دورية أكاديمية
Development of a supported self-management intervention for adults with type 2 diabetes and a learning disability
| العنوان: | Development of a supported self-management intervention for adults with type 2 diabetes and a learning disability |
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| المؤلفون: | Allan House, Gary Latchford, Amy M. Russell, Louise Bryant, Judy Wright, Elizabeth Graham, Alison Stansfield, Ramzi Ajjan, On behalf of the OK Diabetes team |
| المصدر: | Pilot and Feasibility Studies, Vol 4, Iss 1, Pp 1-11 (2018) |
| بيانات النشر: | BMC, 2018. |
| سنة النشر: | 2018 |
| المجموعة: | LCC:Medicine (General) |
| مصطلحات موضوعية: | Type 2 diabetes, Supported self-management, Learning disability, Medicine (General), R5-920 |
| الوصف: | Abstract Background Although supported self-management is a well-recognised part of chronic disease management, it has not been routinely used as part of healthcare for adults with a learning disability. We developed an intervention for adults with a mild or moderate learning disability and type 2 diabetes, building on the principles of supported self-management with reasonable adjustments made for the target population. Methods In five steps, we:1.Clarified the principles of supported self-management as reported in the published literature2.Identified the barriers to effective self-management of type 2 diabetes in adults with a learning disability3.Reviewed existing materials that aim to support self-management of diabetes for people with a learning disability4.Synthesised the outputs from the first three phases and identified elements of supported self-management that were (a) most relevant to the needs of our target population and (b) most likely to be acceptable and useful to them5.Implemented and field tested the intervention Results The final intervention had four standardised components: (1) establishing the participant’s daily routines and lifestyle, (2) identifying supporters and their roles, (3) using this information to inform setting realistic goals and providing materials to the patient and supporter to help them be achieved and (4) monitoring progress against goals. Of 41 people randomised in a feasibility RCT, thirty five (85%) completed the intervention sessions, with over three quarters of all participants (78%) attending at least three sessions. Twenty-three out of 40 (58%) participants were deemed to be very engaged with the sessions and 12/40 (30%) with the materials; 30 (73%) participants had another person present with them during at least one of their sessions; 15/41 (37%) were reported to have a very engaged main supporter, and 18/41 (44%) had a different person who was not their main supporter but who was engaged in the intervention implementation. Conclusions The intervention was feasible to deliver and, as judged by participation and engagement, acceptable to participants and those who supported them. Trial registration Current Controlled Trials ISRCTN41897033 (registered 21/01/2013) |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2055-5784 88087050 |
| Relation: | http://link.springer.com/article/10.1186/s40814-018-0291-7; https://doaj.org/toc/2055-5784 |
| DOI: | 10.1186/s40814-018-0291-7 |
| URL الوصول: | https://doaj.org/article/a2c8808705004d5491d39b374cd92b8d |
| رقم الأكسشن: | edsdoj.2c8808705004d5491d39b374cd92b8d |
| قاعدة البيانات: | Directory of Open Access Journals |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 20555784 88087050 |
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| DOI: | 10.1186/s40814-018-0291-7 |