Impact of the RAPSID Education Programme on Diabetes Knowledge among People with Type 2 Diabetes

Aims: To assess the impact of a workshop for patients with known Type 2 diabetes on diabetes knowledge. Methods: Participants in RAPSID (Randomised Controlled Trial of Peer Support in Type 2 Diabetes) (n = 1,362) were invited to attend a 3.5h workshop to increase basic diabetes knowledge on entry into the trial. Attendance was not required for trial entry. The format was based upon the ‘empowerment approach’ of Funnell/Anderson and included four topics addressing key aspects of care and common myths, followed by a question and answer workshop. Participants had already completed a baseline questionnaire and completed knowledge questionnaires based upon the Revised Diabetes Knowledge Scale (RDKS) before and after the workshop. Results: Overall, 912 participants attended the workshop, of whom 565 completed both the pre- and post-questionnaire. Those completing the pre-/post-questionnaires had similar demographic/ clinic characteristics to others, besides a higher baseline knowledge (/15: 11 ± 3 vs 10 ± 3; p = 0.002) and higher quality of life (EQ5D scale: 73 ± 18 vs 70 ± 21; p = 0.007). The 10-item RDKS increased from 69% ± 19% to 78% ± 18%; p < 0.001. Those treated with insulin (15.2% of participants) increased their knowledge least (5% ± 12% vs 10% ± 17%; p = 0.009). Expectations were met in 93.5% of participants in an anonymous post-workshop survey. Aspects thought to be particularly useful related to diet/carbohydrates and medications. Sessions frequently turned into group consultations. Conclusion: This 3.5h workshop for those with pre-existing diabetes demonstrated knowledge gaps and improved patient knowledge (less so among those receiving insulin therapy). Longterm follow-up is needed to assess the relationship between changes in diabetes knowledge and self-care.