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Title: Online support for psychological wellbeing in adults with type 2 diabetes mellitus
Author: McKenzie, Claire Sheila
ISNI:       0000 0004 5918 1459
Awarding Body: University of Bristol
Current Institution: University of Bristol
Date of Award: 2015
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Introduction People with Type 2 diabetes mellitus are at an increased risk of developing depressive symptoms compared with those without the condition. Diabetes-related distress is commonly experienced and associated with the perceived burdens of self-management and fear of future complications. Psychological difficulties in Type 2 diabetes often go unrecognised by both patients and practitioners. This project used a mixed methods approach to explore the psychological needs of adults with Type 2 diabetes and involved them in the design and feasibility testing of a support web site to promote psychological wellbeing. Methods Phases 1 and 2 of the project consisted of ten patient interviews using an Interpretative Phenomenological Analysis (IPA) approach, three focus groups and a Design Workshop. Patient collaboration using Participatory Design methods was integral to the development of the intervention website. Phase 3 was a randomised controlled feasibility study assessing study procedures, process measures and the appropriateness of outcome measures. Results A complex relationship emerged between participants' objective physical body and how they subjectively experienced it. Mood regulation was often unconsciously prioritised over diabetes management or diabetes-management over mood regulation. Peer-to-peer communication and the anonymity of an Internet platform were felt to be important, particularly by men in the sample. Consent to participate was low in the feasibility study. Half of the intervention arm attempted registration for the website. Registration was found to be too long. All who registered used the website at least once. The main reason given for not registering was that psychological effects of diabetes were not being experienced. Follow-up data was provided by 76% of participants. Conclusion There were substantial barriers to use of an Internet-based intervention for psychological health in the sample. Amendments are required to aspects of the intervention and study design before it can translate to a larger trial.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available