Johnson, B., Norman, P. orcid.org/0000-0002-5892-0470, Sanders, T. orcid.org/0000-0002-9163-2964 et al. (6 more authors) (2019) Working with insulin, carbohydrates, ketones and exercise to manage diabetes (WICKED) : evaluation of a self‐management course for young people with Type 1 diabetes. Diabetic Medicine, 36 (11). pp. 1460-1467. ISSN 0742-3071
Abstract
Aims
To evaluate a 5‐day self‐management education course for young people with Type 1 diabetes and assess its effects on knowledge, self‐efficacy, beliefs, distress, self‐management behaviours and HbA1c.
Methods
This is an evaluation of a structured education course. Young people (aged 16–24 years) with Type 1 diabetes were recruited from three diabetes centres. In the first centre, participants completed self‐report measures of knowledge, self‐efficacy, positive and negative outcome expectancies, and hypoglycaemic worries at baseline (n=47) and the end of the course (n=42). In two additional centres, participants completed these and other measures assessing self‐management behaviours, cognitive adaptation to diabetes and diabetes distress at baseline (n=32), the end of the course (n=27) and 3‐month follow‐up (n = 27). HbA1c levels were recorded at baseline (n=79), 6 months (n=77) and 12 months (n=65).
Results
There were statistically significant increases in self‐report knowledge, self‐efficacy, positive outcome expectancies and self‐management behaviours, and a statistically significant decrease in negative outcome expectances, between baseline and the end of the course. There were also statistically significant increases in self‐report knowledge, self‐efficacy, self‐management behaviours and cognitive adaptation to diabetes between baseline and 3‐month follow‐up. Compared with baseline, HbA1c levels decreased by a mean (sd) of 5.44 (19.93) mmol/mol (0.48%) at 6 months (P=0.019), and by 5.98 (23.32) mmol/mol (0.54%) at 12 months (P =0.043).
Discussion
The results indicate the potential benefits of a self‐management course designed to address the developmental needs and challenges faced by young people with Type 1 diabetes. Further studies with larger numbers and appropriate controls are required to confirm these initial findings.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 Diabetes UK. This is an author-produced version of a paper subsequently published in Diabetic Medicine. Uploaded in accordance with the publisher's self-archiving policy. |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) The University of Sheffield > Sheffield Teaching Hospitals |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 11 Sep 2019 08:16 |
Last Modified: | 10 Dec 2021 14:38 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/dme.14077 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:150720 |