A controlled experiment on the effect of ethnic specific diabetes education in Turkish type 2 diabetics revealed substantial problems with compliance. The cost effectiveness of such a programme would improve if patients most likely to dropout or overuse the education facility could be identified. The 45 patients of the intervention group were categorized into three groups: non-compliers, compliers and over-compliers, and we assessed the association between patient characteristics and these three groups. Compared to the compliers, non-compliers had a longer history of diabetes and poorer knowledge of diabetes. Over-compliers were more often younger, female, scored low on attitude or self-efficacy, and experienced more stress. Turkish patients having diabetes for a longer period or with poor knowledge of diabetes are at risk to dropout from the programme, while younger Turkish females scoring low on attitude or self-efficacy as well as those with more stress, are more likely to over-use the education facility.

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doi.org/10.1016/j.pec.2004.05.009, hdl.handle.net/1765/68607
Patient Education and Counseling
Erasmus School of Health Policy & Management (ESHPM)

Uitewaal, P.J.M, Hoes, A.W, & Thomas, S. (2005). Diabetes education on Turkish immigrant diabetics: Predictors of compliance. Patient Education and Counseling, 57(2), 158–161. doi:10.1016/j.pec.2004.05.009