Research ers noted small improvements in body mass index immediately after the intervention was provided and at six months , along with improved weight post intervention .
Diabetes knowledge and self efficacy improved immediately following receipt of the intervention , and knowledge also at six months .
The intervention did not improve blood pressure .
Evidence is insufficient to show whether type 2 diabetes self management interventions for people with severe mental illness are effective in improving outcomes .
BACKGROUND People with severe mental illness are twice as likely to develop type 2 diabetes as those without severe mental illness .
Treatment guidelines for type 2 diabetes recommend that structured education should be integrated into routine care and should be offered to all .
However , for people with severe mental illness , physical health may be a low priority , and motivation to change may be limited .
These additional challenges mean that the findings reported in previous systematic review s of diabetes self management interventions may not be generalised to those with severe mental illness , and that tailored approaches to effective diabetes education may be required for this population .
OBJECTIVES To assess the effects of diabetes self management interventions specifically tailored for people with type 2 diabetes and severe mental illness .
Development and reach of a web-based cognitive behavioural therapy programme to reduce symptoms of depression and diabetes-specific distress.
OBJECTIVES There is an urgent need for more effective and efficient depression treatments in diabetes . We developed a diabetes-specific version of the Dutch web-based ' Coping with Depression ' ( CWD ) course . Here , we report on the development , reach , patients ' reasons for choosing our intervention and their characteristics . METHODS The CWD programme was amended for use in diabetes patients with co-morbid depression . Data were collected using a telephone interview , self-report question naires , and medical records . RESULTS Adding diabetes-specific topics to an effective web-based depression programme result ed in an 8-lesson intervention ( " www.diabetergestemd.nl " ) , with minimal guidance by coaches . In the framework of a r and omised trial , the intervention attracted serious interest of 540 patients . After screening , 255 depressed diabetes patients were enrolled . Less than half had a history of depression treatment ; 80 % reported the diabetes-specific approach to be an important reason for signing up . CONCLUSION We successfully developed a diabetes-specific version of the web-based CWD course , which attracted a large group of patients . Our results affirm the importance of addressing diabetes-specific issues in the context of depression treatment . PRACTICE IMPLICATION S Our intervention could be implemented on a large scale at low costs , and may serve as a model on how to develop other illness-specific online self-help interventions
Research ers noted small improvements in body mass index immediately after the intervention was provided and at six months , along with improved weight post intervention .
Diabetes knowledge and self efficacy improved immediately following receipt of the intervention , and knowledge also at six months .
The intervention did not improve blood pressure .
Evidence is insufficient to show whether type 2 diabetes self management interventions for people with severe mental illness are effective in improving outcomes .
BACKGROUND People with severe mental illness are twice as likely to develop type 2 diabetes as those without severe mental illness .
Treatment guidelines for type 2 diabetes recommend that structured education should be integrated into routine care and should be offered to all .
However , for people with severe mental illness , physical health may be a low priority , and motivation to change may be limited .
These additional challenges mean that the findings reported in previous systematic review s of diabetes self management interventions may not be generalised to those with severe mental illness , and that tailored approaches to effective diabetes education may be required for this population .
OBJECTIVES To assess the effects of diabetes self management interventions specifically tailored for people with type 2 diabetes and severe mental illness .