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Which Strategies Improve Engagement of Older People in Type 2 Diabetes Prevention and Management Efforts?

Mar 04, 2019

Health service X notices more older people are diagnosed with type 2 diabetes upon admission to hospital, attending community/primary care services or when admitted to aged care homes in their region.

Increasing age is a risk factor for type 2 diabetes. Many studies demonstrate that type 2 diabetes is preventable, but most do not include older people, and none address how to engage this group in prevention strategies. Individual engagement and shared decision-making are important aspects of service/program development and care planning and delivery.

Service Y wants to consult with the community they serve to develop diabetes prevention strategies suitable for older people.

Engaging older people in prevention strategies requires specific engagement. Importantly, older people are highly independent and have unique needs. As a result, they cannot be put together in one homogenous group: therefore, one engagement strategy will not be effective for all older people. 

In this discussion:

  1. How would you engage an independent older person living in the community in type 2 diabetes prevention strategies?
  2. How would those strategies differ for older people requiring support to live in the community?
  3. What strategies are needed for older people who live in aged care homes?

This is the first in a series of discussions introducing some of the programme sessions that will be featured at the IDF Congress 2019 in Busan, Korea, 2-6 December 2019.  

Recommended Readings:

Diabetes Prevention Program (DPP). National Institute of Diabetes and Digestive and Kidney Disease website. https://www.niddk.nih.gov/about-niddk/research-areas/diabetes/diabetes-prevention-program-dpp/Pages/default.aspx. Accessed February 26, 2019.

Preventing diabetes in seniors. American Diabetes Association website. http://www.diabetes.org/advocacy/advocacy-priorities/prevention/preventing-diabetes-in.html. Updated May 29, 2015. Accessed February 26, 2019.

Risk factors for type 2 diabetes. National Institute of Diabetes and Digestive and Kidney Disease website. https://www.niddk.nih.gov/health-information/diabetes/overview/risk-factors-type-2-diabetes. Updated November 2016.

Ades, P. A. (2015). A lifestyle program of exercise and weight loss is effective in preventing and treating type 2 diabetes mellitus: why are programs not more available?. Preventive medicine, 80, 50-52.

Krukowski, R. A., Pope, R. A., Love, S., Lensing, S., Felix, H. C., Prewitt, T. E., & West, D. (2013). Examination of costs for a lay health educator-delivered translation of the Diabetes Prevention Program in senior centers. Preventive medicine, 57(4), 400-402.

Information about the discussion leader

Professor Trisha Dunning RN, MEd, PhD is a Credentialled Diabetes Educator and researcher specialising in older people with diabetes and diabetes and palliative and end of life care. She is widely published in books and papers and has served/is serving on many national and international diabetes and nursing committees.