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Piloting a structured education programme for the self-management of Type 2 diabetes for adults with intellectual disabilities: study protocol for a pilot randomised controlled trial

Taggart, Laurence, Coates, Vivien, Clarke, Mike, Truesdale-Kennedy, Maria and Bunting, Brendan (2015) Piloting a structured education programme for the self-management of Type 2 diabetes for adults with intellectual disabilities: study protocol for a pilot randomised controlled trial. Trials, 16 (148). pp. 1-8. [Journal article]

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URL: http://www.trialsjournal.com/content/16/1/148/abstract

DOI: 10.1186/s13063-015-0644-y

Abstract

Background: The need for structured education programmes for type 2 diabetes is a high priority for many governments around the world. One such national education programme in the United Kingdom is the DESMOND Programme, which has been shown to be robust and effective for patients in general. However, these programmes are not generally targeted to people with intellectual disabilities (ID), and robust evidence on their effects for this population is lacking. We have adapted the DESMOND Programme for people with ID and type 2 diabetes to produce an amended programme known as DESMOND-ID. This protocol is for a pilot trial to determine whether a large-scale randomised trial is feasible, to test if DESMOND-ID is more effective than usual care in adults with ID for self-management of their type 2 diabetes, in particular as a means to reduce glycated haemoglobin (Hb1Ac), improve psychological wellbeing and quality of life and promote a healthier lifestyle. This protocol describes the rationale, methods, proposed analysis plan and organisational and administrative details.Methods/Design: This trial is a two arm, individually randomised, pilot trial for adults with ID and type 2 diabetes, and their family and/or paid carers. It compares the DESMOND-ID programme with usual care. Approximately 36 adults with mild to moderate ID will be recruited from three countries in the United Kingdom. Family and/or paid carers may also participate in the study. Participants will be randomly assigned to one of two conditions using a secure computerisedsystem with robust allocation concealment. A range of data will be collected from the adults with ID (biomedical, psychosocial and self-management strategies) and from their carers. Focus groups with all the participants will assess the acceptability of the intervention and the trial.Discussion: The lack of appropriate structured education programmes and educational materials for this population leads to secondary health conditions and may lead to premature deaths. There are significant benefits to be gained globally, if structured education programmes are adapted and shown to be successful for people with ID and other cognitive impairments.

Item Type:Journal article
Keywords:Intellectual disabilities, tye 2 diabetes, structured edcuation, protocols
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Institute of Nursing and Health Research
Psychology Research Institute
Institute of Nursing and Health Research > Centre for Intellectual and Developmental Disabilities
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
Psychology Research Institute > Population Health Sciences and Mental Health Services
ID Code:31474
Deposited By: Dr Laurence Taggart
Deposited On:08 Mar 2016 14:46
Last Modified:23 Nov 2016 14:42

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