Group Intervention Paper

The purpose of this paper is to identify the best available evidence on group education and individual in diabetic patients and develop recommendations to improve portfolio of services, and achieve more adherence to pharmacological treatments and long-term modifications in the lifestyle of our patients. Each year more and more people are diagnosed with type 2 diabetes, which has alerted health workers in search of new methodologies to approach these patients to reduce the likelihood of developing complications in the future or even prevent the death of these patients. Bad eating habits, lack of exercise and little education are one of the great challenges when it comes to combating this chronic disease.

Modifying lifestyles and maintaining adequate treatment for those who already suffer from it, are basic measures to prevent and control diabetes mellitus, one of the main public health problems in our country. As a nurse and educator one of my concerns is the lack of adherence that many patients have when it comes to

following their pharmacological and non-pharmacological treatments, such as changes in their lifestyle to prevent chronic complications due to this condition.

However, studies have not clarified the ideal characteristics of a comprehensive patient education program in clinical practice. Reason why I consider exploring more regarding the type of approach (individual or group education), that help get better results in patient response to treatments. The present review discusses these types of tactics based on the most recent data of the literature.

Are Individual or Group Intervention more effective to Improve Type 2 Diabetes Patient Adherence to Treatments

Diabetes mellitus, better known as type 2 diabetes, is a chronic disease that until recently used to occur generally in adults over 40-50 years, so it was known as adult diabetes. However, the diagnosis of this pathology in children and adolescents is nowadays more frequent, due to the alarming increase of childhood obesity that has been registered in the western

countries during the last times, the prevalence of obesity has increased substantially in children and adolescents in developed countries; 23·8% of boys and 22·6% of girls were overweight or obese in 2013 (Ng, Fleming, Robinson, Thomson, Graetz, Margono, & Abraham, 2014). Type 2 Diabetes presents great factors of mortality, with significant loss in the quality of life of patients. Studies from various parts of the world show positive effects of the educational process in diabetes, as meta-analysis and suggest that by receiving efficient treatment, support to self-administration and regular follow-up, patients present improvement in glycemic control, in prevention and accomplish better control of acute and chronic complications. In the search for the best methods of approach in the education of patients, many educators focus their attention on investigating more about the empowerment of patients, how the degree of knowledge, and type of interventions either individually or in groups can improve the response that the patient can have to the recommended treatments. Patient education is a crucial part of a diabetes treatment plan and focuses on ways to incorporate the principles of managing the disease into daily life. Chrvala., Sherr, and Lipman (2016), suggest that the mode of delivery the education, hours of engagement, and baseline A1C can affect the probability of achieving statistically significant and clinically meaningful improvement in A1C. This paper inspects Chrvala et al.’s finding compares to other studies to be able to deliberate what type of methodology, whether individual or in groups, achieves better control and adherence results in patients with type 2 diabetes.