Randomised Controlled Feasibility Trial of Face‐To‐Face Diabetes Self‐Management Education Shows High Completion Rates Are Needed to Improve Patient‐Reported Outcomes
Authors' conclusion
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.
Study context
- Population
- Adults (≥18 years) with T2D due to attend a UK diabetes self-management education (DSME) programme; mean age 61 years, mean HbA1c 8.4% (68 mmol/mol), median diabetes duration 8 years
- Participants
- 120 adults
- Comparison
- 100% vs 60% vs 10% vs 0% DSME attendance
- Primary endpoint
- Changes in self-management skills
Methodological detailsfour-arm dose-response
- Four-arm dose-response
Primary result
As reported in the abstract
Change in self-management skills
- Significant between-group differences in change scores for self-management skills, F[3,109] = 6.914
- p < 0.001
Secondary outcomes
Change in diabetes distress
- Significant between-group differences in change scores for diabetes distress, F[3,108] = 7.369
- P < 0.001
Health-related quality of life (HRQoL)
- No significant between-group differences for HRQoL
Original publication
Randomised Controlled Feasibility Trial of Face‐To‐Face Diabetes Self‐Management Education Shows High Completion Rates Are Needed to Improve Patient‐Reported Outcomes. Diabetes Obes Metab. Published 27 May 2026. doi:10.
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