Effects of the Proactive interdisciplinary self-management (PRISMA) program on self-reported and clinical outcomes in type 2 diabetes: a pragmatic randomized controlled trial

du Pon, E., Kleefstra, N., Cleveringa, F., van Dooren, A., Heerdink, E. R. & van Dulmen, S., 11-Dec-2019, In : Bmc endocrine disorders. 19, 1, 9 p., 139.

Research output: Contribution to journalArticleAcademicpeer-review

  • Esther du Pon
  • Nanne Kleefstra
  • Frits Cleveringa
  • Ad van Dooren
  • Eibert R. Heerdink
  • Sandra van Dulmen

Background: Diabetes self-management education can be helpful for patients with type 2 diabetes in managing their condition. We aimed to study the effects of the group-based PRoactive Interdisciplinary Self-MAnagement (PRISMA) training program on self-reported and clinical outcomes in patients with type 2 diabetes treated in general practice.

Methods: Persons aged 18 years or older diagnosed with type 2 diabetes and treated in primary care were included. In a randomized controlled trial design (1:1), patients were followed for 6 months with an extension phase of 6 months. Block randomization was used. The patients with type 2 diabetes received either PRISMA in addition to usual care or usual care only. All patients completed a range of validated questionnaires (including knowledge, skills, and confidence for self-management [PAM], diabetes self-care behavior [SDSCA], health-related quality of life [EQ-5D], and emotional well-being [WHO-5]). In addition, clinical outcomes (HbA1c, body mass index, systolic blood pressure, and cholesterol levels) were collected during the routine diabetes checkups.

Results: Of the total sample (n = 193), 60.1% were men. The mean age was 69.9 years (SD = 9.1). No significant differences were found on self-reported outcomes between the groups at 0, 6, and 12 months. The clinical outcomes were not reported due to a large number of missing values.

Conclusion: PRISMA did not improve self-reported outcomes in patients with type 2 diabetes treated in primary care. It was not possible to make a statement about the clinical effects.

Original languageEnglish
Article number139
Number of pages9
JournalBmc endocrine disorders
Issue number1
Publication statusPublished - 11-Dec-2019


  • E-health, Type 2 diabetes, Primary care, Group education, Self-management, MEDICATION ADHERENCE, EDUCATION, CARE, PEOPLE, PREVALENCE, MELLITUS, DESMOND

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