Diabetes education and self-management for ongoing and newly diagnosed (DESMOND): Process modelling of pilot study

Skinner, Timothy; Carey, Marian; Cradock, Sue; Daly, Heather; Davies, Melanie J.; Doherty, Yvonne; Heller, Simon; Khunti, Kamlesh; Oliver, Lindsay

doi:10.1016/j.pec.2006.04.007

Cited by 131 publications

(137 citation statements)

References 26 publications

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“…Although this analysis does not establish causality, data from the pilot study 22 indicate that changes in these beliefs about illness are evident immediately after the intervention and therefore precede changes in weight loss.…”

Section: Discussionmentioning

confidence: 73%

“…21 The preliminary phases of the trial have been described elsewhere. 22 A pilot phase informed the effect size and power for the current randomised controlled trial, which evaluated the effectiveness of the structured group education programme on biomedical, psychosocial, and lifestyle measures in people with newly diagnosed type 2 diabetes.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial

2008

BMJ

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Objective To evaluate the effectiveness of a structured group education programme on biomedical, psychosocial, and lifestyle measures in people with newly diagnosed type 2 diabetes. Design Multicentre cluster randomised controlled trial in primary care with randomisation at practice level. Setting 207 general practices in 13 primary care sites in the United Kingdom. Participants 824 adults (55% men, mean age 59.5 years). Intervention A structured group education programme for six hours delivered in the community by two trained healthcare professional educators compared with usual care. Main outcome measures Haemoglobin A 1c levels, blood pressure, weight, blood lipid levels, smoking status, physical activity, quality of life, beliefs about illness, depression, and emotional impact of diabetes at baseline and up to 12 months. Main results Haemoglobin A 1c levels at 12 months had decreased by 1.49% in the intervention group compared with 1.21% in the control group. After adjusting for baseline and cluster, the difference was not significant: 0.05% (95% confidence interval −0.10% to 0.20%). The intervention group showed a greater weight loss: −2.98 kg (95% confidence interval −3.54 to −2.41) compared with 1.86 kg (−2.44 to −1.28), P=0.027 at 12 months. The odds of not smoking were 3.56 (95% confidence interval 1.11 to 11.45), P=0.033 higher in the intervention group at 12 months. The intervention group showed significantly greater changes in illness belief scores (P=0.001); directions of change were positive indicating greater understanding of diabetes. The intervention group had a lower depression score at 12 months: mean difference was −0.50 (95% confidence interval −0.96 to −0.04); P=0.032. A positive association was found between change in perceived personal responsibility and weight loss at 12 months (β=0.12; P=0.008). Conclusion A structured group education programme for patients with newly diagnosed type 2 diabetes resulted in greater improvements in weight loss and smoking cessation and positive improvements in beliefs about illness but no difference in haemoglobin A 1c levels up to 12 months after diagnosis. Trial registration Current Controlled Trials ISRCTN17844016.

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Section: Discussionmentioning

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial

2008

BMJ

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“…It should not be a process that is completed after one or two visits to a nurse educator or nutritionist. The diabetes educator is a health care professional (nurse, dietician, or pharmacist) with specialized patient education skills who is certified in diabetes education [13][14][15][16]. …”

Section: Introductionmentioning

confidence: 99%

Evaluation of Patient Compliance, Knowledge, and Health Services among Diabetic Patients Admitted in the Internal Department of Kamal Odwan Hospital

Mansour¹

2016

Med-Science

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“…overall outcome of these patients (8)(9)(10)(11) and therefore, it has been incorporated as an integral part of diabetes management (12)(13)(14). With the recent research, it has been widely accepted that the major component of treatment success is achieved by the education and improving the selfmanagement skills of these patients (10,11).…”

mentioning

confidence: 99%

“…With the recent research, it has been widely accepted that the major component of treatment success is achieved by the education and improving the selfmanagement skills of these patients (10,11). It is well known that the presence of diabetes prolongs the hospital stay of patients.…”

mentioning

confidence: 99%

The effect of health education in the management of type 2 diabetes and the Sri Lankan perspective: a review

Cooray

Ball

Morrissey

et al. 2017

Sri Lanka J. Diabetes Endocrinol. Metab.

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Diabetes education and self-management for ongoing and newly diagnosed (DESMOND): Process modelling of pilot study

Cited by 131 publications

References 26 publications

Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial

Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial

Evaluation of Patient Compliance, Knowledge, and Health Services among Diabetic Patients Admitted in the Internal Department of Kamal Odwan Hospital

The effect of health education in the management of type 2 diabetes and the Sri Lankan perspective: a review

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