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IUHPE Conference
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Diabetes affects more than 415 million patients worldwide, and its prevalence is likely to increase due to the growing prevalence of overweight and obesity, in conjunction with an ageing population. Because diabetes requires extensive self-care, the capacities of patients to manage their own illness and care process are a key determinant of treatment outcome. To enhance these capacities, education on self-management and lifestyle modification for people with diabetes is widely recommended. Yet while many diabetes self-management education programs exist, little is known about the relative effectiveness of different types of programs, about the conditions for effective implementation, or about their accessibility for peoples with limited levels of health literacy.
The DIABETES LITERACY project, carried out from 2012 to 2015 by an international consortium of 10 organisations from 10 countries, investigated the critical success factors for effective diabetes self-management. By comparing national diabetes strategies and making a compendium of self-management programmes for diabetes, it addressed the comparability of health care practices across countries, while critically considering the role of the patient, provider and organisational characteristics.
This side meeting will draw on the results of this project to offer suggestions for increasing the effectiveness of diabetes self-management education and to enhance its accessibility for people with limited health literacy. It will present the results of a comparison of the National diabetes strategies in the EU, US, Taiwan and Israel, and of a systematic review of costing models for diabetes care, per patient education costs and cost of care pathways of major type 2 diabetes patient profiles. It will also present the results of a comparative study of the effectiveness of different formats for self-management education, and consider the moderating role of the patients’ health literacy and of the organisational characteristics of the setting in which the education takes place, as well as the mediating role of the implementation fidelity of the programmes. Consideration will also be given to a study of a web-based diabetes self-management tool for people with low health literacy levels, showing that it is possible to develop IT-based programmes that engage people with lower health literacy, but are also acceptable for people with higher levels. Finally, the issue of cultural appropriateness of programmes will be considered, drawing on examples of culturally adapted diabetes self-management programmes in Israel and South Africa.

Detailed programme

12:00 Introducing the Diabetes Literacy Project – Stephan Van den Broucke (B)

12:10 The Comparative Effectiveness and Cost-Effectiveness off different Diabetes Self-Management Education Programs – Jürgen Pelikan (A) & Geraldine Doyle (IRL)

12:25 The Conditions for Organizational Effectiveness of Diabetes Self-Management Education Programs – Kristine Sörensen (DK)

12:40 The Implementation Fidelity Of Diabetes Self-Management Education Programs – Stephan Van den Broucke (B)

12:55 Cultural appropriateness in Health Promotion Programs, focusing on Diabetes Literacy for Self-Management – Diane Levin-Zamir(IL) & Loveness Dube (RSA)

13:10 Discusssion

13:30 Conclusion

The Diabetes Literacy project was supported by grant FP7-Health-2012-Innovation-1/306186 of the European Commission.





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