Kirsty Winkley|Daniel Ståhl|Mark Chamley|Rosanna Stopford|Monica Boughdady|Stephen Thomas|Stephanie A. Amiel|Angus Forbes|Khalida Ismail
Low attendance at structured education for people with newly diagnosed type 2 diabetes: General practice characteristics and individual patient factors predict uptake
King's College London|King's College London|Lambeth Hospital|King's College London|King's College London|Guy's and St Thomas' NHS Foundation Trust|King's College London|King's College London|King's College London
aims determine association individual neighbourhood factors attendance structured education amongst people newly diagnosed type 2 diabetes t2dm multilevel analysis questionnaire data prospective cohort adults newly diagnosed t2dm setting primary care london uk main outcome attendance structured education within 2 years 1790 people recruited attendance data available 1626 91 224 n 3651626 attended education attendance independently associated female gender 128 95 ci 105146 lower hba1c 098 mmolmol 95 ci 097099 nonsmoker status 136 95 ci 107155 general practice covariates achievement primary care targets glycaemic control 105 95 ci 101108 recording retinal screening 096 95 ci 093099 independently associated attendance unexplained general practice clustering accounted 17 variance education uptake low amongst people new onset t2dm attenders likely female nonsmokers better hba1c general practices achieving glycaemic targets likely patients attend education strategies needed improve attendance structured diabetes education particularly amongst hard reach groups