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A pilot randomized trial in primary care to investigate and improve knowledge, awareness and self‐management among South Asians with diabetes in Manchester
Author(s) -
Vyas A.,
Haidery A. Z.,
Wiles P. G.,
Gill S.,
Roberts C.,
Cruickshank J. K.
Publication year - 2003
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1046/j.1464-5491.2003.01082.x
Subject(s) - medicine , randomized controlled trial , diabetes mellitus , intervention (counseling) , family medicine , confidence interval , type 2 diabetes , psychological intervention , general partnership , physical therapy , nursing , surgery , finance , economics , endocrinology
Aims To investigate whether a secondary–primary care partnership education package could improve understanding of diabetes care among South Asians. Methods In a pilot randomized controlled trial, in the setting of eight general practices randomized to intervention or control, patients were invited to four or more rotating visits per year by one of a diabetes specialist nurse, dietician or chiropodist working with general practice staff. Participants were from lists of South Asian patients with known Type 2 diabetes in each (general) practice. Results Patients and practice scores at baseline and 1‐year follow‐up, from an interview using a questionnaire on knowledge, awareness and self‐management of diabetes. Responses were developed into educational packages used during intervention. Of the 411 patients listed at baseline only 211 were traced for interview (refusal only 4%). Mean age was 55.4 years, age of diabetes onset 47.1 years. Fourteen percent were employed and 35% were able to communicate in English fluently. Only 118 could be traced and interviewed at 1 year, although there was no significant difference in demography between those who completed the study and those who did not. Despite a mean of four visits/patient, intervention had no impact on scores for diabetes knowledge, or awareness [score change 0.14, 95% confidence interval (CI) −0.20, 0.49] or self‐management (−0.05, 95% CI −0.48, 0.39) between baseline and 1 year. Conclusions This form of secondary/primary care support did not transfer information effectively, and we suspect similar problems would arise in other similar communities. Different methods of clinician/patient information exchange need to be developed for diabetes in this South Asian group.