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Does the inclusion of a problem-solving component to standard care improve concordance with the self-management programme for adolescents living with diabetes?

To investigate if problem-solving activity, not used in the UK, could support UK adolescent’s living with diabetes to improve self-management of their condition leading to improvements in self-care and glycaemic control when delivered alongside usual care at paediatric and young adults’ diabetes clinics. Method: 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 a primary language were randomised into a two arm (intervention based on the International Treatment Effectiveness Protocol (ITEP) node-mapping approach that addressed common aspects of non-adherence to life style factors via scenarios and personal experience to encourage behavioural change + usual care vs. education control DVD + usual care) randomised control trial. Results: 23 participants completed a 3 month follow up within the required time scale. There was no change in the HbA1c levels for either group. The intervention group appeared to improve self-management on scores for the SCI following the intervention. Conclusion: The study did not recruit substantial participants for a full powered study and any changes has to be treated with caution. As a pilot study it has helped identify protocols and processes that could lead to the delivery of a powered study. It received a grant from the InDependant Diabetes Trust and generated a number of learning outcomes that will support further research on its outcomes.

Identiferoai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:629339
Date January 2014
CreatorsLewis, A.
PublisherUniversity of the West of England, Bristol
Source SetsEthos UK
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
Sourcehttp://eprints.uwe.ac.uk/24074/

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