Effekte von Diabetesschulungen auf Krankheitslast, Informationsbedarfe sowie Gründe zur Ablehnungen von Diabetesschulungen in der Routineversorgung

Informationsbedarfe und Kranksheitslast
Objective: To evaluate, how participation in structured diabetes self-management education (DSME) programs is associated with perceived level of knowledge about diabetes, information needs, information sources and disease distress.
Methods: We included 796 ever- and 277 never-DSME participants of the population-based survey “Disease knowledge and information needs - Diabetes mellitus (2017)” from Germany. Data on perceived level of diabetes knowledge (12 items), information needs (11 items), information sources (13 items) and disease distress (2 indices) were collected. Multiple logistic regression analyses were used to examine the association of DSME- participation with these outcomes.
Results: DSME-participants showed a higher level of diabetes knowledge compared to never-DSME participants, particularly in aspects concerning diabetes in general (odds ratio 2.53; 95% confidence intervals 1.48–4.33), treatment (2.41; 1.36–4.26), acute complications (1.91; 1.07–3.41) and diabetes in everyday life (1.83; 1.04–3.22). DSME-participants showed higher information needs regarding late complications (1.51; 1.04–2.18) and acute complications (1.71; 1.71–2.48) than DSME never participants. DSME-participants more frequently consulted diabetologists (5.54; 3.56–8.60) and diabetes care specialists (5.62; 3.61–8.75) as information sources. DSME participation was not associated with disease distress.
Conclusion: DSME is a valuable tool for improving individual knowledge about diabetes. However, DSME should focus more on psychosocial aspects to reduce the disease burden.

Gründe Nichtteilnahme Diabetesschulungen

Introduction Population-based studies on reason not to participate in diabetes self-management education (DSME) are scarce in the literature. Therefore, the primary objective of this study was to address the following research questions: 1) What are the socio-demographic and disease-related factors associated with participation in DSME? 2) What are the reasons contributing to the decision to decline participation in DSME? 3) How do participants assess DSME programs, and is there a variation in evaluation based on patient characteristics?

Research design and methods We conducted an analysis using data from the “Disease knowledge and information needs – Diabetes mellitus 2017” survey, which included a total of 1396 participants diagnosed with diabetes mellitus (DM). This cross-sectional study was conducted on a nationwide scale in Germany. Among the participants, 394 had never attended diabetes self-management education (DSME), while 1002 had participated in DSME at some point. To explore the factors associated with DSME participation, reasons for declining DSME, and the perceived helpfulness of DSME, we performed weighted logistic or multinominal regression analyses, incorporating both bivariate and multivariable approaches. Furthermore, we considered patient beliefs and information about diabetes as confounding variables, utilizing subscales from the Risk Perception Survey-Diabetes Mellitus, the Revised Illness Perception Questionnaire (IPQ-R), and the DAWN-2 questionnaire.