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Author (up) Skinner, T.C.; Carey, M.E.; Cradock, S.; Daly, H.; Davies, M.J.; Doherty, Y.; Heller, S.; Khunti, K.; Oliver, L. url  openurl
  Title Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND): process modelling of pilot study Type Journal Article
  Year 2006 Publication Patient Educ Couns Abbreviated Journal  
  Volume 64 Issue 1-3 Pages 369-377  
  Keywords Activities of Daily Living; Attitude to Health; Choice Behavior; Diabetes Mellitus, Type 2; Female; Follow-Up Studies; Health Behavior; Health Knowledge, Attitudes, Practice; Health Services Needs and Demand; Health Services Research; Humans; Informed Consent; Male; Middle Aged; Models, Educational; Models, Organizational; Models, Psychological; Outcome and Process Assessment (Health Care); Patient Education as Topic; Patient-Centered Care; Pilot Projects; Power (Psychology); Program Evaluation; Quality of Life; Questionnaires; Research Design; Self Care; Social Support  
  Abstract OBJECTIVE: To determine the effects of a structured education program on illness beliefs, quality of life and physical activity in people newly diagnosed with Type 2 diabetes. METHODS: Individuals attending a diabetes education and self-management for ongoing and newly diagnosed (DESMOND) program in 12 Primary Care Trusts completed questionnaire booklets assessing illness beliefs and quality of life at baseline and 3-month follow-up, metabolic control being assessed through assay of HbA1c. RESULTS: Two hundred and thirty-six individuals attended the structured self-management education sessions, with 97% and 64% completing baseline and 3-month follow-up questionnaires. At 3 months, individuals were more likely to: understand their diabetes; agree it is a chronic illness; agree it is a serious condition, and that they can affect its course. Individuals achieving a greater reduction in HbA1c over the first 3 months were more likely to agree they could control their diabetes at 3 months (r=0.24; p=0.05), and less likely to agree that diabetes would have a major impact on their day to day life (r=0.35; p=0.006). CONCLUSION: Pilot data indicate the DESMOND program for individuals newly diagnosed with Type 2 diabetes changes key illness beliefs and that these changes predict quality of life and metabolic control at 3-month follow-up. PRACTICE IMPLICATIONS: Newly diagnosed individuals are open to attending self-management programs and, if the program is theoretically driven, can successfully engage with the true, serious nature of diabetes.  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0738-3991 ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number refbase @ user @ Skinner2006 Serial 2212  
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