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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


A Lewis

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Jane Meyrick
Senior Lecturer in Health Psychology


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
Public URL
Publisher URL
Additional Information Title of Conference or Conference Proceedings : Diabetes UK Professional Conference, 11–13 March 2015