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 .
Clinical complexity and the effectiveness of an intervention for depressed diabetes patients
Objectives : In a trial completed in 2010 , US patients with diabetes and depression were r and omized to usual care or telephone cognitive behavioural therapy that emphasized physical activity . Twelve-month intervention effects were observed for blood pressure , depression , and pedometer-measured step-counts . This study examined variation in intervention effects across patient subgroups defined by a measure of clinical complexity . Methods : Three groups of patients were identified at baseline using the Vector Model of Complexity that recognizes socioeconomic , biological , behavioural , and other determinants of treatment response . Complexity-by-intervention interactions were examined using regression models . Results : Intervention effects for blood pressure , depression , and step-counts differed across complexity levels ( each p < 0.01 ) . Effects on Beck Depression Inventory scores were greater in the low-complexity group ( −8.8 ) than in the medium- ( −3.2 ) or high-complexity groups ( −2.7 ) . Physical activity effects also were greatest in the low-complexity group ( increase of 1498 steps per day ) . In contrast , systolic blood pressure effects were greater among intervention patients with high complexity ( −8.5 mmHg ) . Conclusions : This intervention had varying impacts on physical and mental health depending on patients ' clinical complexity . Physical activity and depressive symptom gains may be more likely among less complex patients , although more complex patients may achieve cardiovascular benefits through decreased blood pressures
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 .