J Korean Diabetes.  2014 Dec;15(4):236-243. 10.4093/jkd.2014.15.4.236.

Association between Diabetes Education Status and Clinical Outcomes of Patients with Diabetes Mellitus: Analysis of the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V)

• Kwon JS
• Kim WJ
• Han YH
• Kim HJ
• Shin SY
• Choi KH
• Jun JH
• Shim MS
• Kim JY

• KMID: 2173871
• DOI: http://doi.org/10.4093/jkd.2014.15.4.236

Abstract

BACKGROUND
We aimed to study the importance of diabetes education by investigating diabetes education rate and the associations between the presence/absence of diabetes education and the clinical outcomes of diabetic patients in Korea.
METHODS
In the Fifth Korea National Health and Nutrition Examination survey (KNHANES V), a cross-sectional national survey during 2010 and 2012, 1498 subjects aged over 30 years and older were diagnosed with diabetes by doctors. The subjects were analyzed by a complex samples model.
RESULTS
Only 20.3% of diabetes patients received diabetes education, and this was not significantly different between age groups. Education was delivered in hospitals/clinics, public health centers, and public lectures (15.7%, 3.0% and 1.4%, respectively). After adjusting for age, sex, and duration of diabetes, the factors independently associated with the presence of diabetes education were higher education level, frequent walking habit, and parameters regarding the presence of dyslipidemia, insulin treatment, and non-pharmacologic treatment. Among continuous variables, only the duration of diabetes was associated with diabetes education status; metabolic parameters were not associated with diabetes education status.
CONCLUSION
Diabetes is a chronic disease and education on diabetes is very important. The education rate was low and quality of the education is doubtful. An effort to raise the rate of diabetes education and further study to raise the quality of diabetes training are necessary.

Keyword

Diabetes mellitus; Education; Epidemiology; National survey

MeSH Terms

Chronic Disease
Diabetes Mellitus*
Dyslipidemias
Education*
Epidemiology
Humans
Insulin
Korea
Lectures
Nutrition Surveys*
Public Health
Walking
Insulin

Reference

References

1. Kim SG, Choi DS. The present state of diabetes mellitus in Korea. J Korean Med Assoc. 2008; 51:791–8.

2. Korean Diabetes Association, Korea Centers for DiseaseControl and Prevention. Diabetes fact sheet in Korea 2012 [Internet]. Seoul: Korean Diabetes Association;2012. [cited 2014 MAY 05]. Available from:. http://www.diabetes.or.kr.

3. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention. The Fifth Korea National Health and Nutrition Examination Survey (KNHANESV) 2010–2012 [Internet]. Osong: Ministry of Health and Welfare;2013. [cited 2014 MAY 05]. Available from:. http://knhanes.cdc.go.kr.

4. Kim DJ. Epidemiology and current management status of diabetes in Korea. In: 2012 International Conference on Diabetes and Metabolism;. 2012. Nov; Seoul.

5. Sullivan SD, Dalal MR, Burke JP. The impact of diabetes counseling and education: clinical and cost outcomes from a large population of US managed care patients with type 2 diabetes. Diabetes Educ. 2013; 39:523–31.

6. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention. The Third Korea National Health and NutritionExamination Survey (KNHANESIII) 2005 [Internet]. Osong: Ministry of Health and Welfare;2006. [cited 2014 MAY 05]. Available from:. http://knhanes.cdc.go.kr.

7. Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, Maryniuk M, Peyrot M, Piette JD, Reader D, Siminerio LM, Weinger K, Weiss MA. National standards for diabetes self-management education. Diabetes Care. 2012; 35(Suppl 1):S101–8.

8. American Association of Diabetes Educators (AADE). AADE guidelines for the practice of diabetes self-management education and training. Chicago: AADE;2011. p. p1–51.

9. Boren SA, Fitzner KA, Panhalkar PS, Specker JE. Costs and benefits associated with diabetes education: a review of the literature. Diabetes Educ. 2009; 35:72–96.

10. Duncan I, Birkmeyer C, Coughlin S, Li QE, Sherr D, Boren S. Assessing the value of diabetes education. Diabetes Educ. 2009; 35:752–60.

11. Loveman E, Frampton GK, Clegg AJ. The clinical effectiveness of diabetes education models for Type 2 diabetes: a systematic review. Health Technol Assess. 2008; 12:1–116.

12. Ko SH, Song KH, Kim SR, Lee JM, Kim JS, Shin JH, Cho YK, Park YM, Jeong JH, Yoon KH, Cha BY, Son HY, Ahn YB. Long-term effects of a structured intensive diabetes education programme (SIDEP) in patients with type 2 diabetes mellitus −a 4-year follow-up study. Diabet Med. 2007; 24:55–62.

13. Beverly EA, Fitzgerald SM, Brooks KM, Hultgren BA, Ganda OP, Munshi M, Weinger K. Impact of reinforcement of diabetes self-care on poorly controlled diabetes: a randomized controlled trial. Diabetes Educ. 2013; 39:504–14.

14. Task Force Team for Basic Statistical Study of Korean Diabetes Mellitus of Korean Diabetes Association, Park IeB, Kim J, Kim DJ, Chung CH, Oh JY, Park SW, Lee J, Choi KM, Min KW, Park JH, Son HS, Ahn CW, Kim H, Lee S, Lee IB, Choi I, Baik SH. Diabetes epidemics in Korea: reappraise nationwide survey of diabetes "diabetes in Korea 2007". Diabetes Metab J. 2013; 37:233–9.

15. Korean Diabetes Association, Korea Centers for DiseaseControl and Prevention. Diabetes Fact sheet in Korea 2013 [Internet]. Seoul: Korean Diabetes Association;2013. [cited 2013 Nov 7]. Available from:. http://www.diabetes.or.kr.

16. Selvin E, Parrinello CM, Sacks DB, Coresh J. Trends in prevalence and control of diabetes in the United States, 1988–1994 and 1999–2010. Ann Intern Med. 2014; 160:517–25.

17. Jeon JY, Kim DJ, Ko SH, Kwon HS, Lim S, Choi SH, Kim CS, An JH, Kim NH, Won JC, Kim JH, Cha BY, Song KH. Taskforce Team of Diabetes Fact Sheet of the Korean Diabetes Association. Current status of glycemic control of patients with diabetes in Korea: the fifth Korea national health and nutrition examination survey. Diabetes Metab J. 2014; 38:197–203.