The influence of socio-demographic characteristics on the preferred format of health education delivery in individuals with Type 2 Diabetes Mellitus and or Cardiovascular Disease: a questionnaire study

Introduction
Type 2 diabetes and cardiovascular disease are highly prevalent conditions, for which health education represents a significant component of management. A wide variety of health education formats are available and preferences of people with diabetes or cardiovascular disease for certain formats may vary between sociodemographic groups.
Methods
A questionnaire was deployed to collect information about the influence of six sociodemographic factors of interest on the preference for health education format in type 2 diabetes and/or cardiovascular disease. Chi-squared tests were used to examine the distribution of preferences between groups. The characteristics of the population preferring the online format were then examined in more detail using logistic regression.
Results
Responses were received from 1559 participants. Overall the preferred modality was one to one learning from a doctor or nurse (67%). Age, gender, diagnosis and educational level all affected the preferences expressed. The characteristics showing most consistent and significant influence were age and educational level. Overall, 29% ranked the online modality highly (1 or 2). This group were more likely to be aged under 65 (p<0.001) and to have a higher level of educational attainment (upper secondary education or higher; p<0.001).
Conclusions
Significant differences between sociodemographic groups exist in preferences for health education format in type 2 diabetes and/or cardiovascular disease. Preferences should be considered when designing educational interventions to ensure they are accessible to the target group and to avoid increases in health inequality.considered when designing educational interventions to ensure they are accessible to the
target group and to avoid increases in health inequality