Marina Trento|P. Passera|E Borgo|M. Tomalino|M. Bajardi|Franco Cavallo|Massimo Porta
A 5-Year Randomized Controlled Study of Learning, Problem Solving Ability, and Quality of Life Modifications in People With Type 2 Diabetes Managed by Group Care
University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin
study time course changes knowledge problem solving ability quality life patients type 2 diabetes managed group compared individual care educationwe conducted 5year randomized controlled clinical trial continuing systemic education delivered group versus individual diabetes care hospitalbased secondary care diabetes unit 120 patients noninsulintreated type 2 diabetes enrolled randomly allocated group individual care eight start 28 complete study main outcome measures knowledge diabetes problem solving ability quality life hba1c bmi hdl cholesterolknowledge diabetes problem solving ability improved year 1 group care worsened among control subjects p0001 quality life improved year 2 group care worsened individual care p0001 hba1c level progressively increased 5 years among control subjects 17 95 ci 1122 group care patients 01 05 04 bmi decreased 14 20 07 hdl cholesterol increased 014 mmoll 007022adults type 2 diabetes acquire specific knowledge conscious behaviors exposed educational procedures settings tailored needs traditional onetoone care although delivered according optimized criteria associated progressive deterioration knowledge problem solving ability quality life better cognitive psychosocial results associated favorable clinical outcomes