n Africa Journal of Nursing and Midwifery - An evaluation of a multidisciplinary patient centred type 2 diabetes self-management education programme in Edo State, Nigeria

Supplement 1
  • ISSN : 1682-5055


Diabetes is on the increase globally, especially in African countries. Nigeria in particular has a high prevalence of diabetes type 2. There is evidence that improved type 2 diabetes outcomes are related to self-management and improved health education. The purpose of the research was to pretest whether a structured multidisciplinary patient centred self-management education programme for type 2 diabetes would improve selected primary and secondary diabetes outcome measures. The setting is diabetes outpatient clinics in one tertiary and one secondary health facility in Edo State, Nigeria. The study design is quasi-experimental, a two group before and after study. Two groups of participants (n=28) were selected using quota sampling from alternate day clinic attendances, 15 for the intervention group and 13 for the control group. A multidisciplinary patient centred diabetes self-management education programme was developed and implemented over 5 weeks in October 2014. The control group was exposed to normal clinic procedures while the intervention group was exposed to the education programme and normal clinic procedures. Outcome measures data for both intervention and control group were collected and compared. At baseline the intervention and control groups did not differ significantly with regard to outcome measures. After the intervention the intervention group had significantly lower Fasting Blood Sugar (p = 0.01) and BMI scores (.025) than the control group. BMI did not significantly differ between the two groups, but FBS did (p = .012). The introduction of a multidisciplinary patient centred self-management education programme improved key diabetes outcome measures for patients attending diabetes outpatient clinics at two hospitals. Self-management education programmes have the potential to improve diabetes outcomes but further studies need to be done to confirm this.

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