title: Organizing and delivering diabetes education and self-care support: findings of scoping project.
abstract: OBJECTIVE
  To provide an overview of current research and development on the organization and delivery of diabetes education and self-care support, incorporating stakeholder perspectives.
  
  
  METHODS
  Four methods were used: literature review (159 papers and 52 grey literature items); patient participation event (n = 38); online survey of professionals (n = 423) and patients (n= 495); and, a conference.
  
  
  RESULTS
  The literature review identified themes relating to the organization and delivery of diabetes and self-care support: structure and flexibility in models of education; accessibility; patient choice; integrating self-care within the overall care system; quality improvement; peer educators; health literacy; efficiency in delivery; telecare models; feedback technologies; care planning; psychological intervention; and self-care outcome measures. This generated four models to provide a framework to help shape the development of diabetes self-care: a diabetes education pathway; integrating self-care and clinical care; choice as a method of optimizing care; and an integrated framework for delivering diabetes self-care.
  
  
  CONCLUSIONS
  The clinical benefit of the identified models need to be evaluated.
authors: Florence Nightingale School of Nursing and Midwifery, King’s College London, 57 Waterloo Road, London, UK. angus.forbes@kcl.ac.uk
authors: Angus
authors: A
authors: Forbes
authors: Alison
authors: A
authors: While
authors: Peter
authors: P
authors: Griffiths
authors: Khalida
authors: K
authors: Ismail
authors: Simon
authors: S
authors: Heller
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D003920:Diabetes Mellitus / Q000628:therapy*; D006801:Humans; D010353:Patient Education as Topic / Q000458:organization & administration*; D011369:Professional-Patient Relations; D012648:Self Care