This study was designed to shed light on the learning difficulties of
diabetic patients. An open-ended questionnaire was sent to 85 health c
are professionals working in the field of diabetes and nutrition who h
ad been trained in patient education techniques. They were asked to de
scribe the skills that were the easiest to teach patients and those th
at patients mastered the best, as well as the skills they found hardes
t to teach patients, those that patients mastered the least and those
that gave rise to errors persisting after the patients education was c
ompleted. On the whole, the results showed that the educators found it
easy to teach techniques: patients mastered procedures well and made
few mistakes. In contrast, diabetic patients seem to have problems lea
rning skills, such as insulin dose adjustment, that require complex pr
oblem-solving (involving multiple variables). Based on these findings,
the authors discuss the notions of learning complexity and the time n
eeded for successful patient education. (C) 1998 Elsevier Science Irel
and Ltd. All rights reserved.