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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.  
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  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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