Feasibility of diabetes peer education for Turkish type 2 diabetes patients in Dutch general practice

Background: One of the lesser recognized complications of diabetes mellitus are musculoskeletal (MSK) complications of the upper and lower extremity. No prevalence studies have been conducted in general practice. Thus, the aim of this study was to investigate the prevalence of upper extremity MSK disorders in patients with type 2 diabetes (T2DM) in the Netherlands. Methods: We conducted a cross-sectional study with two different approaches, namely a representative Dutch primary care medical database study and a questionnaire study among patients with T2DM. Results: In the database study, 2669 patients with T2DM and 2669 non-diabetes patients were included. MSK disorders were observed in 16.3% of patients with T2DM compared to 11.2% of non-diabetes patients (p < 0.001, OR 1.53, 95% CI 1.31, 1.80). In the questionnaire study, 200 patients with T2DM were included who reported a lifetime prevalence of painful upper extremity body sites for at least four weeks of 67.3%. Conclusion: We found that upper extremity MSK disorders have a high prevalence in Dutch patients with T2DM presenting in general practice. The prevalence ranges from 16% based on GP registered disorders and complaints to 67% based on self-reported diagnosis and pain. Early detection and treatment of these disorders may play a role in preventing the development of chronic MSK disorders.

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Can we improve the education for type 2 diabetes patients in general practice?. A pilot study of the effects of differing educational delivery methods

Practical Diabetes International ◽

10.1002/pdi.1960160807 ◽

1999 ◽

Vol 16 (8) ◽

pp. 241-245 ◽

Cited By ~ 9

Author(s):

Colin Bradshaw ◽

Celia Bryce ◽

Elaine McColl ◽

Martin Eccles ◽

Rod Sampson

Keyword(s):

Type 2 Diabetes ◽

General Practice ◽

Pilot Study ◽

Delivery Methods ◽

Educational Delivery ◽

Diabetes Patients

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Improving education for type 2 diabetes patients in general practice

Practical Diabetes International ◽

10.1002/pdi.1960160803 ◽

1999 ◽

Vol 16 (8) ◽

pp. 235-235 ◽

Cited By ~ 2

Author(s):

Simon Griffin

Keyword(s):

Type 2 Diabetes ◽

General Practice ◽

Diabetes Patients

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Identification of Important Factors Affecting Use of Digital Individualised Coaching and Treatment of Type 2 Diabetes in General Practice: A Qualitative Feasibility Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18083924 ◽

2021 ◽

Vol 18 (8) ◽

pp. 3924

Author(s):

Pernille Ravn Jakobsen ◽

Jeanette Reffstrup Christensen ◽

Jesper Bo Nielsen ◽

Jens Søndergaard ◽

Dorte Ejg Jarbøl ◽

...

Keyword(s):

Type 2 Diabetes ◽

General Practice ◽

Lifestyle Intervention ◽

Feasibility Study ◽

Real Life ◽

Lifestyle Interventions ◽

Practice Setting ◽

General Practice Setting ◽

Diabetes Patients

Most type 2 diabetes patients are treated in general practice and there is a need of developing and implementing efficient lifestyle interventions. eHealth interventions have shown to be effective in promoting a healthy lifestyle. The purpose of this study was to test the feasibility, including the identification of factors of importance, when offering digital lifestyle coaching to type 2 diabetes patients in general practice. We conducted a qualitative feasibility study with focus group interviews in four general practices. We identified two overall themes and four subthemes: (1) the distribution of roles and lifestyle interventions in general practice (subthemes: external and internal distribution of roles) and (2) the pros and cons for digital lifestyle interventions in general practice (subthemes: access to real life data and change in daily routines). We conclude that for digital lifestyle coaching to be feasible in a general practice setting, it was of great importance that the general practitioners and practice nurses knew the role and content of the intervention. In general, there was a positive attitude in the general practice setting towards referring type 2 diabetes patients to digital lifestyle intervention if it was easy to refer the patients and if easily understandable and accessible feedback was implemented into the electronic health record. It was important that the digital lifestyle intervention was flexible and offered healthcare providers in general practice an opportunity to follow the type 2 diabetes patient closely.

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