Low attendance at structured education for people with newly diagnosed type 2 diabetes: General practice characteristics and individual patient factors predict uptake. Issue 1 (January 2016)

• Record Type: Journal Article
• Authors: Winkley, Kirsty; Stahl, Daniel; Chamley, Mark; Stopford, Rosanna; Boughdady, Monica; Thomas, Stephen; Amiel, Stephanie A; Forbes, Angus; Ismail, Khalida
• Is Part Of: Patient education and counseling. Volume 99:Issue 1(2016)
• Page Start: 101
• Page End: 107
• Publication Date: 2016-01
• Subjects: Type 2 diabetes mellitus -- General practice -- Primary health care -- Education -- Attendance -- Uptake; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2015.08.015
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Attendance at diabetes education is low in patients with new onset type 2 diabetes Attendance is associated with female gender, lower HbA1c and non-smoker status General practices achieving glycaemic control targets have more patients who attend Men, smokers and people with poor glycaemic control need encouragement to attend Abstract: Objective: The aims were to determine the association between individual and neighbourhood factors and attendance at structured education amongst people with newly diagnosed type 2 diabetes (T2DM). Methods: Multi-level analysis of questionnaire data from a prospective cohort of adults newly diagnosed T2DM. Setting was primary care, London, UK. Main outcome was attendance at structured education within 2 years. Results: Of 1790 people recruited, attendance data were available for 1626 (91%). Only 22.4% ( n = 365/1626) attended education. Attendance was independently associated with female gender (OR 1.28, 95% CI 1.05–1.46), lower HbA1c (OR 0.98 mmol/mol 95% CI 0.97–0.99) and non-smoker status (OR 1.36, 95% CI 1.07–1.55). General practice covariates, achievement of primary care targets for glycaemic control (OR 1.05, 95% C.I. 1.01–1.08) and recording of retinal screening (OR 0.96, 95% C.I. 0.93–0.99) were independently associated with attendance but unexplained general practice clustering accounted for 17% of the variance. Conclusion: Education uptake is low amongst people with new onset T2DM. Attenders are more likely to be female, non-smokers with better HbA1c. General practices achieving glycaemic targets are more likely to have patients who attend education. Practice implications: Strategies are needed to improve attendance at structured diabetes education particularly amongst hard to reach groups.