Effectiveness of a group diabetes education programme in under-served communities in South Africa: a pragmatic cluster randomized controlled trial.
Bottom Line: A total of 422 (59.4%) participants in the intervention group did not attend any education sessions.No significant improvement was found in any of the primary or secondary outcomes, apart from a significant reduction in mean systolic (-4.65 mmHg, 95% CI 9.18 to -0.12; P = 0.04) and diastolic blood pressure (-3.30 mmHg, 95% CI -5.35 to -1.26; P = 0.002).The reported effectiveness of group diabetes education offered by more highly trained professionals, in well-resourced settings, was not replicated in the present study, although the reduction in participants' mean blood pressure is likely to be of clinical significance.
Affiliation: Division of Family Medicine and Primary Care, Stellenbosch University, Cape Town, South Africa.Show MeSH
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Mentions: There were 860 participants with Type 2 diabetes in the control group and 710 in the intervention group, giving a total of 1570 participants in the study overall, as shown in Fig.1. Of these participants, 1158 (73.8%) were women and 411 (26.2%) were men. The mean (sd) age was 56.1 (11.6) years.
Affiliation: Division of Family Medicine and Primary Care, Stellenbosch University, Cape Town, South Africa.