Evidence map›Paper›PMID 19247874›Full record

ArticleScandinavian journal of primary health care2009

Does patient education facilitate diabetic patients' possibilities to reach national treatment targets? A national survey in Swedish primary healthcare.

Eva Thors Adolfsson, Bibbi Smide, Andreas Rosenblad, Karin Wikblad

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Organizational determinants of high-quality routine diabetes care.Scandinavian journal of primary health care · 2014
    Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Eva Thors AdolfssonDepartment of Medical Sciences, Faculty of Medicine, Uppsala University, Uppsala, Sweden. eva.thors-adolfsson@ltv.se
Bibbi Smide
Andreas Rosenblad
Karin Wikblad

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe how patient education is arranged in Swedish primary healthcare (PHC) and to assess whether the type of patient education and individual goal setting have an impact on diabetic patients' possibilities of reaching national treatment targets.

designA Swedish national survey.

settingSwedish PHC. SUBJECTS: Data from 485 primary healthcare centres (PHCCs) and 91,637 diabetic patients reported by the PHCCs to the National Diabetes Register in 2006.

main outcome measuresDescription of how patient education is arranged, HbA(1c), body mass index, cholesterol, blood pressure, and physical activity.

resultsOf the PHCCs that reported how they performed the individual counselling, 50% reported checklist-driven counselling and 8% individualized counselling based on patients' needs. A total of 105 PHCCs reported that they arranged group education. Of these, 67% used pre-planned programmes and 9% individualized the programme to the patients' needs. The majority of PHCCs (96%) reported that they set individual goals (HbA(1c), blood pressure, lipids, and lifestyle). A minority of the PHCCs (27%) reported that the patients were involved in the final decision concerning their goals. Individual goal-setting facilitated patients' possibilities of reaching treatment targets. Goal-setting, list size of PHCCs, and personnel resources explained a variance of 2.1-5.7%. Neither individual counselling (checklist-driven or individualized to patients' needs) nor group education had an impact on patients' possibilities of reaching the targets.

conclusionThe current study indicates that improvement is needed in patient education in PHC to facilitate diabetic patients' possibilities of reaching national treatment targets.

Indexed as

Patient Education as TopicAdultAgedCounselingDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diet, DiabeticFamily PracticeFemaleGoalsHumansHypoglycemic AgentsInsulinMaleMiddle AgedOutcome Assessment, Health CareHypoglycemic AgentsInsulin

Identifiers

PMID19247874
PMCPMC3410468

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.