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Professional Development News 

Comparing clinical outcomes in people with Type 2 diabetes before and after attending DESMOND and exploring primary care providers' experiences of referring patients to DESMOND.


Bourke R.; O'Donnell M.; Heverin C.; Dinneen S. School of Medicine, National University of Ireland, Galway, Ireland

 

Abstract

 

Aims:

To compare clinical outcomes in people with Type 2 diabetes before and after attending an evidence-based group structured education programme (DESMOND) and to explore primary care providers' experiences of referring patients to DESMOND.

 

Methods:

Differences in clinical outcomes before and after attending DESMOND were measured in 100 DESMOND attendees using a paired sample two-tailed t test. Semi-structured interviews were conducted with three GPs/six practice nurses and analysed using a thematic approach.

 

Results:

The mean age was 61 years and 51% were male. For participants with clinical data at both baseline and follow up at three to six months, there was a statistically significant improvement in HbA1c (n = 87; 65mmol/mol vs 53mmol/mol, p < 0.05) and LDL (n = 83; 2.7 vs 2.5, p < 0.05) following attendance. Weight also decreased but this was not statistically significant (n = 51, 95.6kg vs 93.6kg). GPs/Practice nurses reported that attendance was generally good and that attendees manage their condition better following attendance. Barriers to attendance included the time commitment and transport issues. More communication on DESMOND dates, more rural venues, more information for primary care providers on what DESMOND covers, and DESMOND patient information leaflets were identified as ways the DESMOND team could support GP practices in promoting DESMOND.

 

Conclusions:

Improvements in clinical outcomes were observed in DESMOND attendees and GPs/practice nurses report that attendees are better at self-managing their condition. On-going communication from the DESMOND team was identified as a way of supporting GP practices in promoting  DESMOND.


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