A randomized study of the effects of a home diabetes education program

B. A. Rettig, D. G. Shrauger, Robert R. Recker, T. F. Gallagher, H. Wiltse

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

Home health nurses provided individualized instruction in diabetes self-care within the home environment of 393 diabetic individuals. Each subject was randomly assigned to either the intervention (those receiving home teaching) or control (those not receiving home teaching) group. At 6 mo postenrollment, intervention subjects showed significantly greater self-care knowledge and skills than control subjects, although the actual differences between the two groups in terms of self-care skills were probably too small to have any practical meaning. The primary objective of the study, which was the reduction of the number of preventable diabetes-related hospitalizations (ketoacidosis, ketotic coma, nonketotic coma, insulin reaction, and diabetes out of control), was not achieved; no differences between the groups were noted after 12 mo of follow-up. Similarly, length of hospital stay, foot problems, emergency room and physician visits, and sick days were roughly equivalent in both groups during the follow-up year. These results suggest that, in the absence of concurrent changes in the health-care delivery system and strategies for influencing attitudes toward self-care, education alone is ineffective.

Original languageEnglish
Pages (from-to)173-178
Number of pages6
JournalDiabetes Care
Volume9
Issue number2
StatePublished - 1986

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Self Care
Education
Length of Stay
Teaching
Insulin Coma
Group Homes
Delivery of Health Care
Ketosis
Sick Leave
Community Health Nurses
Coma
Hospital Emergency Service
Foot
Hospitalization
Physicians

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Rettig, B. A., Shrauger, D. G., Recker, R. R., Gallagher, T. F., & Wiltse, H. (1986). A randomized study of the effects of a home diabetes education program. Diabetes Care, 9(2), 173-178.

A randomized study of the effects of a home diabetes education program. / Rettig, B. A.; Shrauger, D. G.; Recker, Robert R.; Gallagher, T. F.; Wiltse, H.

In: Diabetes Care, Vol. 9, No. 2, 1986, p. 173-178.

Research output: Contribution to journalArticle

Rettig, BA, Shrauger, DG, Recker, RR, Gallagher, TF & Wiltse, H 1986, 'A randomized study of the effects of a home diabetes education program', Diabetes Care, vol. 9, no. 2, pp. 173-178.
Rettig BA, Shrauger DG, Recker RR, Gallagher TF, Wiltse H. A randomized study of the effects of a home diabetes education program. Diabetes Care. 1986;9(2):173-178.
Rettig, B. A. ; Shrauger, D. G. ; Recker, Robert R. ; Gallagher, T. F. ; Wiltse, H. / A randomized study of the effects of a home diabetes education program. In: Diabetes Care. 1986 ; Vol. 9, No. 2. pp. 173-178.
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