Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2013 May 29:13:521.
doi: 10.1186/1471-2458-13-521.

Impact of a self-care education programme on patients with type 2 diabetes in primary care in the Basque Country

Estibaliz Gamboa Moreno  1 , Álvaro Sánchez Perez, Kalliopi Vrotsou, Juan Carlos Arbonies Ortiz, Emma Del Campo Pena, Lourdes Ochoa de Retana Garcia, María Ángeles Rua Portu, Koldo Piñera Elorriaga, Amaya Zenarutzabeitia Pikatza, Miren Nekane Urquiza Bengoa, Rosario Sanz Echave, Tomás Méndez Sampedro, Ana Oses Portu, Lourdes Gorostidi Fano, Miren Bakarne Aguirre Sorondo, Rafael Rotaeche Del Campo; Osakidetza Active Patient Research Group
Collaborators, Affiliations
Randomized Controlled Trial

Impact of a self-care education programme on patients with type 2 diabetes in primary care in the Basque Country

Estibaliz Gamboa Moreno et al. BMC Public Health. .

Abstract

Background: Type 2 diabetes mellitus (DM2) is a disease with high prevalence and significant impact in terms of mortality and morbidity. The increased prevalence of the disease requires the implementation of new strategies to promote patient self-management. The Spanish Diabetes Self-Management Program (SDSMP) has proven to be effective in other settings. The objective of this study is to assess its effectiveness in terms of care for DM2 patients in primary care settings within the Basque Health Service - Osakidetza (Spain).

Method/design: This is a randomised clinical trial in which patients diagnosed with DM2, 18-79 years of age, from four health regions within the Basque Health Service will be randomised into two groups: an intervention group, who will follow the SDSMP, and a control group, who will receive usual care in accordance with the clinical guidelines for DM2 and existing regulations in our region. The intervention consists of 2,5 hour-group sessions once a week for six weeks. The sessions cover target setting and problem solving techniques, promotion of physical exercise, basic knowledge of nutrition, proper use of medication, effective communication with relatives and health professionals, and basic knowledge about DM2 and its complications. This content is complemented by educational material: books, leaflets and CDs. The primary outcome measure will be the change in glycated haemoglobin (HbA1c), and secondary outcome measures will include changes in levels of physical activity and intake of fruit and vegetables, cardiovascular risk, quality of life, self-efficacy, number of consultations and drug prescriptions. The results will be analysed 6, 12 and 24 months after the intervention.

Discussion: If the intervention were to be effective, the programme should be spread to the entire diabetic population in the Basque Country and it could also be applied for other diseases.

Trial registration: ClinicalTrials.gov identifier NCT01642394.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flowdiagram for the study.
See this image and copyright information in PMC

References

    1. Arcelay A, Saenz De Ormijana A, Reviriego E, López De Argumedo M, Gutierrez I. In: Mejora de la atención al paciente mayor con patología crónica. Departamento de Sanidad, editor. Gobierno Vasco: Informe Osteba D-09-01; 2009.
    1. Bengoa R, Nuño R. Curar y cuidar. Innovación en la gestión de enfermedades crónicas:una guía práctica para avanzar. Elsevier-Masson: Barcelona; 2008.
    1. Ministerio de Sanidad y Consumo, editor. Ministerio de Sanidad y Consumo. Estrategia en diabetes del Sistema Nacional de Salud. Madrid; 2007. http://www.msps.es/organizacion/sns/planCalidadSNS/pdf/excelencia/cuidad... [May 2013 access]
    1. Arteagoitia JM, Larranaga MI, Rodriguez JL, Fernandez I, Pinies JA. Incidence, prevalence and coronary heart disease risk level in known Type 2 diabetes: a sentinel practice network study in the Basque Country, Spain. Diabetologia. 2003;46(7):899–909. doi: 10.1007/s00125-003-1137-1. - DOI - PubMed
    1. Estrategia para afrontar el reto de la cronicidad en Euskadi. Departamento de sanidad y consumo del Gobierno, Vasco Vitoria-Gasteiz. 2010. Disponible en http://cronicidad.blog.euskadi.net/ [June 2012 access]

Publication types

MeSH terms

Associated data