Economic and Behavioural Assessment of a Diabetes Self-management Education Programme among Type 2 Diabetes Patients at Diabetes Centre in Riyadh, Saudi Arabia

The prevalence of diabetes mellitus has increased tremendously among the Saudi population during the last decade. This represent as a major economic burden in health care system. The objective was to evaluate the effectiveness of the Diabetes SelfManagement Education (DSME) programme in improving clinical outcomes, self-care behaviours and Health Related Quality of Life and to perform an economic evaluation of DSME on health status in type 2 diabetes patients at the Diabetic Centre in King Abdulaziz University Hospital, Riyadh, Saudi Arabia. The study include three phases a cross sectional, pre and post interventional and economic study. The data were obtained by using questionnaires completed during face-to-face interviews. The revised summary of the Diabetes Self-care Activities Scale (SDSCA), the Diabetes Management self-efficacy Scale (DMSES), the University of Michigan Diabetes Research and Training Centre (MDRTC) knowledge test and the diabetic care profile of the University of Michigan were used to measure attitudes towards diabetes. The Health Related Quality of Life was assessed at baseline using The Quality of Life scale (EQ-5D). In cross sectional descriptive study, the mean of EQ-5D score in type 2 diabetic patients was 0.71, which is considered a moderately low score. The mean score of the MDKT was 8.96 ± 2.1, indicating that overall, the patients had moderate knowledge about diabetes. The average attitude score