Lewis, Gemma, Wilding, John, Hughes, David, Hardy, Kevin and Irving, Greg (2026) A feasibility study evaluating the impact of differing completion rates of a face-to-face diabetes self-management education programme on patient reported outcome measures. - UoL001848 dataset. [Data Collection]
Description
Dataset pertaining to the following abstract: Aims: To examine the dose–response relationship between DSME attendance and psychological outcomes in adults with type 2 diabetes, assessing whether minimal attendance (10%) produces clinically meaningful improvements, and comparing outcomes at the internationally adopted 60% completion benchmark with full (100%) completion. Materials and methods: This randomised feasibility trial enrolled 120 adults (≥18 years) due to attend a UK DSME programme. Participants were randomised to receive 100% (routine DSME), 60%, 10% or 0% (delayed DSME). Primary outcomes were changes in self-management skills; secondary outcomes included health-related quality of life (HRQoL) and diabetes distress. Results: Participants had a mean age of 61 years, mean HbA1c of 8.4% (68 mmol/mol), and median diabetes duration of 8 years. Significant between-group differences were observed in change scores for self-management skills (F(3,109)=6.914, P<.001) and diabetes distress (F(3,108)=7.369, P<.001). Education dose explained 16-17% of the variance demonstrating a dose–response relationship (ηp2=0.16-0.17) with a moderate effect size (n2=0.16, 95% CI [0.04, 0.27]). Within-group statistical improvements were observed for both 100% and 60% completion, but clinically meaningful improvements across all psychological domains occurred only with full (100%) completion. No significant between-group differences were observed for HRQoL. Conclusions: In this randomised feasibility trial, clinically significant psychological benefits from DSME required full (100%) programme completion. Attendance thresholds of ≤10% or partial completion (≥60%) did not yield meaningful improvements in diabetes distress or HRQoL. These findings suggest that existing performance indicators based on partial attendance may not reflect meaningful benefits and support 100% DSME attendance as the gold standard. Trial registration: Clinicaltrials.gov NCT06419907
| Keywords: | Diabetes, dose response, feasibility, Patient education, patient reported outcome measures, randomised clinical trial, Type 2 Diabetes Mellitus |
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| Date Deposited: | 03 Jun 2026 13:16 |
| Last Modified: | 03 Jun 2026 13:18 |
| DOI: | 10.17638/datacat.liverpool.ac.uk/3084 |
| Geography: | Knowsley and St Helens |
| URI: | https://datacat.liverpool.ac.uk/id/eprint/3084 |
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