title: Impact of the «Conversation Map™» tools on understanding of diabetes by Spanish patients with type 2 diabetes mellitus: a randomized, comparative study.
abstract: OBJECTIVE
  This paper presents results from the Spanish subpopulation of a study comparing Conversation Maps™ (CM)-based education with regular care (RC) in type 2 diabetes mellitus (T2DM).
  
  
  METHODS
  Adult patients with T2DM who were considered as not demonstrating ideal disease management were randomly assigned to CM or RC with assessments following (Visit 2), and at follow-up 6 months after (Visit 3), the final CM session. The primary endpoint was diabetes knowledge at Visit 3.
  
  
  RESULTS
  310 patients were randomised to receive CM education (n=148) or RC (n=162). Median knowledge scores were ranked significantly higher in the CM group than the RC group at Visit 2 and Visit 3 (p<0.001). No significant differences in clinical and other outcomes were identified between the interventions, except satisfaction with care (p<0.001, Visit 2; p=0.055, Visit 3) and perception of goal attainment (p<0.001 and p = 0.046, respectively) that were both higher in the CM group.
  
  
  CONCLUSIONS
  In these patients from Spain, CM was superior to RC in terms of diabetes knowledge 6 months after education was completed, suggesting that CM should be considered for use in patients requiring diabetes education.
authors.affiliation: Servicio de Endocrinología y Nutrición. Hospital Universitari i Politècnic La Fe, Valencia, España.
authors.forename: Maite
authors.initials: M
authors.lastname: Penalba
authors.affiliation: Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Virgen de la Victoria, Málaga, España.
authors.forename: Luis
authors.initials: L
authors.lastname: Moreno
authors.affiliation: Lilly S.A., Alcobendas, Madrid, España.
authors.forename: Amelia
authors.initials: A
authors.lastname: Cobo
authors.affiliation: Lilly S.A., Alcobendas, Madrid, España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Reviriego
authors.affiliation: Lilly S.A., Alcobendas, Madrid, España. Electronic address: rodriguez_angel@lilly.com.
authors.forename: Angel
authors.initials: A
authors.lastname: Rodríguez
authors.affiliation: ERT, Peterborough, Reino Unido.
authors.forename: Simon
authors.initials: S
authors.lastname: Cleall
authors.affiliation: ERT, Peterborough, Reino Unido.
authors.forename: Matthew
authors.initials: M
authors.lastname: Reaney
mesh_terms: D000328:Adult; D000368:Aged; D001296:Audiovisual Aids; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology* / Q000628:therapy; D006126:Group Processes; D040441:Health Educators / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D009726:Nurses / Q000523:psychology; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation; D017060:Patient Satisfaction; D010821:Physicians, Family / Q000523:psychology; D011369:Professional-Patient Relations; D013030:Spain
keywords: Conocimiento; Conversation maps on diabetes; Diabetes mellitus tipo 2; Formación; Mapas de conversaciones sobre diabetes; Training; Type 2 diabetes mellitus; Understanding