King's College London

Research portal

Low attendance at structured education for people with newly diagnosed type 2 diabetes: General practice characteristics and individual patient factors predict uptake

Research output: Contribution to journalArticle

Kirsty Winkley, Daniel Stahl, Mark Chamley, Rosanna Stopford, Monica Boughdady, Stephen Thomas, Stephanie A. Amiel, Angus Forbes, Khalida Ismail

Original languageEnglish
Pages (from-to)101–107
JournalPatient Education and Counseling
Issue number1
Early online date13 Aug 2015
Publication statusPublished - Jan 2016


King's Authors



The aims were to determine the association between individual and neighbourhood factors and attendance at structured education amongst people with newly diagnosed type 2 diabetes (T2DM).


Multi-level analysis of questionnaire data from a prospective cohort of adults newly diagnosed T2DM. Setting was primary care, London, UK. Main outcome was attendance at structured education within 2 years.


Of 1790 people recruited, attendance data were available for 1626 (91%). Only 22.4% (n = 365/1626) attended education. Attendance was independently associated with female gender (OR 1.28, 95% CI 1.05–1.46), lower HbA1c (OR 0.98 mmol/mol 95% CI 0.97–0.99) and non-smoker status (OR 1.36, 95% CI 1.07–1.55). General practice covariates, achievement of primary care targets for glycaemic control (OR 1.05, 95% C.I. 1.01–1.08) and recording of retinal screening (OR 0.96, 95% C.I. 0.93–0.99) were independently associated with attendance but unexplained general practice clustering accounted for 17% of the variance.


Education uptake is low amongst people with new onset T2DM. Attenders are more likely to be female, non-smokers with better HbA1c. General practices achieving glycaemic targets are more likely to have patients who attend education.

Practice implications

Strategies are needed to improve attendance at structured diabetes education particularly amongst hard to reach groups.

Download statistics

No data available

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454