TY - JOUR
T1 - Diabetes education and self-management for ongoing and newly diagnosed (DESMOND)
T2 - Process modelling of pilot study
AU - Skinner, T. Chas
AU - Carey, Marian E.
AU - Cradock, Sue
AU - Daly, Heather
AU - Davies, Melanie J.
AU - Doherty, Yvonne
AU - Heller, Simon
AU - Khunti, Kamlesh
AU - Oliver, Lindsay
PY - 2006/12/1
Y1 - 2006/12/1
N2 - 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.
AB - 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.
KW - Illness beliefs
KW - Newly diagnosed
KW - Patient self-management
KW - Quality of life
KW - Structured education
KW - Type 2 diabetes mellitus
UR - http://www.scopus.com/inward/record.url?scp=33751102634&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2006.04.007
DO - 10.1016/j.pec.2006.04.007
M3 - Journal article
C2 - 17011154
AN - SCOPUS:33751102634
SN - 0738-3991
VL - 64
SP - 369
EP - 377
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 1-3
ER -
