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
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.
programme for adolescents living with diabetes. Poster presented at Diabetes UK Professional Conference 2015, ExCeL London, UK
|Presentation Conference Type||Poster|
|Conference Name||Diabetes UK Professional Conference 2015|
|Conference Location||ExCeL London, UK|
|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|
|Additional Information||Title of Conference or Conference Proceedings : Diabetes UK Professional Conference, 11–13 March 2015|
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