A community-based approach for the self-management of diabetes
The Diabetes Hamilton support programme and registry
Article first published online: 5 AUG 2011
Copyright © 2011 FEND. Published by John Wiley & Sons, Ltd.
European Diabetes Nursing
Volume 8, Issue 2, pages 54–59, June 2011
How to Cite
Sherifali, D., Greb, J., Amirthavasar, G., Gerstein, H. and Gerstein, S. (2011), A community-based approach for the self-management of diabetes. Eur. Diab. Nursing, 8: 54–59. doi: 10.1002/edn.178
- Issue published online: 5 AUG 2011
- Article first published online: 5 AUG 2011
- Manuscript Accepted: 4 MAR 2011
- Manuscript Received: 1 NOV 2010
The ability to self-manage one's diabetes is challenged by the limited availability of clinic-based resources. This paper seeks to describe and determine the impact of Diabetes Hamilton (DH), a novel, voluntary, community-based programme in Hamilton, Ontario, that aims to facilitate self-management behaviours by supplementing existing resources.
DH registrants who completed a baseline questionnaire from February 2000 to March 2007 were included in the cross-sectional survey (n=3161). A total of 2994 individuals were also included in the trend analysis, examining the impact of DH on self-management behaviours.
Half of DH registrants are female (51.2%), with a mean BMI of 30.8 (SD 7.5), a mean age of 61.6 years (SD 14.6) and a mean age of 48.6 years at diagnosis (SD 16.7). A third of registrants reported insulin use (33.4%) and >90% reported having had an annual blood pressure and cholesterol test respectively. Trend analysis of behaviours showed an increase in cholesterol screening ( p<0.00), diabetes provider visits ( p<0.00), and medication use for glycaemic control and vascular protection ( p<0.02).
Although DH reaches motivated, well-educated individuals in the community, some diabetes self-management behaviours improved. Strategies to engage greater public participation across various demographics (e.g. ethnicity, education, age) are ongoing. Copyright © 2011 FEND. Published by John Wiley & Sons, Ltd.