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Lifestyle Changes in Diet and Physical Activities after Group Education for Type 2 Diabetes

Diabetes self-management education (DSME) for patients with type 2 diabetes requires efficient teaching methods that make patients want to change lifestyle in terms of their diabetes. The study looked at what might be the active ingredient in this DSME. And the authors aimed to explore how participants in DSME, with an interactive learning method, experienced changes in relation to diet and physical activity. 

In the study, the authors studied possible changes in diet and physical activity by semi-structured individual interviews of 16 participants attending DSME. The participants were recruited by convenience sampling from seven different type 2 diabetes DSME groups. The data were collected through the semi-structured individual interviews (20 - 40 minutes) at three points in time: the first before DSME, the second just after the DSME, and again after 6 months and were analyzed by using qualitative content analysis with an inductive analysis strategy.

The results showed that before the DSME, the participants felt insecure about what to eat, and they expressed little interest in changing their physical activity; just after the DSME, they were more optimistic about diet because they had learned how to interpret food labels and compose their meals. Furthermore, they had experienced the benefit of physical activity in relation to their blood glucose levels. Behavior changes appeared to persist the following half year. The authors also discussed the findings in light of the principles of interactive learning. The participants experienced an effect of their behavior changes, and blood glucose measurement was used as a tool to gain control and reach a state of well-being. 

In conclusion, from being insecure about what to eat, the patients acquired knowledge to handle their diet through the DSME. They learned how to compose their meals and use physical activity to regulate their blood glucose. It’s suggested that the interactive learning used in the DSME was an active ingredient that led to changes in behavior and should be considered as an educational method in DSME for patient with type 2 diabetes.

Article by Lisbeth O. Rygg, et al, from Norway and Sweden.

Full access: http://mrw.so/2AAt97

Image by Erion Shehaj, from Flickr-cc.

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