A Delphi consensus study introducing a Problem And attRibutes‐bAsed DIabetes self‐manaGeMent (PARADIGM) intervention for patients with type 2 diabetes. Issue 4 (August 2022)

• Record Type: Journal Article
• Authors: Othman, Manal M.; Khudadad, Hanan; Dughmosh, Ragae; Kane, Tanya; Abou-Samra, Abdul-Badi; Doi, Suhail A.R.
• Is Part Of: Primary care diabetes. Volume 16:Issue 4(2022)
• Page Start: 491
• Page End: 495
• Publication Date: 2022-08
• Subjects: Type 2 diabetes -- DSME -- Delphi -- Attributes -- Problem-based learning -- Interactions -- Patient education; Diabetes -- Periodicals; 616.462
• DOI: 10.1016/j.pcd.2022.05.006
• Languages: English
• ISSNs: 1751-9918

Abstract

Abstract: 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. Highlights: A novel intervention (PARADIGM) that delivers diabetes self-management education through five model cases is presented. Delphi approach was used for intervention development based on a previous conceptual definition. The new intervention will help standardize expected patient learning outcomes and can be tailored to patient needs.