Can the inclusion of a psychosocial component to standard care improve concordance with the self-management
programme for adolescents living with diabetes

Lewis, A; Meyrick, Jane

Abstract

Aims: The study explored if the inclusion of a problem solving element to existing standard care could enhance adolescents’ concordance with their self-management of diabetes.

Methods: A pilot study incorporating 23 adolescents (13–18 years) with a diagnosis of Type 1 diabetes of at least a year and with English as their primary language were randomised into a two-arm randomised control trial [intervention based on the International Treatment Effectiveness Protocol (ITEP) node-mapping approach that addressed common aspects of non-adherence to lifestyle factors via scenarios and personal experience to encourage behavioural change + usual care vs education control DVD + usual care].

Results: At 6 months’ follow-up within the required time scale, there was no significant change in the HbA1c levels between groups. The intervention group improved significantly on the psychological measures, specifically on self-management and problem solving domains.

Conclusion: The findings of this study indicate that problem solving interventions could prove a useful addition to standard care in supporting adolescents to improve their self-management. As a pilot study it has helped identify protocols and processes that could lead to the delivery of a powered study.

• Presentation Conference Type: Poster
• Conference Name: Diabetes UK Professional Conference 2015
• Start Date: Mar 11, 2015
• End Date: Mar 13, 2015
• Acceptance Date: Jan 6, 2015
• Publication Date: Jan 1, 2015
• Peer Reviewed: Peer Reviewed
• Keywords: diabetes, concordance, self-management, psychosocial problem-solving
• Public URL: https://uwe-repository.worktribe.com/output/842909
• Publisher URL: http://onlinelibrary.wiley.com/doi/10.1111/dme.12668_1/epdf
• Additional Information: Title of Conference or Conference Proceedings : Diabetes UK Professional Conference, 11–13 March 2015