Diabetes Care
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
QUICK SEARCH:   [advanced]


     

Diabetes Care Publish Ahead of Print published online ahead of print December 4, 2007
DOI: 10.2337/dc07-0744
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
dc07-0744v1
31/3/402    most recent
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Venmans, L. M.A.J.
Right arrow Articles by Rutten, G. E.H.M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Venmans, L. M.A.J.
Right arrow Articles by Rutten, G. E.H.M.
Social Bookmarking
Add to CiteULike   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Original Research

Short-term effects of an educational program on health-seeking behavior for infections in patients with type 2 diabetes: a randomized controlled intervention trial in primary care.

Leonie M.A.J. Venmans, PhD, Kees J. Gorter, MD, PhD, Eelko Hak, PhD and Guy E.H.M. Rutten, MD, PhD

Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands

g.e.h.m.rutten{at}umcutrecht.nl

ABSTRACT

Objective: To assess the short-term effects of an educational program on (determinants of) self-reported health-seeking behavior for infections of the urinary tract (UTIs) and lower respiratory tract (LRTIs) in patients with type 2 diabetes (DM2).

Research Design and Methods: In a randomized controlled trial 1,124 patients with DM2 aged between 44 and 85 years participated. The intervention consisted of a multi-faceted educational program with an interactive meeting, a leaflet, a website, and a consultation with the diabetes care provider. The program focused on the needs of patients, apparent from a prior focus group and questionnaire study. The primary outcome measure was an indicator of health-seeking behavior for UTIs and LRTIs, defined as the proportion of participants with a positive score on at least seven out of nine determinants according to six on the Health Belief Model and the additional three domains of knowledge, need for information, and intention. The primary outcome was measured with questionnaires at baseline and after five months.

Results: Complete outcome data were available for 468 intervention group patients and 472 control group patients. In all, 68% of the intervention group patients attended the meeting. At baseline, 28% of the participants from the intervention group had a positive score on seven of the nine determinants, compared to 27% from the control group. Following the educational program, these percentages were 53% and 32%, respectively (p<0.001).

Conclusions: Our educational program positively influenced determinants of health-seeking behavior for common infections in patients with DM2.


Add to CiteULike CiteULike   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Diabetes Diabetes Care Clinical Diabetes Diabetes Spectrum
Copyright © 2007 by the American Diabetes Association.