Access to Diabetes Education: An AADE Foundation Funded Project

1. Access to Diabetes Education:An AADE FoundationFunded Project Mark Peyrot, PhD MPeyrot@loyola.edu

2. Barriers to DSME: Summary • Physicians and (more so) educators tend to overestimate patient barriers • Exception: Both (MD more so) underestimate patient scheduling issues • Exception: Educators accurate & MD under-estimate patient perceived need for DSME • Educators overestimate physician-reported barriers

3. Summary • Paradox: Physicians want more self-management support, but complain that patients are told to do things they do not agree with • DSME is highly regarded among those who have received it, but not as much among those who have not received it

4. Summary • Educators rate patient barriers somewhat above physician and organizational barriers, and see physicians as key to encouraging DSME use in patients • Most DSME programs have grown recently as a result of adding new programs/services and recruiting efforts and most programs plan more efforts

5. Conclusions • Increasing DSME access requires a multi-faceted approach • Additional analysis required to determine: • The contribution of different barriers to restriction of DSME access • The contribution of different marketing strategies to increase or decrease in patient population • Are different strategies effective in different contexts