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 .
Psychoeducation versus treatment as usual in diabetic patients with subthreshold depression: preliminary results of a randomized controlled trial
Background Research on the effects of treating sub-threshold depression in persons with diabetes is scarce in spite of the findings indicating that this condition is highly prevalent in the diabetic population and may increase the risk of developing a subsequent major depression . This study was aim ed at exploring the effects of a psycho-educational intervention on depression- and diabetes-related outcomes in patients with mild to moderate depressive symptoms . Methods A r and omized controlled study design with a one-year follow-up was used . Fifty patients with mild to moderate depressive symptoms ( 74 % female , aged 57 ± 9 yrs , diabetes duration of 10 ± 8 yrs , BMI 31 ± 6 kg/m2 , HbA1C 7.7 % ± 1.4 , 53 % insulin treated ) were r and omly assigned to either an intervention or a control group . The intervention group underwent four psycho-educational sessions aim ed at enabling self-management of depressive symptoms . The control group was informed about the screening results and depression treatment options while continuing diabetes treatment as usual . Both groups were contacted by phone in 2–3-month intervals , and re-assessed for depression after 6 and 12 months . Changes in depressive symptoms and glycaemic control were considered primary outcomes . Mann-Whitney U test and Friedman ANOVA were used to compare between- and within-group indicators at 6- and 12-month follow-ups . Results Both the intervention and the control group reported a significant decrease in depressive symptoms as measured by the CES-D scale ( Friedman ANOVA χ2 = 10.8 p = .004 and χ2 = 7.3 p = 0.03 , respectively ) . The 6-month and 1-year indicators of glycaemic control as compared to baseline HbA1C values were also improved in both groups ( χ2 = 11.6 p = 0.003 and χ2 = 17.1 p = 0.0002 , respectively ) . Between-group differences in depressive symptoms and HbA1C values were not statistically significant either at 6- or at 12-month follow-up ( all p > 0.05 ) . Conclusion Psycho-educational treatment appears to be beneficial in diabetic patients with mild to moderate depressive symptoms  , but its effects are comparable with the non-specific support given to the subjects in the control group . Trial registration Current Controlled Trials IS RCT
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 .