A six-week diabetes program helped people feel more able in four of eight skills
MixedThe short version
Six weekly sessions made people feel more able in four areas, such as setting goals, but not in four others.

- 46
- adults with diabetes in Michigan
- Randomised
- groups picked at random
- Self-rated
- people rated themselves
- 3 tools
- tested
The study
Who took part
46 adults with diabetes were put into the program or a waiting list at random. Another 18 took part without random assignment, and 64 were counted in all. Most were middle-aged women, and more than half used insulin.
What they did
People in the program met six times, once a week for two hours, in groups. They worked through 21 worksheets on goals, problem solving, coping and stress. The waiting group got nothing for six weeks, then took the same program.
What happened
Compared with the waiting group, the program group felt more able in four of eight skills, such as setting goals. Their attitudes to diabetes also improved on two of five measures. Average blood sugar fell from about 11.8% to 11.0% in the program group, while the waiting group barely changed.
What the study found
- MixedMotivation
Six weekly sessions made people feel more able in four areas, such as setting goals, but not in four others.
- Action: Solve problems step by steptested
- Action: Set a specific goaltested
- Rule: Choose it yourselftested
- Rule: Practise with a groupused
Small randomised trial of 46 adults with diabetes in Michigan · vs people who were on the waiting list · they rated themselves · ⚠ only counted people who finished; summary claims more than the results show
- MixedOther outcomes
The program made people less negative about diabetes, but not more positive.
- Action: Solve problems step by steptested
- Action: Set a specific goaltested
- Rule: Choose it yourselftested
- Rule: Practise with a groupused
Small randomised trial of 46 adults with diabetes in Michigan · vs people who were on the waiting list · they rated themselves · ⚠ only counted people who finished; summary claims more than the results show
- HelpedOther outcomes
Blood sugar improved a little more in the program group, but the two groups were tested at different times.
- Action: Solve problems step by steptested
- Action: Set a specific goaltested
- Rule: Choose it yourselftested
- Rule: Practise with a groupused
Small randomised trial of 46 adults with diabetes in Michigan · vs people who were on the waiting list · they rated themselves · ⚠ only counted people who finished; summary claims more than the results show
How solid is this?
- Groups picked at random
- Small group
- People rated themselves
- Only counted people who finished
- Summary claims more than the results show
Source
Patient empowerment: results of a randomized controlled trial (1995)


