Professional Development News 

The power of self-management: Diabetes education and self-management for on-going and newly diagnosed individuals with Type 2 diabetes (DESMOND) as a self-management education programme in chronic disease management. 


Barrett M.B.   Health Promotion and Improvement, Health Service Executive West, Limerick, Ireland

Abstract

 

Background:

With the level of Type 2 diabetes and the burdening cost of chronic disease increasing there is a need for effective self-management education programmes.

 

Aim:

To determine if DESMOND is effective in promoting a self - management approach with individuals with diabetes.

 

Methods:

This study examined clinical data of 114 participants who attended DESMOND and a review session. Data gathered included pre and post bloods e.g. HbA1c and lipids. Statistical analysis involved using t-tests, with a significance level of 5%. Qualitative data was collected at review sessions with 34 participants using participatory learning appraisal methodology.

 

Results:

There was a significant reduction in mean HbA1c of 8mmol/mol from 62mmol/mol before DESMOND attendance to 54mmol/mol after DESMOND. There was a significant reduction in mean total cholesterol levels of 0.18mmol/l from 4.44mmol/l to 4.26mmol/l and a significant reduction was found in mean triglyceride levels of 0.2mmol/l from 1.5mmol/l to 1.3mmol/l. 88% of participants rated 5 and above on a scale of 1-10 on how well they were managing their diabetes since attending DESMOND. Positive lifestyle changes achieved included improvements in diet, an increase in physical activity, and increase in blood monitoring, self-reported weight loss ranging from 7-25kg and blood pressure reductions. In addition, the participants were empowered to highlight further needs in relation to lifestyle and maintaining weight loss.

 

Conclusion:

This study highlights that DESMOND is effective in the management of diabetes and as a self-management programme for chronic disease management.