title: Assessment of group versus individual diabetes education: a randomized study.
abstract: OBJECTIVE
  The current study was conducted to compare the effectiveness of delivering diabetes education in either a group or individual setting using a consistent, evidence-based curriculum.
  
  
  METHODS
  A total of 170 subjects with type 2 diabetes were randomly assigned to either group (n = 87) or individual (n = 83) educational settings. Subjects received education in four sequential sessions delivered at consistent time intervals over a 6-month period. Outcomes included changes in knowledge, self-management behaviors, weight, BMI, HbA(1c), health-related quality of life, patient attitudes, and medication regimen. Changes were assessed at baseline and after the 2-week, 3-month, and 6-month education sessions.
  
  
  RESULTS
  Both educational settings had similar improvements in knowledge, BMI, health-related quality of life, attitudes, and all other measured indicators. HbA(1c) decreased from 8.5 +/- 1.8% at baseline to 6.5 +/- 0.8% at 6 months (P < 0.01) in the study population as a whole. Subjects assigned to the individual setting had a 1.7 +/- 1.9% reduction in HbA(1c) (P < 0.01), whereas subjects assigned to the group setting had a 2.5 +/- 1.8% reduction in HbA(1c) (P < 0.01). The difference in HbA(1c) improvement was marginally greater in subjects assigned to group education versus individualized education (P = 0.05).
  
  
  CONCLUSIONS
  This study demonstrates that diabetes education delivered in a group setting, when compared with an individual setting, was equally effective at providing equivalent or slightly greater improvements in glycemic control. Group diabetes education was similarly effective in delivering key educational components and may allow for more efficient and cost-effective methods in the delivery of diabetes education programs.
authors.affiliation: International Diabetes Center, Park Nicollet Institute, 3800 Park Nicollet Boulevard, Minneapolis, MN 55416-2699, USA. rickhp@parknicollet.com
authors.forename: Patti L
authors.initials: PL
authors.lastname: Rickheim
authors.forename: Todd W
authors.initials: TW
authors.lastname: Weaver
authors.forename: Jill L
authors.initials: JL
authors.lastname: Flader
authors.forename: David M
authors.initials: DM
authors.lastname: Kendall
mesh_terms: D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D019317:Evidence-Based Medicine; D005260:Female; D006442:Glycated Hemoglobin; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D015397:Program Evaluation; D011788:Quality of Life; D012648:Self Care; D012657:Self-Help Groups; D013663:Teaching / Q000379:methods
chemical_list: D006442:Glycated Hemoglobin