Final Report ANDIAB2 2012 Quality Assurance of Patient Practices and Diabetes Centre Care - December 2012

6. Summary, Conclusions and Recommendations

Page last updated: 16 December 2013

In summary, ANDIAB2 has built on the successful, well-established ANDIAB initiative. ANDIAB2 collected and benchmarked data that were more Education Centre and Patient Self-care focused than the more ‘Medically’ focused ANDIAB and fulfilled the long held NADC desire to have an alternate year collection of this nature. We believe that ANDIAB2 has been successful on several fronts:

  • There were very little missing data compared with ANDIAB 2011 and whilst much of the ANDIAB 2011 missing data relate to Fields such as Eye Data which may not be available to the Clinician, there would appear no doubt that the ANDIAB2 completeness of data collection is a testament to the diligence of those who participated [including the individuals themselves in completing the DDS component];
  • Each site received an individual report benchmarking their findings against others from which they can identify areas of service or patient self-care that may be deficient, and for which changes or educational strategies may need to be instituted;
  • Some general observations [and potential points for intervention] on the findings listed above include:o It is noteworthy that of the 14.4% current smokers – over 76.6% claimed to have tried to cease (and they may be amenable to further attempts to assist them to quit);
    • Physical Activity was adjudged as ‘sufficient’ in only 45.7%;
    • 17.3% admitted to NOT taking all of their prescribed medications;
    • Many [85.8%], but not all, of the 30.9% who admitted to the Use of Complimentary Medicines, stated that they had informed their Doctor of this fact;
    • Overall the survey also identified several areas of patient self-care as deficient, and where strategies could be developed to target and address these areas: [Smoking Cessation, Exercise and Medication Adherence];
    • Additionally, there was significant ‘Likely Depression’ (24.2%) and ‘Diabetes Distress’ identified by the BCD (Table 9 P 11 & DDS Scale:(Tables 13,14[a]-[d] Pp 15-17).
We believe that the similarity in the findings to those reported in ANDIAB2 2010 and 2005 in many areas suggest that this is providing an accurate ‘snapshot’ of education and self-care practices in individuals attending Specialist Diabetes Centres

We conclude, that ANDIAB2 has been successful and forms the basis by which Diabetes Centre Care Delivery and Patient Self-care practices can be assessed and monitored. Diligence is recommended in assessing areas such as those highlighted in this Report, which should assist in identifying important aspects of self-care about which to educate / re-educate individuals so that they could potentially improve their health and well-being.

We recommend, that this format and these data items could be utilised for an ongoing quality audit activity in Diabetes Centres fulfilling the NADC desire to establish an Audit Program to be run in alternate years to ANDIAB which is more Patient / Education focused.

It is strongly recommended that NADC consider an Educational Initiative of Local and/or National strategies to attempt to address some of the deficiencies and problems noted in this report: Smoking Cessation, Exercise & Medication Adherence, and ‘Likely Depression’.

There are Findings here (as there were in 2010) that warrant educational initiatives to address.