Diabetes education retention: A Systematic Review

Ms Julia Yuncken1

1Monash University, Caulfield North, Australia


Databases Medline, CINHAL, Science Direct, EMBASE, Web of Science and Cochrane were searched for articles investigating behaviour change, knowledge, or participant satisfaction in connection with diabetes education. The two reviewers screened articles independently against inclusion criteria and educational methods, and outcomes and timeframes were extracted from qualifying papers. Data were synthesized against Kirkpatrick’s Hierarchy of Learning.

In total, 849 studies were found using primary search criteria, of those all but 39 studies were disqualified using inclusion criteria. Method of education included verbal, written and visual modes, delivered by both multi-disciplinary teams and single health care practitioners. Topics of education included general diabetes complications, foot complications, diet, physical activity and self-foot care. Outcomes reviewed included diabetes knowledge, foot care knowledge and HbA1C levels post education.

Significance of the findings to Allied Health::
Diabetes education is ubiquitous in diabetes treatment however it remains unclear if patients retain the educational information provided or if the information retained causes behavioural change which in turn results in a decrease to complications.


Julia has enjoyed working in both the public and private setting since 2006, predominately with the high risk foot. This has been in conjunction with further study into wound care and diabetes education.