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Table 1 NDSS program categories and evaluation tiers

From: The design of an evaluation framework for diabetes self-management education and support programs delivered nationally

Category

Indicators addressed

Programs

Tier

Evaluation process

Comprehensive DSMES

∙ Knowledge and understanding

∙ Self-management

∙ Self-determination

∙ Psychological adjustment

OzDAFNE (type 1 diabetes)

DESMOND (type 2 diabetes)

3

∙ Measures of empowerment and reduced diabetes distress.

∙ Highest cost-per-head and lowest reach but most opportunity for behavioral impact.

∙ Complex evaluation, involving pre, post and 3-month follow up surveys.

Topic Specific DSMES

∙ Knowledge and understanding

Plus, at least one of the following:

∙ Self-management

∙ Self-determination

∙ Psychological adjustment

CarbSmart

ShopSmart

MonitorSmart

FootSmart

MedSmart

Living with Insulin

Pump Workshop

Ready Set Go, Let’s Move

2

∙ Measures of knowledge, confidence, empowerment, and resilience.

∙ Higher cost-per-head and lower reach with opportunity for behavioral impact.

∙ Evaluation less complex than tier 3, involving pre- and post-program surveys.

Basic Education

∙ Knowledge and understanding

General diabetes information.

Sessions and events for people with, or at risk of, diabetes.

1

∙ Measures of knowledge, awareness, and engagement.

∙ No anticipated behavioral impact.

∙ Includes post-evaluation only.