Declining structured diabetes education in those with type 2 diabetes: A plethora of individual and organisational reasons. Issue 4 (April 2018)

• Record Type: Journal Article
• Authors: Coates, Vivien; Slevin, Mary; Carey, Marian; Slater, Paul; Davies, Mark
• Is Part Of: Patient education and counseling. Volume 101:Issue 4(2018)
• Page Start: 696
• Page End: 702
• Publication Date: 2018-04
• Subjects: Structured education -- Type 2 diabetes -- Non-attendance; 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.2017.10.013
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Many participants could have benefited from attending SDE. Perceiving that diabetes is not serious is a barrier to attending education. DSNs and GPs are the primary gatekeepers to education in type 2 diabetes. Education must be considered on an individual basis, one size will not fit all. For a number of people structured diabetes education will never be an option. Abstract: Objective: to identify the expressed reasons adults with type 2 diabetes decline structured diabetes education (SDE). Methods: cross sectional survey of 335 adults with type 2 diabetes who had declined SDE within the past two years, from across Northern Ireland and England. Standardised instruments comprising The Diabetes Attitude Scale, Diabetes Empowerment Scale (Short Form), and Diabetes Knowledge Test plus a questionnaire to elicit the reasons for declining SDE were used. Results: Mean age 57.6 years (±21.1) 50.7% males, predominantly of White ethnicity (85.7%). They were most frequently invited to attend by a diabetes specialist nurse (36%), general practitioner (27%) or practice nurse (19%). Although a diversity of reasons for declining SDE were cited the most common were; ' The course was too long' (47.2%), ' I have other health problems ' (41.2%) and they had other priorities (33.4%). Hierarchical cluster analysis revealed that expressed reasons for declining SDE were highly individualised. Conclusion: The wide range of reasons that impeded attendance suggests there is no simple solution that will improve attendance rates. Practice implications: In the same way that medical treatment for diabetes is becoming increasingly individualised, educational provision should be encouraged to move away from a one size fits all model.