Rural diabetes education: does it make a difference?
This cross-sectional study using a mailed survey evaluated outcomes of diabetes education, care, and support provided at 2 clinics in rural Manitoba, Canada. Seventy-eight respondents with type 2 diabetes, including 51 rural clinic attenders and 27 non-attenders (mean age = 68.5), were compared regarding demographic characteristics; diabetes education and knowledge; diabetes self-management efficacy, attitudes, and behaviours; quality of life; satisfaction with care; and health-care utilization. Attenders had more diabetes education (P < .001), higher self-management efficacy scores (P < .051), and greater satisfaction with diabetes care (P < .001) than non attenders, but more education did not translate into greater diabetes-related knowledge, attitudes, or behaviours. While clinic attendance and supportive interaction with health professionals and peers may help equip people with type 2 diabetes with the confidence and alternative strategies to handle diabetes-related health problems, a more standard approach to diabetes education and care could improve the achievement of desired outcomes.