E-Book Content
Embedding Education into Diabetes Practice
Frontiers in Diabetes Vol. 18
Series Editors
M. Porta Turin F.M. Matschinsky
Philadelphia, Pa.
Embedding Education into Diabetes Practice
Volume Editors
M. Porta V. Miselli M. Trento V. Jörgens
Turin Scandiano Turin Düsseldorf
29 figures, 2 in color, and 21 tables, 2005
Basel · Freiburg · Paris · London · New York · Bangalore · Bangkok · Singapore · Tokyo · Sydney
Frontiers in Diabetes Founded 1981 by M. Belfiore, Catania
Massimo Porta, MD, PhD
Valerio Miselli, MD
Department of Internal Medicine, University of Turin, Turin
Diabetes Unit, Hospital of Scandiano, Scandiano
Marina Trento, MD
Viktor Jörgens, MD
Department of Internal Medicine, University of Turin, Turin
European Association of the Study of Diabetes, Düsseldorf
Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents® and Index Medicus. Drug Dosage. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. © Copyright 2005 by S. Karger AG, P.O. Box, CH–4009 Basel (Switzerland) www.karger.com Printed in Switzerland on acid-free paper by Reinhardt Druck, Basel ISSN 0251–5342 ISBN 3–8055–7961–6
Contents
VII Preface 1 Therapeutic Patient Education: From Classroom to Life. Embedding Education and Thoughts about Darwin Assal, J.-P. (Geneva) 13 The Struggle for Life. Past, Present and Future of Diabetes Education in Europe Jörgens, V. (Düsseldorf) 23 Methodology and Therapeutic Education Miselli, V.; Accorsi, P. (Scandiano) 40 The Diabetes Education Study Group of the EASD and Its Activities to Improve the Education of People with Diabetes Maldonato, A. (Rome) 51 Integration of Diabetes Education in Type 2 Diabetes Care Rutten, G. (Utrecht) 62 Group Education for Type 2 Diabetes. The Minneapolis Experience Franz, M.J. (Minneapolis, Minn.) 70 Structured Treatment and Teaching Programmes for Patients with Diabetes mellitus and Hypertension in Germany Gruesser, M.; Jörgens, V. (Düsseldorf) 83 Impact of Education on the Quality of Diabetes Care in Germany Müller, U.A.; Sämann, A.; Kloos, C. (Jena); Schiel, R. (Heringsdorf)
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97 Learning, Health Behavior and Quality of Life Modifications over 5 Years in People with Type 2 Diabetes Managed by Group Care Trento, M.; Passera, P.; Borgo, E.; Bajardi, M.; Cavallo, F.; Porta, M. (Turin) 108 Rationale, Design and Preliminary Results of ROMEO (Rethink Organization to Improve Education and Outcomes). A Randomized Controlled Multicenter Trial of Group Care in the Management of Type 2 Diabetes Porta, M.; Trento, M. (Turin) 117 A Cost Effectiveness Analysis of Group Care in Type 2 and Type 1 Diabetes Bondonio, P.; Trento, M.; Porta, M. (Turin) 132 Evidence-Based Patient Education in Diabetes and Beyond – Application to Other Chronic Diseases. From Obedience Training to Informed Decision Making Mühlhauser, I. (Hamburg) 14