - http://www.scopus.com/inward/record.url?scp=85074432131&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2019.10.013
DO - 10.1016/j.pec.2019.10.013
M3 - Article
C2 - 31676100
AN - SCOPUS:85074432131
VL - 103
SP - 848
EP - 853
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 4
ER -
