Clinical effectiveness of a brief educational intervention in Type 1 diabetes: results from the BITES (Brief Intervention in Type 1 diabetes, Education for Self-efficacy) trial
| العنوان: | Clinical effectiveness of a brief educational intervention in Type 1 diabetes: results from the BITES (Brief Intervention in Type 1 diabetes, Education for Self-efficacy) trial |
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| المؤلفون: | J. T. George, J. C. Thow, P. Dromgoole, Ian Russell, David J. Torgerson, T. Wells, Abel Peña Valdovinos, S. Lomax |
| المصدر: | George, J T, Valdovinos, A P, Russell, I, Dromgoole, P, Lomax, S, Torgerson, D J, Wells, T & Thow, J C 2008, ' Clinical effectiveness of a brief educational intervention in Type 1 diabetes : results from the BITES (Brief Intervention in Type 1 diabetes, Education for Self-efficacy) trial ', Diabetic Medicine, vol. 25, no. 12, pp. 1447-53 . https://doi.org/10.1111/j.1464-5491.2008.02607.xTest Diabetic Medicine |
| بيانات النشر: | Wiley, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Endocrinology, Diabetes and Metabolism, diabetes treatment satisfaction, law.invention, Endocrinology, Patient Education as Topic, Randomized controlled trial, law, Diabetes mellitus, Internal Medicine, medicine, Humans, Glycated Hemoglobin, Type 1 diabetes, business.industry, Incidence (epidemiology), Original Articles, Middle Aged, medicine.disease, Obesity, Hypoglycemia, Confidence interval, Surgery, Clinical trial, glycaemic control, Diabetes Mellitus, Type 1, Treatment Outcome, educational intervention, Physical therapy, Female, Brief intervention, business, self-efficacy, Risk Reduction Behavior, Education and Psychological Care |
| الوصف: | Aims Intensive 5-day educational interventions for people with Type 1 diabetes have shown improved outcomes in a number of European studies. The aim was to assess the effectiveness of a brief (2.5 days) psycho-educational intervention.Methods Our randomized trial in a secondary-care setting had 54 and 60 participants allocated to intervention and control groups, respectively. Primary outcomes were HbA1c and severe hypoglycaemia. Secondary outcomes were blood pressure, weight, height, lipids and psychometric profile.Results HbA1c showed no statistically significant change at 3 months [difference = 0.01, 95% confidence interval (CI) –0.23, 0.26, P = 0.92], 6 months (difference = –0.06, 95% CI –0.32, 0.20, P = 0.67) and 12 months (difference = 0.01, 95% CI –0.30, 0.32, P = 0.94). Incidence of severe hypoglycaemia (per patient per year) in the intervention group (0.41) and control group (0.48) was not statistically different. Treatment satisfaction improved at 3 months (difference = 9.4, 95% CI 5.2, 13.6, P = 0.0005), 6 months (difference = 10.4, 95% CI 6.0, 14.8, P = 0.0005) and 12 months (difference = 7.1, 95% CI 2.1, 12.1, P = 0.006). The ‘Managing psychological aspects’ and ‘Setting and achieving goals’ dimensions of the Diabetes Empowerment Scale also showed significant improvement at 3, 6 and 12 months. Diabetes Knowledge Test, Illness Perception Questionnaire, Hypoglycaemia Fear Scale and Short Form 36 showed no significant change.Conclusions This brief intervention had no significant impact on HbA1c or severe hypoglycaemia, but improved diabetes treatment satisfaction and patient empowerment. Current Controlled Trials ISRCTN75807800. |
| وصف الملف: | application/pdf |
| تدمد: | 1464-5491 0742-3071 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b19f1d8e2b086c651e3a5aab32609a5dTest https://doi.org/10.1111/j.1464-5491.2008.02607.xTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b19f1d8e2b086c651e3a5aab32609a5d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14645491 07423071 |
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