title: Safety during the monitoring of diabetic patients: trial teaching course on health professionals and diabetics - SEGUDIAB study.
abstract: BACKGROUND
  Safety for diabetic patients means providing the most suitable treatment for each type of diabetic in order to improve monitoring and to prevent the adverse effects of drugs and complications arising from the disease. The aim of this study is to analyze the effect of imparting educational interventions to health professionals regarding the safety of patients with Diabetes Mellitus (DM).
  
  
  METHODS
  
  
  
  METHODS
  A cluster randomized trial with a control group.
  
  
  METHODS
  The study analyzed ten primary healthcare centres (PHC) covering approximately 150,000 inhabitants. Two groups of 5 PHC were selected on the basis of their geographic location (urban, semi-urban and rural), their socio-economic status and the size of their PHC, The interventions and control groups were assigned at random. The study uses computerized patient records to individually assess subjects aged 45 to 75 diagnosed with type 1 and type 2 DM, who met the inclusion conditions and who had the variables of particular interest to the study. Trial: The educational interventions consisted of a standardized teaching course aimed at doctors and nurses. The course lasted 6 hours and was split into three 2-hour blocks with subsequent monthly refresher courses.
  
  
  METHODS
  For the health professionals, the study used the Diabetes Attitude Scale (DAS-3) to assess their attitudes and motivation when monitoring diabetes. For the patients, the study assessed factors related to their degree of control over the disease at onset, 6, 12 and 24 months.
  
  
  METHODS
  levels of HbA1c.
  
  
  METHODS
  The study analyzed the effect of the educational interventions both on the attitudes and motivations of health professionals and on the degree of control over the diabetes in both groups.
  
  
  CONCLUSIONS
  Imparting educational interventions to health professionals would improve the monitoring of diabetic patients. The most effective model involves imparting the course to both doctors and nurses. However, these models have not been tested on our Spanish population within the framework of primary healthcare.
  
  
  BACKGROUND
  ClinicalTrials.gov: NCT01087541.
authors.affiliation: Atención Primaria Reus-Altebrat, Institut Català de la Salut, Tarragona, Spain.
authors.forename: Juan J
authors.initials: JJ
authors.lastname: Cabré
authors.forename: Marta
authors.initials: M
authors.lastname: Ripoll
authors.forename: Josep M
authors.initials: JM
authors.lastname: Hernández
authors.forename: Josep
authors.initials: J
authors.lastname: Basora
authors.forename: Ferran
authors.initials: F
authors.lastname: Bejarano
authors.forename: Victoria
authors.initials: V
authors.lastname: Arija
mesh_terms: D000368:Aged; D016000:Cluster Analysis; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control; D008875:Middle Aged; D011320:Primary Health Care; D011787:Quality of Health Care; D017751:Safety Management