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- W1559033135 abstract "This chapter describes the time-course changes of knowledge, health behavior and quality of life in patients with type 2 diabetes managed by Group Care, as compared with individually delivered care and education. A 5-year randomized, controlled clinical trial comparing group versus individual care was run in a hospital-based secondary care diabetes unit. 120 patients with non-insulin-treated type 2 diabetes were enrolled and randomly allocated to group or individual care. The main outcome measures were: knowledge of diabetes, health behavior, quality of life, HbA1c, body mass index and HDL cholesterol. Knowledge and health behavior improved from year 1 with Group Care and worsened among controls (p < 0.001, both). Quality of life improved from year 2 with Group Care while worsening with individual care (p < 0.001). HbA1c progressively increased among controls (+1.7%, 95% CI 1.1-2.2) but not Group Care patients (p < 0.001) in whom BMI decreased (-1.4; 95% CI -2.0-0.7) and HDLcholesterol increased (+0.14 mmol/l; 95% CI 0.07-0.22). Adults with type 2 diabetes acquire knowledge and conscious behavior if exposed to educational procedures and settings tailored to their needs. Better cognitive and psychosocial results are associated with more favorable clinical outcomes." @default.
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- W1559033135 date "2005-01-01" @default.
- W1559033135 modified "2023-10-14" @default.
- W1559033135 title "Learning, Health Behavior and Quality of Life Modifications over 5 Years in People with Type 2 Diabetes Managed by Group Care" @default.
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- W1559033135 doi "https://doi.org/10.1159/000088086" @default.
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