Diabetes Self-Management Education and Association With Diabetes Self-Care and Clinical Preventive Care Practices.
Isabel Mendez, Elizabeth A Lundeen, Magon Saunders and 3 others
PMID 35023406WHAT IT FOUND
Among adults with diabetes, those who reported ever receiving diabetes education reported following recommended self-care and preventive practices more often.
Only 52.0% reported education, with lowest uptake among Hispanic, uninsured, and less-educated adults.
Key findings
01Adults with self-reported diabetes who had ever received diabetes education had higher predicted probability for all 4 self-care practices after adjustment.
0252.0% of adults with self-reported diabetes had ever participated in diabetes education, and participation was lowest among Hispanic respondents (42.6%), those with less than a high school education (36.9%), and uninsured respondents (39.5%).
03Those who received diabetes education followed more preventive practices: 1 in 4 followed 9 to 10 practices versus 1 in 10 who never received education, and more than 80% followed 6 or more versus 61% who did not.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
All diabetes status, education exposure, and self-care outcomes were self-reported, so recall and reporting bias are possible. The survey excluded people living in long-term care facilities, where the paper says diabetes prevalence is estimated to be higher than in the general population. The diabetes education question was general and did not confirm ADCES-accredited or ADA-recognized DSMES, so curriculum and standardization may vary. Because the analysis is cross-sectional and people who are more health conscious may be more likely to participate, the study cannot conclude that diabetes education leads to improved self-management.
Declared interests
No funding or conflict-of-interest declaration is provided in the supplied text.
The easy way to misread this
Do not conclude that diabetes education causes better diabetes self-care. This is a cross-sectional survey of self-reported education and practices, and the authors state that more health-conscious people may be more likely to receive education, so the direction of association cannot be established.