Enhancing the (cost-)effectiveness of diabetes self-management education: A comparative assessment of different educational approaches and conditions for successful implementation

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Contract/Grant agreement number
: 306186-2
EC contribution
: € 2,980,432.00
: 36 months
Starting date
: 01/10/2012
: diabetes self-management education, cost-effectiveness, health literacy, implementation fidelity .
Project web-site
: http://www.diabetesliteracy.eu/


Approximately 32 million people in the EU live with diabetes, and each year more than 300,000 Europeans die from diabetes and related complications. Treatment of diabetes is costly, and takes up between 5 and 15% of the total health expenditure of EU countries. As diabetes is strongly associated with overweight and obesity, the rapidly increasing prevalence of overweight and obesity worldwide, in conjunction with an ageing population, makes the prevalence of diabetes and the associated cost of treatment likely to increase in the years to come.

In view of these developments, there is a need to strengthen the capacities of health systems in the EU Member States to treat and care for diabetes patients. Because diabetes requires extensive self-care, the capacities of patients to manage their own illness and care process are a key determinant of treatment outcomes. To enhance these capacities, education on self-management and lifestyle modification for people with diabetes is widely recommended and used.

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