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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