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The design of an evaluation framework for diabetes self-management education and support programs delivered nationally

BACKGROUND: The aim of this work was to develop a National Evaluation Framework to facilitate the standardization of delivery, quality, reporting, and evaluation of diabetes education and support programs delivered throughout Australia through the National Diabetes Services Scheme (NDSS). The NDSS i...

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Autores principales: Olson, Jenny Louise, White, Becky, Mitchell, Helen, Halliday, Jennifer, Skinner, Timothy, Schofield, Deborah, Sweeting, Jennifer, Watson, Natasha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744356/
https://www.ncbi.nlm.nih.gov/pubmed/35000599
http://dx.doi.org/10.1186/s12913-021-07374-4
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author Olson, Jenny Louise
White, Becky
Mitchell, Helen
Halliday, Jennifer
Skinner, Timothy
Schofield, Deborah
Sweeting, Jennifer
Watson, Natasha
author_facet Olson, Jenny Louise
White, Becky
Mitchell, Helen
Halliday, Jennifer
Skinner, Timothy
Schofield, Deborah
Sweeting, Jennifer
Watson, Natasha
author_sort Olson, Jenny Louise
collection PubMed
description BACKGROUND: The aim of this work was to develop a National Evaluation Framework to facilitate the standardization of delivery, quality, reporting, and evaluation of diabetes education and support programs delivered throughout Australia through the National Diabetes Services Scheme (NDSS). The NDSS is funded by the Australian Government, and provides access to diabetes information, education, support, and subsidized product across diverse settings in each state and territory of Australia through seven independent service-providers. This article reports the approach undertaken to develop the Framework. METHODS: A participatory approach was undertaken, focused on adopting nationally consistent outcomes and indicators, nominating objectives and measurement tools, specifying evaluation processes, and developing quality standards. Existing programs were classified based on related, overarching indicators enabling the adoption of a tiered system of evaluation. RESULTS: Two outcomes (i.e., improved clinical, reduced cost) and four indicators (i.e., improved knowledge and understanding, self-management, self-determination, psychosocial adjustment) were adopted from the Eigenmann and Colagiuri national consensus position statement for diabetes education. This allowed for the identification of objectives (i.e., improved empowerment, reduced distress, autonomy supportive program delivery, consumer satisfaction) and related measurement instruments. Programs were categorized as comprehensive, topic-specific, or basic education, with comprehensive programs allocated to receive the highest-level of evaluation. Eight quality standards were developed, with existing programs tested against those standards. Based on the results of testing, two comprehensive (OzDAFNE for people with type 1 diabetes, DESMOND for people with type 2 diabetes), and eight topic-specific (CarbSmart, ShopSmart, MonitorSmart, FootSmart, MedSmart, Living with Insulin, Insulin Pump Workshop, Ready Set Go – Let’s Move) structured diabetes self-management education and support programs were nominated for national delivery. CONCLUSIONS: The National Evaluation Framework has facilitated consistency of program quality, delivery, and evaluation of programs delivered by multiple service providers across diverse contexts. The Framework could be applied by other service providers who facilitate multiple diabetes education and support programs and could be adapted for use in other chronic disease populations where education and support are indicated. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-07374-4.
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spelling pubmed-87443562022-01-11 The design of an evaluation framework for diabetes self-management education and support programs delivered nationally Olson, Jenny Louise White, Becky Mitchell, Helen Halliday, Jennifer Skinner, Timothy Schofield, Deborah Sweeting, Jennifer Watson, Natasha BMC Health Serv Res Research Article BACKGROUND: The aim of this work was to develop a National Evaluation Framework to facilitate the standardization of delivery, quality, reporting, and evaluation of diabetes education and support programs delivered throughout Australia through the National Diabetes Services Scheme (NDSS). The NDSS is funded by the Australian Government, and provides access to diabetes information, education, support, and subsidized product across diverse settings in each state and territory of Australia through seven independent service-providers. This article reports the approach undertaken to develop the Framework. METHODS: A participatory approach was undertaken, focused on adopting nationally consistent outcomes and indicators, nominating objectives and measurement tools, specifying evaluation processes, and developing quality standards. Existing programs were classified based on related, overarching indicators enabling the adoption of a tiered system of evaluation. RESULTS: Two outcomes (i.e., improved clinical, reduced cost) and four indicators (i.e., improved knowledge and understanding, self-management, self-determination, psychosocial adjustment) were adopted from the Eigenmann and Colagiuri national consensus position statement for diabetes education. This allowed for the identification of objectives (i.e., improved empowerment, reduced distress, autonomy supportive program delivery, consumer satisfaction) and related measurement instruments. Programs were categorized as comprehensive, topic-specific, or basic education, with comprehensive programs allocated to receive the highest-level of evaluation. Eight quality standards were developed, with existing programs tested against those standards. Based on the results of testing, two comprehensive (OzDAFNE for people with type 1 diabetes, DESMOND for people with type 2 diabetes), and eight topic-specific (CarbSmart, ShopSmart, MonitorSmart, FootSmart, MedSmart, Living with Insulin, Insulin Pump Workshop, Ready Set Go – Let’s Move) structured diabetes self-management education and support programs were nominated for national delivery. CONCLUSIONS: The National Evaluation Framework has facilitated consistency of program quality, delivery, and evaluation of programs delivered by multiple service providers across diverse contexts. The Framework could be applied by other service providers who facilitate multiple diabetes education and support programs and could be adapted for use in other chronic disease populations where education and support are indicated. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-07374-4. BioMed Central 2022-01-09 /pmc/articles/PMC8744356/ /pubmed/35000599 http://dx.doi.org/10.1186/s12913-021-07374-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Olson, Jenny Louise
White, Becky
Mitchell, Helen
Halliday, Jennifer
Skinner, Timothy
Schofield, Deborah
Sweeting, Jennifer
Watson, Natasha
The design of an evaluation framework for diabetes self-management education and support programs delivered nationally
title The design of an evaluation framework for diabetes self-management education and support programs delivered nationally
title_full The design of an evaluation framework for diabetes self-management education and support programs delivered nationally
title_fullStr The design of an evaluation framework for diabetes self-management education and support programs delivered nationally
title_full_unstemmed The design of an evaluation framework for diabetes self-management education and support programs delivered nationally
title_short The design of an evaluation framework for diabetes self-management education and support programs delivered nationally
title_sort design of an evaluation framework for diabetes self-management education and support programs delivered nationally
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744356/
https://www.ncbi.nlm.nih.gov/pubmed/35000599
http://dx.doi.org/10.1186/s12913-021-07374-4
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