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Psychosocial outcomes in adults with type 1 diabetes following a novel ‘short course’ structured flexible MDI therapy self‐management programme
Author(s) -
Knight Brigid A,
Hickman Ingrid J,
Gibbons Kristen,
Taylor Janet,
McIntyre Harold D
Publication year - 2017
Publication title -
practical diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.205
H-Index - 24
eISSN - 2047-2900
pISSN - 2047-2897
DOI - 10.1002/pdi.2126
Subject(s) - psychosocial , medicine , distress , curriculum , physical therapy , diabetes mellitus , psychosocial support , gerontology , family medicine , clinical psychology , psychiatry , psychology , pedagogy , endocrinology
Our objectives were to evaluate the psychosocial impact of a novel education programme, comprising an abbreviated curriculum based on the ‘core elements’ of insulin self‐management education, with a view to identifying education options for those unable to attend a five‐day Dose Adjustment for Normal Eating (DAFNE) programme. The novel programme was developed by DAFNE course facilitators and trialled using participants naive to flexible multiple daily injection (MDI) education. Post‐course treatment satisfaction, wellbeing and diabetes distress were compared to baseline. Twenty‐one adults attended the programme and 16 participants returned three months post‐course. Significant improvements were seen in W‐BQ12 total score, PAID score and DTSQ, equivalent to those observed following participation in the five‐day programme. It was concluded that short course flexible MDI education is well tolerated by adults with type 1 diabetes, with improvements in treatment satisfaction and psychosocial outcome that are consistent with the five‐day DAFNE programme. Further investigation of the longer‐term impact on psychosocial and glycaemic outcomes of this novel curriculum is warranted. Copyright © 2017 John Wiley & Sons.