Improving Outcomes Among Young Adults with type 1 diabetes: The D1 Now Randomised Pilot Study Protocol.

Diabetic Medicine : a Journal of the British Diabetic Association
B CaseySean F Dinneen

Abstract

Young adults (18-25 years old) living with type 1 diabetes mellitus often have sub-optimal glycaemic levels which can increase their risk of long term diabetes complications. Informed by health psychology theory and using a (public and patient involvement) young adult-centred approach, we have developed a complex intervention, entitled D1 Now, to improve outcomes in this target group. The D1 Now intervention includes three components; 1) a support-worker, 2) an interactive messaging system and 3) an agenda setting tool for use during clinic consultations. The aim of the D1 Now pilot study is to gather and analyse acceptability and feasibility data to allow us to (1) refine the D1 Now intervention, and (2) determine the feasibility of a definitive Randomised Control Trial (RCT) of the intervention. Diabetes clinics on the island of Ireland will be recruited and randomised to a D1 Now intervention arm or a usual care control arm. For a participant to be eligible they should be 18-25 years old and living with type 1 diabetes for at least 12 months. Participant outcomes (influenced by a Core Outcome Set) include change in HbA1c, clinic attendance, number of episodes of severe hypoglycaemia and of diabetic ketoacidosis, diabetes dis...Continue Reading

References

Apr 30, 2003·Diabetes Care·Robert M AndersonMary S Oh
Dec 17, 2009·Research in Nursing & Health·Margarete Sandelowski
Oct 21, 2011·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Remo OstiniMaria Donald
Dec 17, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·J A McKnightK M Miller
Oct 21, 2016·Diabetic Medicine : a Journal of the British Diabetic Association·M C O'HaraUNKNOWN Irish Type 1 Diabetes Young Adult Study Group
Feb 3, 2019·Diabetes Research and Clinical Practice·Natalia StanulewiczHolly Blake

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Citations

Sep 10, 2021·Diabetic Medicine : a Journal of the British Diabetic Association

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