(P100) A Self-Report Survey of the Type 2 Diabetes Education Experience

Key Takeaways of Your Research: 1- Adults with T2DM (N=498) were surveyed regarding their experiences with diabetes education. Half of the participants reported never receiving diabetes education and only 12% reported receiving education within the first year of diagnosis.2- The only significant predictor of receipt of diabetes education was longer time since diabetes diagnosis, with those diagnosed over 5 years ago being about 20 times more likely to have received diabetes education than those diagnosed in the past year. This indicates that persons with diabetes (PWD) are not receiving DSMES at the 4 critical times identified by ADCES. 3- Among PWDs who reported having received diabetes education, 44% reported receiving just one education session. This suggests that PWDs do not routinely receive the comprehensive DSMES recommended by ADCES to facilitate and support successful self-care behaviors. In this survey, PWDs considered a variety of experiences as "diabetes education" but not all would be considered DSMES.

Background/Purpose: To better design DSMES efforts to reach and engage PWD and to close knowledge gaps, it is important to understand the PWD experience of diabetes education. The purpose of this study was to conduct a survey among persons with T2DM on their experience with diabetes education to better understand what it means when a PWD says they have "had diabetes education". Research Hypothesis and/or Research Questions and Specific

Aims: The specific aims of this study were 1) to establish a baseline description of patient experiences of diabetes education in a healthcare system, including "dose" and type of education, settings, and predictive characteristics of receiving education; 2) explore whether any education characteristics are predictive of diabetes outcomes such as A1C. Methods/Methodology: This was a self-report survey of adults with T2DM attending a primary care clinic visit OR a DSMES visit between 1/1 and 12/31/2020 . Data were summarized using simple descriptive statistics, including frequencies and counts for categorical variables and means and standard deviations for continuous variables. Linear regression was used to evaluate the effect of receiving diabetes education on A1C.

Results: Participants (N= 498) were majority female (60.5%) and African American (58.7%). Half reported never receiving diabetes education. Of those who did, 44.4% received only 1 education session. The majority (89.6%) received fewer than six sessions and 72.4% received education > 1 year ago. Compared to PWD diagnosed within the last year, those diagnosed > 5 years ago were almost 20 times more likely to have received diabetes education. While education was mostly received in 1-on-1 sessions (70.4%) in a clinic or diabetes center by a clinician, written materials, online searches and family/friends were also reported as an education source. The effect of education on A1C overall was not statistically significant. Conclusions (Impact on Diabetes Care and Education): The findings of this survey confirm the ongoing need to promote access to adequate DSMES for PWDs. Significant correlation between self-reported education and A1C was not demonstrated, possibly attributable to insufficient education hours and/or education reported not meeting the definition of DSMES. Further research is needed to identify and overcome barriers to early and periodic DSMES and identify the optimal "dose" for effective DSMES experience. Source of Funding for this Research: None. Authors: Michelle F. Magee MD, MBBCh, BAO, LRCPSI1,2; Carine M. Nassar MS, RD, CDCES1; Neelam Baral MD3; and Kelley M. Baker, 1. MedStar Health Diabetes and Research Institutes 2. Georgetown University School of Medicine, Department of Medicine 3. MedStar Washington Hospital Center 4- MedStar Health Institute for Quality and Safety.