Educational Attainment Moderates the Effect of a Brief Diabetes Intervention

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Diabetes, Self-care, Brief intervention, Educational attainment, Hemoglobin A1c

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Aims: Those with less education are at increased risk for developing diabetes and have a poorer prognosis. Intensive diabetes self-care interventions have been more effective at improving glycemic control in those with lower educational attainment. Due to limited resources, the focus has shifted to brief, cost-effective health interventions. This study examined whether educational attainment moderates the effect of a brief, telephone delivered self-care intervention on glycemic control in people with type 2 diabetes.


Randomized clinical trial. Participants (N = 62) were assigned to receive treatment as usual or treatment as usual plus a brief telephone intervention. The primary outcome measure was hemoglobin A1c.

Results: A significant education by intervention group interaction effect indicated that participants with higher educational attainment had greater improvement in glycemic control (A1c) than those with less educational attainment; whereas, educational attainment was unrelated to change in glycemic control (A1c) within the control group.

Conclusions: People with higher educational attainment may benefit to a greater extent from brief self-care interventions for diabetes, while those with lower educational attainment may require more intensive treatment.

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Citation / Publisher Attribution

Diabetes Research and Clinical Practice, v. 95, issue 1, p. 62-67