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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.
Date January 2014
CreatorsLewis, A.
PublisherUniversity of the West of England, Bristol
Source SetsEthos UK
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation

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