ABSTRACT
A controlled experiment on the effect of ethnic specific diabetes education in Turkish type 2 diabetics revealed substantial problems with compliance. The cost effectiveness of such a programme would improve if patients most likely to dropout or overuse the education facility could be identified. The 45 patients of the intervention group were categorized into three groups: non-compliers, compliers and over-compliers, and we assessed the association between patient characteristics and these three groups. Compared to the compliers, non-compliers had a longer history of diabetes and poorer knowledge of diabetes. Over-compliers were more often younger, female, scored low on attitude or self-efficacy, and experienced more stress. Turkish patients having diabetes for a longer period or with poor knowledge of diabetes are at risk to dropout from the programme, while younger Turkish females scoring low on attitude or self-efficacy as well as those with more stress, are more likely to over-use the education facility.
Subject(s)
Diabetes Mellitus, Type 2/ethnology , Emigration and Immigration , Patient Compliance/ethnology , Patient Education as Topic/organization & administration , Adult , Diabetes Mellitus, Type 2/metabolism , Diabetes Mellitus, Type 2/prevention & control , Female , Glycated Hemoglobin/metabolism , Health Knowledge, Attitudes, Practice , Health Services Needs and Demand , Humans , Logistic Models , Male , Middle Aged , Models, Educational , Models, Psychological , Motivation , Netherlands , Patient Compliance/statistics & numerical data , Patient Dropouts/psychology , Patient Dropouts/statistics & numerical data , Predictive Value of Tests , Program Evaluation , Self Efficacy , Time Factors , Turkey/ethnologyABSTRACT
The feasibility of a 9-month educational diabetes programme (tailored to Turkish patients, provided by Turkish bicultural female educators) was assessed in terms of dropout rate, patient and GP satisfaction, and GP's perceived workload. Of the 54 Turkish patients (39% males) that signed informed consent, 45 actually started the education. Dropout rate during the programme was 41% (main reason: going abroad for a long period (18%)). The individual education sessions and the consultations with the GP were highly appreciated by 87% of the patients and the group sessions by 66%. Although all nine interviewed GPs experienced a higher workload, overall appreciation of the programme was high in six GPs. Although implementation of an ethic-specific diabetes programme in general practice is well appreciated by both patients and GPs, the high dropout rate indicates that the programme needs to be more finely tuned to the individual patient.
