A randomised controlled trial of cognitive behaviour therapy and motivational interviewing for people with Type 1 diabetes mellitus with persistent sub-optimal glycaemic control: A Diabetes and Psychological Therapies (ADaPT) study.

Abstract

How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of project...

National recommendations: Psychosocial management of diabetes in India

“… Recommendation 19 : CBT should be recommended either alone or in combination with other strategies to diabetes patients with co-morbid psychiatric disorders or to improve glycemic control and emotional well-being[7879] (Grade A; EL 1). Recommendation 20 : Healthcare professionals should receive formal training in CBT[28] (Grade A; EL 1). Recommendation 21 : A simple method that can be followed in the Indian context is the Karnal Model for counseling[80] (Grade A; EL 1). Recommendation 22 : Healthcare professionals should have at least eight sessions with the patient during the therapy[76] (Grade C; EL 3). Karnal model[3180] : The Karnal model relies on the cognitive behavioral therapy approach, which follows the “antecedents’ lead to behavior’ leads to consequences” (ABC) framework which will be effective only if a complete history of the patient is considered. The model represents an easy, simple and acceptable method of counseling applicable to various psychological disorders and can be used in all health care situations, including similar resource-challenged settings with social constraints.…”

“…Recommendation 19 : CBT should be recommended either alone or in combination with other strategies to diabetes patients with co-morbid psychiatric disorders or to improve glycemic control and emotional well-being[7879] (Grade A; EL 1).…”

“…Although it has successfully been used in the field of addictions, it lacks sufficient evidence for effectiveness in improving diabetes control. [78] It is more patient-centered and empowering than traditional care. [81] The therapy has been recommended by IDF, ADA and SIGN for improving the psychological well-being in patients with diabetes.…”

Economic evaluation of chronic disease self‐management for people with diabetes: a systematic review

“…There were 19 studies from the USA, six from the UK, three from Germany, two from Ireland, and one from each of Australia, Bulgaria, Canada, Denmark, India, Italy and the Netherlands (Tables and ; further details in Appendix S2). The studies were classified according to the type of intervention assessed: education programmes ( n = 22); telemedicine ( n = 11); community pharmacist‐based interventions ( n = 3); and behavioural change interventions ( n = 1).…”

Diabetes and mental health

“…In addition to improving psychological well-being, psychological interventions have been shown to signifi cantly improve glycaemic control in patients, with a mean reduction in glycated haemoglobin (HbA1c) of 0.5% associated with 12 sessions of a face-to-face programme involving motivational interviewing plus CBT. 19 A recent randomised controlled trial of adherence-focused CBT has demonstrated similar improvements. 20 …”