Pilot feasibility study examining a structured self-management diabetes education programme, DESMOND-ID, targeting HbA1c in adults with intellectual disabilities.

Diabetic Medicine : a Journal of the British Diabetic Association
Laurence TaggartJ M Clarke

Abstract

To report on the outcomes of a pilot feasibility study of a structured self-management diabetes education programme targeting HbA1c . We conducted a two-arm, individually randomized, pilot superiority trial for adults with intellectual disability and Type 2 diabetes mellitus. A total of 66 adults with disabilities across the UK met the eligibility criteria. Of these, 39 agreed to participate and were randomly assigned to either the DESMOND-ID programme (n = 19) or a control group (n = 20). The programme consisted of seven weekly educational sessions. The primary outcome was HbA1c level, and secondary outcomes included BMI, diabetes illness perceptions, severity of diabetes, quality of life, and attendance rates. This study found that the DESMOND-ID programme was feasible to deliver. With reasonable adjustments, the participants could be recruited successfully, and could provide consent, complete the outcome measures, be randomized to the groups and attend most of the sessions, with minimal loss to follow-up. The fixed-effects model, the interaction between occasion (time) and condition, showed statistically significant results (0.05 level) for HbA1c ; however, the CI was large. This is the first published study to adapt and pil...Continue Reading

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Citations

Aug 30, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·J Mc SharryM Byrne
Aug 9, 2019·Computers, Informatics, Nursing : CIN·Roqaieh JanatkhahEhsan Kazemnejad
Apr 30, 2020·Journal of Applied Research in Intellectual Disabilities : JARID·Rebecca OwensElizabeth Tilley
Dec 12, 2020·Diabetic Medicine : a Journal of the British Diabetic Association·Mohsen AlyamiElizabeth Broadbent
Jan 20, 2021·Trials·Bettina PetersenLutz Heinemann

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