Skinner, TC and Carey, ME and Cradock, S and Daly, H and Davies, MJ and Doherty, Y and Heller, S and Khunti, K and Oliver, L, DESMOND Collaborative, Diabetes education and self-management for ongoing and newly diagnosed (DESMOND): Process modelling of pilot study, Patient Education and Counseling: An Interdisciplinary Journal for Patient Education Researchers and Managers, 64, (1-3) pp. 369-377. ISSN 0738-3991 (2006) [Refereed Article]
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Objective: To determine the effects of a structured education program on illness beliefs, quality of life and physical activity in people newly diagnosed with Type 2 diabetes.
Methods: Individuals attending a diabetes education and self-management for ongoing and newly diagnosed (DESMOND) program in 12 Primary Care Trusts completed questionnaire booklets assessing illness beliefs and quality of life at baseline and 3-month follow-up, metabolic control being assessed through assay of HbA1c.
Results: Two hundred and thirty-six individuals attended the structured self-management education sessions, with 97% and 64% completing baseline and 3-month follow-up questionnaires. At 3 months, individuals were more likely to: understand their diabetes; agree it is a chronic illness; agree it is a serious condition, and that they can affect its course. Individuals achieving a greater reduction in HbA1c over the first 3 months were more likely to agree they could control their diabetes at 3 months (r = 0.24; p = 0.05), and less likely to agree that diabetes would have a major impact on their day to day life (r = 0.35; p = 0.006).
Conclusion: Pilot data indicate the DESMOND program for individuals newly diagnosed with Type 2 diabetes changes key illness beliefs and that these changes predict quality of life and metabolic control at 3-month follow-up. Practice implications: Newly diagnosed individuals are open to attending self-management programs and, if the program is theoretically driven, can successfully engage with the true, serious nature of diabetes.
|Item Type:||Refereed Article|
|Keywords:||type 2 diabetes mellitus, newly diagnosed, structured education, patient self-management, illness beliefs, quality of life|
|Research Division:||Medical and Health Sciences|
|Research Group:||Public Health and Health Services|
|Research Field:||Primary Health Care|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Author:||Skinner, TC (Professor Timothy Skinner)|
|Web of Science® Times Cited:||65|
|Deposited By:||Research Division|
|Downloads:||13 View Download Statistics|
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