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Open Access Rural Diabetes Education: Does It Make a Difference? L'éducation sur le diabète en milieu rural : génère-t-elle des résultats?

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Abstract:

This cross-sectional study using a mailed survey evaluated outcomes of diabetes education, care, and support provided at 2 clinics in rural Manitoba, Canada. Seventy-eight respondents with type 2 diabetes, including 51 rural clinic attenders and 27 non-attenders (mean age = 68.5), were compared regarding demographic characteristics; diabetes education and knowledge; diabetes selfmanagement efficacy, attitudes, and behaviours; quality of life; satisfaction with care; and health-care utilization. Attenders had more diabetes education (<.001), higher self-management efficacy scores (<.051), and greater satisfaction with diabetes care (<.001) than non attenders, but more education did not translate into greater diabetes-related knowledge, attitudes, or behaviours. While clinic attendance and supportive interaction with health professionals and peers may help equip people with type 2 diabetes with the confidence and alternative strategies to handle diabetes-related health problems, a more standard approach to diabetes education and care could improve the achievement of desired outcomes.

French
Cette étude transversale effectuée par voie d'enquête par correspondance a pour but d'évaluer les résultats de l'éducation sur le diabète, des soins et du soutien dispensés dans deux cliniques rurales du Manitoba, au Canada. Soixante dix huit répondants atteints de diabète de type deux, dont 51 personnes fréquentant les cliniques rurales et 27 qui n'en fréquentaient aucune (âge moyen = 68,5), ont été comparés sur les plans suivants : caractéristiques démographiques; sensibilisation et connaissance du diabète; efficacité de l'autogestion de la maladie; attitudes et comportements; qualité de vie; satisfaction quant aux soins; et utilisation des services de santé. Les personnes fréquentant les cliniques avaient plus de connaissances sur le diabète (P<0,001), affichaient des taux d'autogestion efficace plus élevés (P<0,051), et éprouvaient une plus grande satisfaction quant aux soins reçus (P<0,001), comparativement aux personnes qui ne fréquentaient pas les cliniques. Par ailleurs, une éducation plus accrue ne générait pas nécessairement de meilleures connaissances sur le diabète, ni de meilleurs comportements et attitudes. Une fréquentation des cliniques et une interaction soutenante avec les professionnels de la santé et les pairs peuvent aider les diabétiques de type deux à acquérir la confiance et les stratégies de rechange nécessaires pour gérer les problèmes de santé liés à cette maladie. Toutefois, une approche plus traditionnelle à l'éducation sur le diabète et aux soins associés favoriserait davantage l'atteinte des objectifs ciblés.

Keywords: DIABETES EDUCATION; DIABETES MELLITUS; EVALUATION; RURAL

Language: French

Document Type: Short Communication

Publication date: January 1, 2005

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