Evaluation of patient-reported outcomes data in structured diabetes education intervention: 2-year follow-up data of patient empowerment programme.
To 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.
Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, China.
Carlos K H
http://orcid.org/0000-0002-6895-6071
CK
Wong
Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, China.
Cindy L K
CL
Lam
Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, China.
Eric Y F
EY
Wan
Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, China.
Anca K C
AK
Chan
Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, China.
C H
CH
Pak
Integrated Care Programs, Hospital Authority Head Office, Hong Kong Hospital Authority, Hong Kong, China.
Frank W K
FW
Chan
Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, China. wongwcw@hku.hk.
William C W
WC
Wong
D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006266:Health Education; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010358:Patient Participation; D000071066:Patient Reported Outcome Measures; D011446:Prospective Studies; D011788:Quality of Life; D012648:Self Care
Patient-reported outcome; Primary care; Quality of life; Self-management; Type 2 diabetes, Structured education