Living with Diabetes: an educational model of care for new onset diabetes

Abstract

The first year following diagnosis is a critical time for those newly diagnosed with type 1 diabetes and is likely to influence long‐term glycaemic control.This paper describes a group education programme, Living with Diabetes (LwD), and reports the outcome data at one year and three years after diagnosis. HbA1c was compared with outcomes from the cohort diagnosed during the four years prior to the inception of LwD.We have demonstrated that, in terms of HbA1c, the programme achieved outcomes similar to the traditional model with similar staff resources. The LwD pathway required an additional 2.9 hours per patient but HbA1c values were consistently lower in those who attended all sessions.The data suggest the need for more concerted attention to engage patients in an ongoing care pathway during the early years following diagnosis. An evaluation of the programme suggested that patients valued the relaxed non‐hierarchical nature of the group and the opportunity to share with and ask questions of their peers. Copyright © 2013 John Wiley & Sons.

Psychosocial aspects and perspectives of adult‐onset type 1 diabetes: A systematic scoping review

“…Two intervention studies measured participants' confidence in managing their diabetes with nonvalidated questionnaires developed for these specific studies 37,38 . One study used PAID to access diabetes distress 46 . Apart from the two studies by Spiess et al that measured the same outcomes (life events, coping, anxiety, attributional beliefs and denial), 41,42 none of the outcome measures were used in more than one study.…”

“…In the ‘Living with diabetes programme’, 46 the title of one out of four sessions was ‘Psychosocial issues and diabetes’. The programme's theoretical underpinning was based on social learning theory and cognitive reframing methods.…”

“…None of the studies incorporated the same validated measures, except for the two studies by Spiess et al 41,42 Two of the educational programmes 37,38 did not use any validated outcome measure but developed evaluation measure for the study, which was only administered after the intervention in the STEPS programme 38 . While the ‘Living with diabetes’ programme used validated measures, that is, PAID and HADS, their response rate was very low at follow‐up 46 . These findings suggest there is a need to explore what outcome measures are relevant and able to capture the issues experienced by adults with new‐onset T1D in the early years of living with the condition.…”

“…38 While the 'Living with diabetes' programme used validated measures, that is, PAID and HADS, their response rate was very low at follow-up. 46 These findings suggest there is a need to explore what outcome measures are relevant and able to capture the issues experienced by adults with newonset T1D in the early years of living with the condition.…”

“…37,38 One study used PAID to access diabetes distress. 46 Apart from the two studies by Spiess et al that measured the same outcomes (life events, coping, anxiety, attributional beliefs and denial), 41,42 none of the outcome measures were used in more than one study.…”