Evaluating the impact of differing completion rates of a face‐to‐face DIABETES self‐management education programme on Patient Reported Outcome measures (DIABETES PRO): A feasibility trial protocol

Author:

Lewis Gemma12ORCID,Irving Greg3,Wilding John2,Hardy Kevin1

Affiliation:

1. Department of Diabetes and Endocrinology St Helens Hospital, Mersey and West Lancashire Teaching Hospitals NHS Trust St Helens UK

2. Institute of Life Course and Medical Sciences University of Liverpool Liverpool UK

3. Health Research Institute Edge Hill University Ormskirk UK

Abstract

AbstractIntroductionStructured diabetes self‐management education (DSME) is internationally recommended for people with type 2 diabetes to support self‐management and to prevent associated long‐term complications. ‘Attendance’ at DSME is currently benchmarked as having completed a registration form and at least one active engagement with programme content, and ‘completion’ measured against ≥60% completion, despite landmark trials reporting outcomes based on the full completion of a programme. Little is known about the effectiveness of DSME on the psychological and emotional health of people with diabetes who complete less than the full DSME programme. We report a protocol for a single‐centre randomised feasibility study to assess the impact of differing completion rates of a face‐to‐face DSME programme on patient reported outcomes of self‐care, diabetes distress and quality of life in people with type 2 diabetes.MethodsA randomised feasibility study in 120 people with type 2 diabetes due to attend a secondary care diabetes clinic in the North West UK for DSME. Participants will be randomised into one of the four groups: Group 1 full DSME programme, Group 2 60%, Group 3 10% and Group 4 0% (delayed education). Psychometric questionnaire scores will be evaluated at baseline and 3–4 months post‐intervention. Measures of feasibility (eligibility, recruitment and retention rates) will be reported.Ethics and DisseminationThe DIABETES‐PRO study was approved by the London–Surrey Borders Research Ethics Committee (24/LO/0235). Results will be shared with study participants and published in peer‐reviewed journals.Trial RegistrationClinicaltrials.gov NCT06419907.

Publisher

Wiley

Reference29 articles.

1. Diabetes: Missed routine checks are causing premature deaths in England, charity warns

2. DiabetesUK.Diabetes Care: Is it Fair Enough?;2023. Accessed August 2 2023.https://diabetes‐resources‐production.s3.eu‐west‐1.amazonaws.com/resources‐s3/public/2023‐05/DUK_Diabetes%20is%20Serious%20Report%202023.pdf.

3. NHS Digital.National Diabetes Audit 2022–23 Quarterly Report. January 2022 to December 2022. Accessed August 2 2023.https://digital.nhs.uk/data‐and‐information/publications/statistical/national‐diabetes‐audit/core‐q3‐22‐23/national‐diabetes‐audit‐nda‐2022‐23‐quarterly‐report‐for‐england‐icb‐pcn‐and‐gp‐practice

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