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 .
Is a Severe Clinical Profile an Effect Modifier in a Web-Based Depression Treatment for Adults With Type 1 or Type 2 Diabetes? Secondary Analyses From a Randomized Controlled Trial
Background Depression and diabetes are two highly prevalent and co-occurring health problems . Web-based , diabetes-specific cognitive behavioral therapy ( CBT ) depression treatment is effective in diabetes patients , and has the potential to be cost effective and to have large reach . A remaining question is whether the effectiveness differs between patients with seriously impaired mental health and patients with less severe mental health problems . Objective To test whether the effectiveness of an eight-lesson Web-based , diabetes-specific CBT for depression , with minimal therapist support , differs in patients with or without diagnosed major depressive disorder ( MDD ) , diagnosed anxiety disorder , or elevated diabetes-specific emotional distress ( DM-distress ) . Methods We used data of 255 patients with diabetes with elevated depression scores , who were recruited via an open access website for participation in a r and omized controlled trial , conducted in 2008–2009 , comparing a diabetes-specific , Web-based , therapist-supported CBT with a 12-week waiting-list control group . We performed secondary analyses on these data to study whether MDD or anxiety disorder ( measured using a telephone-administered diagnostic interview ) and elevated DM-distress ( online self-reported ) are effect modifiers in the treatment of depressive symptoms ( online self-reported ) with Web-based diabetes-specific CBT . Results MDD , anxiety disorder , and elevated DM-distress were not significant effect modifiers in the treatment of self-assessed depressive symptoms with Web-based diabetes-specific CBT . Conclusions This Web-based diabetes-specific CBT depression treatment is suitable for use in patients with severe mental health problems and those with a less severe clinical profile . Clinical Trial International St and ard R and omized Controlled Trial Number ( IS RCT N ) : 24874457 ; http://www.controlled-trials.com/IS RCT N24874457 ( Archived by WebCite at http://www.webcitation.org/63hwdviYr
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 .