A pilot feasibility study examining a structured self-management diabetes education program(DESMOND-ID) for adults with intellectual disabilities targeting HbA1c

Laurence Taggart, M Truesdale-Kennedy, M Carey, L Martin-Stacey, L Scott, Brendan Bunting, Vivien Coates, T Karatzias, R Northway, M Clarke

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Aim: To report on the outcomes of a pilot feasibility study of a structured self-management diabetes education programme targeting HbA1c. Methods: A two arm, individually randomized, pilot superiority trial for adults with intellectual disability and Type 2 diabetes mellitus (DM). A total of 66 adults with disabilities across the UK met the eligibility criteria. Of these 39 agreed to participate and were randomly assigned to either the DESMOND-ID programme (N=19) or a control group (N= 20). The programme consisted of 7-weekly educational sessions. Primary outcome was HbA1c, secondary outcomes included BMI, diabetes illness perceptions, severity of diabetes, quality of life, and attendance rates. Results: This study found that the DESMOND-ID programme was feasible to deliver. With reasonable adjustments, the participants could be successfully recruited, consented, completed the outcome measures, be randomized to the groups, attend most of the sessions and have minimal loss to follow-up. Based on the results from a fixed-effects model the interaction between occasion (time) and condition, the result for HbA1c was statistically significant (0.05 level); however, the confidence interval was large. Conclusion: This is the first published study to adapt and pilot a national structured self-management diabetes education programme for this population. This study shows it is possible to identify, recruit, consent and randomize adults with intellectual disabilities to an intervention or control group. Internationally, the results of this pilot are promising: demonstrating that a multi-session education programme is acceptable, feasible to deliver, and that its effectiveness should be tested in an adequately powered trial.
LanguageEnglish
Pages137-146
JournalDiabetic medicine
Volume35
Issue number1
Early online date30 Oct 2017
DOIs
Publication statusE-pub ahead of print - 30 Oct 2017

Fingerprint

Feasibility Studies
Self Care
Intellectual Disability
Education
Social Adjustment
Control Groups
Population Control
Type 2 Diabetes Mellitus
Quality of Life
Outcome Assessment (Health Care)
Confidence Intervals

Keywords

  • intellectual disability
  • diabetes
  • education
  • DESMOND

Cite this

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title = "A pilot feasibility study examining a structured self-management diabetes education program(DESMOND-ID) for adults with intellectual disabilities targeting HbA1c",
abstract = "Aim: To report on the outcomes of a pilot feasibility study of a structured self-management diabetes education programme targeting HbA1c. Methods: A two arm, individually randomized, pilot superiority trial for adults with intellectual disability and Type 2 diabetes mellitus (DM). A total of 66 adults with disabilities across the UK met the eligibility criteria. Of these 39 agreed to participate and were randomly assigned to either the DESMOND-ID programme (N=19) or a control group (N= 20). The programme consisted of 7-weekly educational sessions. Primary outcome was HbA1c, secondary outcomes included BMI, diabetes illness perceptions, severity of diabetes, quality of life, and attendance rates. Results: This study found that the DESMOND-ID programme was feasible to deliver. With reasonable adjustments, the participants could be successfully recruited, consented, completed the outcome measures, be randomized to the groups, attend most of the sessions and have minimal loss to follow-up. Based on the results from a fixed-effects model the interaction between occasion (time) and condition, the result for HbA1c was statistically significant (0.05 level); however, the confidence interval was large. Conclusion: This is the first published study to adapt and pilot a national structured self-management diabetes education programme for this population. This study shows it is possible to identify, recruit, consent and randomize adults with intellectual disabilities to an intervention or control group. Internationally, the results of this pilot are promising: demonstrating that a multi-session education programme is acceptable, feasible to deliver, and that its effectiveness should be tested in an adequately powered trial.",
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A pilot feasibility study examining a structured self-management diabetes education program(DESMOND-ID) for adults with intellectual disabilities targeting HbA1c. / Taggart, Laurence; Truesdale-Kennedy, M; Carey, M; Martin-Stacey, L; Scott, L; Bunting, Brendan; Coates, Vivien; Karatzias, T; Northway, R; Clarke, M.

In: Diabetic medicine, Vol. 35, No. 1, 30.10.2017, p. 137-146.

Research output: Contribution to journalArticle

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T1 - A pilot feasibility study examining a structured self-management diabetes education program(DESMOND-ID) for adults with intellectual disabilities targeting HbA1c

AU - Taggart, Laurence

AU - Truesdale-Kennedy, M

AU - Carey, M

AU - Martin-Stacey, L

AU - Scott, L

AU - Bunting, Brendan

AU - Coates, Vivien

AU - Karatzias, T

AU - Northway, R

AU - Clarke, M

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Y1 - 2017/10/30

N2 - Aim: To report on the outcomes of a pilot feasibility study of a structured self-management diabetes education programme targeting HbA1c. Methods: A two arm, individually randomized, pilot superiority trial for adults with intellectual disability and Type 2 diabetes mellitus (DM). A total of 66 adults with disabilities across the UK met the eligibility criteria. Of these 39 agreed to participate and were randomly assigned to either the DESMOND-ID programme (N=19) or a control group (N= 20). The programme consisted of 7-weekly educational sessions. Primary outcome was HbA1c, secondary outcomes included BMI, diabetes illness perceptions, severity of diabetes, quality of life, and attendance rates. Results: This study found that the DESMOND-ID programme was feasible to deliver. With reasonable adjustments, the participants could be successfully recruited, consented, completed the outcome measures, be randomized to the groups, attend most of the sessions and have minimal loss to follow-up. Based on the results from a fixed-effects model the interaction between occasion (time) and condition, the result for HbA1c was statistically significant (0.05 level); however, the confidence interval was large. Conclusion: This is the first published study to adapt and pilot a national structured self-management diabetes education programme for this population. This study shows it is possible to identify, recruit, consent and randomize adults with intellectual disabilities to an intervention or control group. Internationally, the results of this pilot are promising: demonstrating that a multi-session education programme is acceptable, feasible to deliver, and that its effectiveness should be tested in an adequately powered trial.

AB - Aim: To report on the outcomes of a pilot feasibility study of a structured self-management diabetes education programme targeting HbA1c. Methods: A two arm, individually randomized, pilot superiority trial for adults with intellectual disability and Type 2 diabetes mellitus (DM). A total of 66 adults with disabilities across the UK met the eligibility criteria. Of these 39 agreed to participate and were randomly assigned to either the DESMOND-ID programme (N=19) or a control group (N= 20). The programme consisted of 7-weekly educational sessions. Primary outcome was HbA1c, secondary outcomes included BMI, diabetes illness perceptions, severity of diabetes, quality of life, and attendance rates. Results: This study found that the DESMOND-ID programme was feasible to deliver. With reasonable adjustments, the participants could be successfully recruited, consented, completed the outcome measures, be randomized to the groups, attend most of the sessions and have minimal loss to follow-up. Based on the results from a fixed-effects model the interaction between occasion (time) and condition, the result for HbA1c was statistically significant (0.05 level); however, the confidence interval was large. Conclusion: This is the first published study to adapt and pilot a national structured self-management diabetes education programme for this population. This study shows it is possible to identify, recruit, consent and randomize adults with intellectual disabilities to an intervention or control group. Internationally, the results of this pilot are promising: demonstrating that a multi-session education programme is acceptable, feasible to deliver, and that its effectiveness should be tested in an adequately powered trial.

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JO - Diabetes Medicine

T2 - Diabetes Medicine

JF - Diabetes Medicine

SN - 0742-3071

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