title: A Pilot Study to Assess the Feasibility of the Spanish Diabetes Self-Management Program in the Basque Country.
abstract: Purpose. The purpose of this study was to assess the feasibility of the Spanish Diabetes Self-Management Program (SDSMP) in the primary care setting of the Basque Health Service and offer initial estimations of the randomized controlled trial (RCT) effects.Methods. Ten health centers (HCs) participated in a single-arm pilot study with a 6-month follow-up period between February 2011 and June 2012. Recruitment was performed via invitation letters, health professionals, and the local media. Each intervention group consisted of 8-15 people. The ability of each HC in forming up to 2 groups, participants' compliance with the course, and coordination and data collection issues were evaluated. Glycated haemoglobin (HbA1c) was the main outcome variable. Secondary outcomes were cardiovascular risk factors, drugs consumption, medical visits, quality of life, self-efficacy, physical exercise, and diet.Results. Two HCs did not organize a course. A total of 173 patients initiated the program, 2 dropped out without baseline data, and 90% completed it. No pre-post HbA1c differences existed. Certain improvements were observed in blood pressure control, self-efficacy, physical activity, and some dietary habits.Conclusion. The SDSMP is feasible in our setting. Our experience can be of interest when planning and conducting this program in similar health settings. The trial is registered with ClinicalTrials.gov identifier NCT01642394.
authors.affiliation: Active Patient Program, Donostialdea Integrated Health Organisation, Osakidetza, Pasajes San Pedro Health Center, Guipuzcoa, Spain.
authors.forename: Estibaliz
authors.identifier: 0000-0002-6194-4406
authors.initials: E
authors.lastname: Gamboa Moreno
authors.affiliation: Donostialdea Integrated Health Organization, Osakidetza, Pasajes San Pedro Health Center, C/Marinos No. 1, Pasajes, San Pedro, 20110 Guipuzcoa, Spain.
authors.forename: Lourdes
authors.initials: L
authors.lastname: Ochoa de Retana Garcia
authors.affiliation: Donostialdea Integrated Health Organization, Osakidetza, Pasajes San Pedro Health Center, C/Marinos No. 1, Pasajes, San Pedro, 20110 Guipuzcoa, Spain.
authors.forename: Maria Emma
authors.identifier: 0000-0003-0810-6689
authors.initials: ME
authors.lastname: Del Campo Pena
authors.affiliation: Research Unit, Primary Care-Organization of Integrated Health Services of Vizcaya, Osakidetza, Bilbao, Spain.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Sánchez Perez
authors.affiliation: Research Unit, Primary Care-Organization of Integrated Health Services of Vizcaya, Osakidetza, Bilbao, Spain.
authors.forename: Catalina
authors.initials: C
authors.lastname: Martinez Carazo
authors.affiliation: Donostialdea Integrated Health Organization, Osakidetza, Beraun Health Center, Renteria, Guipuzcoa, Spain.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Arbonies Ortiz
authors.affiliation: Donostialdea Integrated Health Organization, Osakidetza, Bidebieta Health Center, San Sebastián, Spain.
authors.forename: Maria Angeles
authors.initials: MA
authors.lastname: Rua Portu
authors.affiliation: O + Berri, Basque Institute for Healthcare Innovation, Barakaldo, Vizcaya, Spain.
authors.forename: Koldo
authors.initials: K
authors.lastname: Piñera Elorriaga
authors.affiliation: Family Medicine and Community Teaching Unit of Vizcaya, Osakidetza, Bilbao, Spain.
authors.forename: Amaya
authors.initials: A
authors.lastname: Zenarutzabeitia Pikatza
authors.affiliation: Araba Area, Osakidetza, Olaguibel Health Center, Vitoria-Gasteiz, Spain.
authors.forename: Miren Nekane
authors.initials: MN
authors.lastname: Urquiza Bengoa
authors.affiliation: Ezkerraldea Enkarterri Cruces Integrated Health Organization, Osakidetza, Ortuella Health Center, Ortuella, Vizcaya, Spain.
authors.forename: Tomás
authors.initials: T
authors.lastname: Méndez Sanpedro
authors.affiliation: Bidasoa Integrated Health Organization, Osakidetza, Hondarribia Health Center, Hondarribia, Guipuzcoa, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Oses Portu
authors.affiliation: Bidasoa Integrated Health Organization, Osakidetza, Hondarribia Health Center, Hondarribia, Guipuzcoa, Spain.
authors.forename: Lourdes
authors.initials: L
authors.lastname: Gorostidi Fano
authors.affiliation: Research Unit, Primary Care-Organization of Integrated Health Services of Guipuzcoa, Osakidetza, San Sebastián, Spain.
authors.forename: Miren Bakarne
authors.initials: MB
authors.lastname: Aguirre Sorondo
authors.affiliation: Research Unit, Primary Care-Organization of Integrated Health Services of Guipuzcoa, Osakidetza, San Sebastián, Spain.
authors.forename: Kalliopi
authors.initials: K
authors.lastname: Vrotsou
authors.affiliation: Donostialdea Integrated Health Organization, Osakidetza, Alza Health Center, San Sebastián, Spain.
authors.forename: Rafael
authors.initials: R
authors.lastname: Rotaeche Del Campo
mesh_terms: D000368:Aged; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004032:Diet; D015444:Exercise; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011320:Primary Health Care / Q000379:methods; D011788:Quality of Life; D012307:Risk Factors; D012648:Self Care / Q000379:methods*; D013030:Spain; D016896:Treatment Outcome
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human