PMID- 36462290
OWN - NLM
STAT- MEDLINE
DCOM- 20221226
LR  - 20221228
IS  - 1873-5134 (Electronic)
IS  - 0738-3991 (Linking)
VI  - 107
DP  - 2023 Feb
TI  - Lower education and immigrant background are associated with lower participation 
      in a diabetes education program - Insights from adult patients in the Outcomes & 
      Multi-morbidity In Type 2 diabetes cohort (OMIT).
PG  - 107577
LID - S0738-3991(22)00844-8 [pii]
LID - 10.1016/j.pec.2022.107577 [doi]
AB  - OBJECTIVES: Diabetes educational programmes should be offered to patients with 
      type 2 diabetes mellitus (T2DM). We assessed the proportion of diabetes 
      educational program participation among adults with T2DM, and its associations 
      with place of residence in Norway, education, and immigrant background. METHODS: 
      We identified 28,128 diagnosed with T2DM (2008-2019) in the Outcomes & 
      Multi-morbidity In Type 2 diabetes cohort. To examine associations between 
      sociodemographic factors and participation in diabetes start courses (yes/no), we 
      computed adjusted risk ratios (95% CI) using log-binomial regression. RESULTS: 
      Overall, 18% participated on the diabetes start course, but partaking differed by 
      Norwegian counties (range:12-34%). Individuals with an immigrant background were 
      29% less likely to participate (RR 0.71, CI 0.65-0.79). Similarly, those with a 
      lower educational level were 23% less likely to participate (RR 0.77, CI 
      0.72-0.83) than those with the highest education. The association between 
      education and start course participation was not significant in the subgroup of 
      immigrant individuals (RR 0.88 CI 0.70-1.12). CONCLUSIONS: We found that diabetes 
      start course participation was overall low, especially in individuals with low 
      education and immigrant background. PRACTICE IMPLICATIONS: More efforts are 
      needed to promote diabetes start courses in patients with T2DM.
CI  - Copyright (c) 2022 The Authors. Published by Elsevier B.V. All rights reserved.
FAU - Strandberg, Ragnhild B
AU  - Strandberg RB
AD  - Department of Health and Caring Sciences, Western Norway University of Applied 
      Sciences, Bergen, Norway. Electronic address: Ragnhild.Bjarkoy.Strandberg@hvl.no.
FAU - Nilsen, Roy M
AU  - Nilsen RM
AD  - Department of Health and Caring Sciences, Western Norway University of Applied 
      Sciences, Bergen, Norway.
FAU - Pouwer, Frans
AU  - Pouwer F
AD  - Department of Psychology, University of Southern Denmark, Odense, Denmark; Steno 
      Diabetes Centre Odense, Odense University Hospital, Odense, Denmark; Department 
      of Medical Psychology, Amsterdam UMC, Amsterdam, the Netherlands.
FAU - Igland, Jannicke
AU  - Igland J
AD  - Department of Global Public Health and Primary Care, University of Bergen, 
      Bergen, Norway.
FAU - Forster, Rachel B
AU  - Forster RB
AD  - General Practice Research Unit (AFE), Department of General Practice, Institute 
      of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway; 
      Department of Health Registry Research and Development, Norwegian Institute of 
      Public Health, Bergen, Norway.
FAU - Jenum, Anne Karen
AU  - Jenum AK
AD  - General Practice Research Unit (AFE), Department of General Practice, Institute 
      of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
FAU - Buhl, Esben S
AU  - Buhl ES
AD  - General Practice Research Unit (AFE), Department of General Practice, Institute 
      of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
FAU - Iversen, Marjolein M
AU  - Iversen MM
AD  - Department of Health and Caring Sciences, Western Norway University of Applied 
      Sciences, Bergen, Norway.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20221125
PL  - Ireland
TA  - Patient Educ Couns
JT  - Patient education and counseling
JID - 8406280
MH  - Humans
MH  - Adult
MH  - *Diabetes Mellitus, Type 2/epidemiology/diagnosis
MH  - Multimorbidity
MH  - Educational Status
MH  - Morbidity
MH  - *Emigrants and Immigrants
OTO - NOTNLM
OT  - Diabetes self-management education and support
OT  - Education
OT  - Migrant background
OT  - Type 2 diabetes mellitus
COIS- Declaration of Competing Interest None declared.
EDAT- 2022/12/04 06:00
MHDA- 2022/12/27 06:00
CRDT- 2022/12/03 18:15
PHST- 2022/06/28 00:00 [received]
PHST- 2022/11/10 00:00 [revised]
PHST- 2022/11/19 00:00 [accepted]
PHST- 2022/12/04 06:00 [pubmed]
PHST- 2022/12/27 06:00 [medline]
PHST- 2022/12/03 18:15 [entrez]
AID - S0738-3991(22)00844-8 [pii]
AID - 10.1016/j.pec.2022.107577 [doi]
PST - ppublish
SO  - Patient Educ Couns. 2023 Feb;107:107577. doi: 10.1016/j.pec.2022.107577. Epub 
      2022 Nov 25.