Effective education for diabetes self-management
During the years in which AM presided over the DESG, from 1998 to 2006, we carried out numerous international workshops some of which gave rise to the production of educational materials, both for the HCPs and for patients.
Below is a description of the workshops carried out, with the program of each and the list of participants.
The DESG activities are summarized in the downloadable article below. ⇓
10-16 / 4/1999, Capri. Participants were 56 health workers from 25 countries.
The following were invited as expert speakers: Paolo Gentili, prof. of psychiatry in Rome; Ilario Rossi, prof. of anthropology in Lausanne; Dagmar Rinnenburger, medical doctor in Rome; Sandro Spinsanti, prof. of bioethics in Rome.
The work consisted of short lectures by the speakers, numerous activities carried out by the participants, and an experiential learning session based on typical activities of the island.
Below is the program of the meeting and the list of participants. ⇓
Planning a Basic Curriculum for HCPs
22-28 /3 /2000, Orvieto (TR). Participants were 16 health workers from 11 countries.
Aim of the meeting was to plan a basic Curriculum in Therapeutic Patient Education for Health Care Providers, based on the indications of the WHO-Europe Working Group Report.
As a result of the workshop, eight one-day modules were drafted for training HCPs at the primary care level in TPE.
Below you can download the DESG Basic Curriculum, as well as the meeting program and the list of participants. ⇓
17-23 /3/ 2001, Frascati (RM). The purpose of the meeting was to present the Basic Curriculum to a group of 51 doctors, nurses, dieticians and psychologists coming from 21 countries. During the 6-day workshop some modules of the DESG Curriculum were fully implemented, and others were presented and discussed.
Within the framework of "STEP" (Spreading Therapeutic Education Programs), this meeting was conceived as a second phase, in partnership with Servier International, and a Step-3 phase was then expected with its reproduction at the national level.
Below the Workshop program and the list of participants can be downloaded. ⇓
25-30 /1 /2002, Celano (AQ). From 1983 to 1988, the DESG produced a series of 20 teaching letters consisting of about four pages each, in ‘the Medical Letter’ format.
Updating was started in 1995, and publication reached n. 25.
This expert meeting aimed at producing by group work five new Teachig Letters, highlighting several aspects of TPE, which either had not yet been considered specifically, or deserved consideration from another point of view. Participants were 23 doctors, nurses, dieticians, psychologists, all experts in TPE, coming from 13 different countries.
As a result of 5 days’ work in small groups using Metaplan first, and then computers, five new Teaching Letters were drafted, entitled: ‘26. Education to the Use of Hi-Tech Devices’, ‘27. Physical Activity and Diabetes’, ‘28. Emotional Intelligence in Diabetes Care’, ‘29. Quality of Life, an Outcome in Diabetes Education’, ‘30. Assessing and Improving Quality in Diabetes Education’.
During the meeting, the writing was interspersed with interactive sessions facilitated, among others, by Michele Loiudice, expert in health administration, and Vincenzo Di Bonaventura, actor and acting teacher.
Below the final Teaching Letters, as well as the workshop program and the list of participants can be downloaded. ⇓
16-22 /3/ 2002, Frascati (RM). As in 2001, the purpose of the meeting was to present the Basic Curriculum and partly implement it. Participants were 54 doctors, nurses, dieticians and psychologists from 20 countries.
This meeting was also conceived as a second part of the STEP (Spreading Therapeutic Education Programs) project, and was developed in partnership with Servier International.
Below the meeting program and the list of participants can be downloaded. ⇓
Search of Effective Strategies to Help: Overweight Reduction, Regular Exercise, COH Counting, and Pump Therapy
2-7 /11 /2002, Celano (AQ). Participants were 50 members of the DESG from 28 Countries.
During the meeting, main lectures were devoted to an update about: weight and eating control (Massimo Cuzzolaro, psychiatrist in Rome, AM, e Alain Golay, MD in Geneva); the role of exercise (Pesach Segal, MD in Israel, Alain Golay, e Ilana Harman-Boehm, MD in Israel); techniques for COH counting (Godfrey Xuereb, expert dietician in Jamaica); learner-centered education (AM); intensive insulin treatment with pumps, continuous BG monitoring and closed-loop systems (Nicoletta Sulli, pediatrician in Rome). Group works were then run to develop educational guidelines derived from new evidence, and seek the most effective ways to educate people with diabetes accordingly. Sessions of experiential learning were also run on each topic.
During a special lecture, Marco Peruffo, the first person with type 1 diabetes to reach the top of a ‘8000’, mount Cho-Oyu (8201 m), without oxygen bottles and without high altitude porters, told participants his life story.
Below the meeting program and the list of participants can be downloaded, as well as Marco Peruffo’s lecture. ⇓
17-22 /1 /2004, Assisi (PG). Participants were 56 DESG members from 30 countries.
During the meeting, each day opened with an EBM update lecture on the following topics: effect of the ETP on lifestyles (AM); metabolic effects of physical activity (Pierpaolo De Feo, endocrinologist in Perugia); why carbohydrate counting is important in diabetes management (Godfrey Xuereb, a nutrition expert on transfer from Jamaica to the WHO in Geneva); life stories and empowerment (AM). The following speakers then took short lectures and coordinated group work relevant to the topics of each day (for details see the program below): Donatella Bloise, MD, Rome; Vincenzo Di Bonaventura, actor, S. Bened. Tronto; Vincenzo Graziani, psychologist, Rome; Anne Marie Felton, nurse, London; Alain Golay, MD, Geneva; Hans-Ulrich Iselin, MD, Rheinfelden (CH), Marco Peruffo, T1DM, Vicenza; Joelle Singer, MD, Petah-Tikva, Israel.
In one session we introduced the autobiographical approach, asking participants to write: "That time when I felt I was an educator": the writings were analyzed by Alessandra Baldelli who then "returned" her analysis to the participants (see below ).
Below the program of the meeting and the list of participants can be downloaded, as well as the report by Alessandra Baldelli on participants' writings ⇓
22-27 /1 /2005, Assisi. Participants were 55 DESG members coming from 30 Countries.
During the meeting, Natalia Piana presented the narrative approach through the use of autobiography, as a new formative tool for both health professionals and patients. The participants experienced this approach, and reports of both this experience and of its use with adolescents in summer camps were given. Also the empowerment approach was presented and implemented in three workshops by Bob Anderson. Main lectures were devoted to an update of our knowledge about: metabolic effects of exercise (Pierpaolo De Feo); techniques for COH counting and its advantages (Godfrey Xuereb, Despina Varakla); insulin treatment with different devices(Ramiro Antuna); a European framework for diabetes (Anne Felton); skills for the help relationship (AM); mountaineering and quality of life (Marco Peruffo); congruence between verbal and non-verbal communication (Caroline Simonds, who also illustrated her work as a clown in pediatric hospitals in Paris). Group works on relevant educational strategies were then performed. Jean-Philippe Assal presented his movie on the teaching of gondola rowing in Venice: Gondoles et Gondoliers.
The participants experienced during a few days insulin injection, SBGM and CHO counting, and Donatella Bloise presented a report of their comments the end of the meeting.
The program of the meeting and the list of participants, can be downloaded below, as well as the report by Natalia Piana on the writings of the participants, the report by Donatella Bloise on the impressions of experiential learning, and the presentation by Caroline Simonds on a day with "Le Rire Médecin" ⇓