Document Detail


Outcomes of and for diabetes education research.
MedLine Citation:
PMID:  10711087     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this paper is to review outcome measures used to evaluate diabetes self-management education and make recommendations for future research. METHODS: Three perspectives were used: (1) the frequency with which different measures were collected prior to 1990 was compared with a sample of the 1997 to 1999 literature, (2) a multilevel pyramid model of psychosocial-environmental factors was used to evaluate the level of outcomes assessed, and (3) the RE-AIM evaluation framework was used to assess the public health impact of studies reported in the literature. RESULTS: Knowledge and HbA1c measures are often collected to the exclusion of other, possibly more appropriate outcomes. Research has focused almost exclusively on individual or family level outcomes and paid little attention to effects at systems levels, such as neighborhoods, communities, or healthcare systems. More recent studies have been evaluating the reach of interventions, but more practice-oriented research needs to be conducted with representative patients, providers, and settings. CONCLUSIONS: Much has been learned about the efficacy of diabetes self-management and about measurement issues. Future research should now focus on effectiveness and generalization issues.
Authors:
R E Glasgow
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Diabetes educator     Volume:  25     ISSN:  0145-7217     ISO Abbreviation:  Diabetes Educ     Publication Date:    1999 Nov-Dec
Date Detail:
Created Date:  2000-03-21     Completed Date:  2000-03-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7701401     Medline TA:  Diabetes Educ     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  74-88     Citation Subset:  N    
Affiliation:
AMC Cancer Research Center, Denver, Colorado, USA. russkpf@earthlink.net
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MeSH Terms
Descriptor/Qualifier:
Diabetes Mellitus / psychology,  therapy*
Forecasting
Health Priorities
Humans
Models, Psychological
Outcome Assessment (Health Care) / organization & administration*
Patient Education as Topic / standards*
Research / organization & administration*
Research Design
Self Care* / psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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