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Article: Evaluation of patient-reported outcomes data in structured diabetes education intervention: 2-year follow-up data of patient empowerment programme

TitleEvaluation of patient-reported outcomes data in structured diabetes education intervention: 2-year follow-up data of patient empowerment programme
Authors
Issue Date2016
PublisherHumana Press, Inc. The Journal's web site is located at http://www.springer.com/humana+press/journal/12020
Citation
Endocrine, 2016, v. 54 n. 2, p. 422-432 How to Cite?
AbstractTo examine the effects of a structured group-based education programme, patient empowerment programme (PEP), compared with usual care on 2-year changes in patient-reported outcomes (PRO) in patients with diabetes mellitus (DM). A prospective observational study of 715 patients (PEP/non-PEP: 390/325) was conducted to complete the baseline PRO survey and followed up for 2 years. Health-related quality of life (HRQOL) was measured using the short-form 12 at baseline and annually at two follow-up assessments, which yielded physical and mental component summary and SF-6D preference-based scores. Perceived control over diabetes and general health status were measured using the patient enablement instrument (PEI) and global rating scale (GRS) at follow-ups. When compared with non-PEP, PEP participants significantly reported improvement in health condition (GRS score > 0; 24.55 % vs 10.16 %; odds ratio = 2.502; P = 0.018) in 2 years and enabled the self-perceived control over diabetes (PEI score > 0; 72.20 % vs 38.40 %; odds ratio = 3.25; P < 0.001) in 1-year follow-up but no sustained effects in year 2 (52.65 % vs 39.04 %; odds ratio = 1.366; P = 0.265). There were no significant differences between PEP and non-PEP groups in the changes in quality of life scores (all P > 0.05) at 1 year. Although HRQOL scores deteriorated over 2-year period in both groups, PEP participants reported similar changes in HRQOL scores to that of non-PEP. PEP for DM patients preserved self-perceived disease control and health condition, whereas PEP participants perceived their HRQOL similar to that of non-PEP participants. Findings of PRO should be considered alongside clinical outcomes when evaluating the overall benefits of PEP.
Persistent Identifierhttp://hdl.handle.net/10722/234677
ISSN
2015 Impact Factor: 3.279

 

DC FieldValueLanguage
dc.contributor.authorWong, CKH-
dc.contributor.authorLam, CLK-
dc.contributor.authorWan, YF-
dc.contributor.authorChan, KC-
dc.contributor.authorPak, CH-
dc.contributor.authorChan, FWK-
dc.contributor.authorWong, WCW-
dc.date.accessioned2016-10-14T13:48:26Z-
dc.date.available2016-10-14T13:48:26Z-
dc.date.issued2016-
dc.identifier.citationEndocrine, 2016, v. 54 n. 2, p. 422-432-
dc.identifier.issn1355-008X-
dc.identifier.urihttp://hdl.handle.net/10722/234677-
dc.description.abstractTo examine the effects of a structured group-based education programme, patient empowerment programme (PEP), compared with usual care on 2-year changes in patient-reported outcomes (PRO) in patients with diabetes mellitus (DM). A prospective observational study of 715 patients (PEP/non-PEP: 390/325) was conducted to complete the baseline PRO survey and followed up for 2 years. Health-related quality of life (HRQOL) was measured using the short-form 12 at baseline and annually at two follow-up assessments, which yielded physical and mental component summary and SF-6D preference-based scores. Perceived control over diabetes and general health status were measured using the patient enablement instrument (PEI) and global rating scale (GRS) at follow-ups. When compared with non-PEP, PEP participants significantly reported improvement in health condition (GRS score > 0; 24.55 % vs 10.16 %; odds ratio = 2.502; P = 0.018) in 2 years and enabled the self-perceived control over diabetes (PEI score > 0; 72.20 % vs 38.40 %; odds ratio = 3.25; P < 0.001) in 1-year follow-up but no sustained effects in year 2 (52.65 % vs 39.04 %; odds ratio = 1.366; P = 0.265). There were no significant differences between PEP and non-PEP groups in the changes in quality of life scores (all P > 0.05) at 1 year. Although HRQOL scores deteriorated over 2-year period in both groups, PEP participants reported similar changes in HRQOL scores to that of non-PEP. PEP for DM patients preserved self-perceived disease control and health condition, whereas PEP participants perceived their HRQOL similar to that of non-PEP participants. Findings of PRO should be considered alongside clinical outcomes when evaluating the overall benefits of PEP.-
dc.languageeng-
dc.publisherHumana Press, Inc. The Journal's web site is located at http://www.springer.com/humana+press/journal/12020-
dc.relation.ispartofEndocrine-
dc.rightsThe final publication is available at Springer via http://dx.doi.org/[insert DOI]-
dc.titleEvaluation of patient-reported outcomes data in structured diabetes education intervention: 2-year follow-up data of patient empowerment programme-
dc.typeArticle-
dc.identifier.emailWong, CKH: carlosho@hku.hk-
dc.identifier.emailLam, CLK: clklam@hku.hk-
dc.identifier.emailWan, YF: yfwan@hku.hk-
dc.identifier.emailChan, KC: kcchanae@hku.hk-
dc.identifier.emailPak, CH: zeusod1@hku.hk-
dc.identifier.emailWong, WCW: wongwcw@hku.hk-
dc.identifier.authorityWong, CKH=rp01931-
dc.identifier.authorityLam, CLK=rp00350-
dc.identifier.authorityWong, WCW=rp01457-
dc.identifier.doi10.1007/s12020-016-1015-5-
dc.identifier.hkuros268360-
dc.identifier.volume54-
dc.identifier.issue2-
dc.identifier.spage422-
dc.identifier.epage432-
dc.publisher.placeUnited States-

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