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Title: Addressing the educational and psychosocial issues in type 1 diabetes
Author: Naik, Sarita
Awarding Body: University of Southampton
Current Institution: University of Southampton
Date of Award: 2010
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People with type 1 diabetes require good self-management skills in order to achieve good levels of diabetes control. Self-management skills can be onerous and can cause significant disruption to people's lives. Improving knowledge through structured education programmes can help to improve self-management skills. However psychosocial barriers can prevent some patients developing the necessary skills. The aim of this work was to use qualitative and quantitative analysis to identify some of these barriers so that more appropriate diabetes services can be developed. Focus groups were held to assess patients' views on clinic visits. The results suggested that the time at diagnosis was the most difficult and required better support and so the 'Living with Diabetes' programme was developed to improve support for individuals with newly-diagnosed type 1 diabetes. The programme resulted in significant improvements in glycaemic control and qualitative analysis suggested that patients felt in control of their diabetes and had developed good problem-solving abilities. Analysis of the Bournemouth Intensive Education programme demonstrated that this programme can help individuals to improve their HbA1c by 0.5% and maintain this improvement over four years. Further work with individuals who did not improve their glycaemic control with intensive education suggested that 'readiness to change' was an important factor which needs more assessment. Finally a brief motivational interviewing programme was designed for these individuals. Glycaemic control did not improve after the programme but qualitative analysis suggested some of these patients lacked confidence and had poor coping skills which may have stemmed from poor care at diagnosis. The 'Living with Diabetes' programme may help to prevent some of these difficulties and further analysis of this programme is needed to assess the long term benefits.
Supervisor: Holt, Richard Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: L Education (General) ; RA0421 Public health. Hygiene. Preventive Medicine ; RC Internal medicine