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Diabetes education program use and patient-perceived barriers to attendance.
Graziani, C; Rosenthal, M P; Diamond, J J.
Afiliación
  • Graziani C; Department of Family Medicine, Thomas Jefferson University, Philadelphia, USA. wcgraziani@aol.com
Fam Med ; 31(5): 358-63, 1999 May.
Article en En | MEDLINE | ID: mdl-10407715
BACKGROUND AND OBJECTIVES: Although self-management education is an essential component of optimal diabetes care, diabetes education programs are greatly underused. This study examined the use of diabetes education programs by a university-based family practice patient population in Philadelphia. Predictors of program attendance, as well as patient-perceived barriers to attendance, were identified. METHODS: A survey designed to collect information on demographics, clinical factors associated with diabetes, experience with diabetes education, and reasons for nonattendance at education programs was administered to 150 patients with diabetes. RESULTS: Twenty-two percent of the subjects had attended a diabetes education program. Female gender, insulin use, and higher degree of obesity were positively associated with education program attendance. Physician recommendation was an important predictor of attendance. Significant barriers to attendance included lack of awareness of programs, misperceptions about what programs involved, structural barriers, and health beliefs. CONCLUSIONS: Diabetes education programs are underused. Physicians can improve program attendance and outcomes for people with diabetes by implementing interventions designed to address the identified barriers.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actitud Frente a la Salud / Educación del Paciente como Asunto / Cooperación del Paciente / Diabetes Mellitus / Accesibilidad a los Servicios de Salud Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude / Implementation_research Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Fam Med Año: 1999 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Buscar en Google
Añadir a Mi BVS
Imprimir
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PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actitud Frente a la Salud / Educación del Paciente como Asunto / Cooperación del Paciente / Diabetes Mellitus / Accesibilidad a los Servicios de Salud Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude / Implementation_research Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Fam Med Año: 1999 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos