Self-rated health as a predictor of outcomes of type 2 diabetes patient education programmes in Denmark

Abstract Objective To explore if self-rated health (SRH) can predict differences in outcomes of patient education programmes among patients with type 2 diabetes over time. Study design This is an observational cohort study conducted among 83 patients with type 2 diabetes participating in patient edu...

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Bibliographic Details
Published in:Public health (London) 2016-10, Vol.139, p.170-177
Main Authors: Laursen, D.H, Christensen, K.B, Christensen, U, Frølich, A
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cohort Studies
Denmark
Diabetes Mellitus, Type 2 - psychology
Diabetes Mellitus, Type 2 - therapy
Diagnostic Self Evaluation
Female
Health education impact questionnaire
Humans
Infectious Disease
Internal Medicine
Male
Middle Aged
Patient education
Patient Education as Topic
Program Evaluation
Self-rated health
Surveys and Questionnaires
Treatment Outcome
Type 2 diabetes
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Summary:Abstract Objective To explore if self-rated health (SRH) can predict differences in outcomes of patient education programmes among patients with type 2 diabetes over time. Study design This is an observational cohort study conducted among 83 patients with type 2 diabetes participating in patient education programmes in the Capital Region of Denmark. Methods Questionnaire data were collected by telephone interview at baseline and 2 weeks (77 participants, 93%) and 12 months (66, 80%) after the patient education ended. The seven-scale Health Education Impact Questionnaire (HeiQ) was the primary outcome. The independent variable was SRH, which was dichotomized into optimal or poor SRH. Changes over time were assessed using mean values and standard deviation (SD) at each time point and Cohen effect sizes. Odds ratios and 95% confidence intervals were calculated for the likelihood of having poor SRH for each baseline sociodemographic and health-related variable. Results Twelve months after patient education programmes, 60 (72%) patients with optimal SRH at baseline demonstrated increased self-management skills, overall acceptance of chronic illness, positive social interaction with others, and improved emotional well-being. Participants with poor SRH (23, 28%) reported no improvements over time. Not being married (odds ratio [OR] 7.79, P  
ISSN:0033-3506
1476-5616
DOI:10.1016/j.puhe.2016.06.018