Carswell, C. orcid.org/0000-0003-3781-3286, Taylor, J. orcid.org/0000-0001-5898-0900, Holt, R.I.G. orcid.org/0000-0001-8911-6744 et al. (8 more authors) (2024) A core outcome set for trials evaluating self‐management interventions in people with severe mental illness and coexisting type 2 diabetes. Diabetic Medicine. ISSN 0742-3071
Abstract
Background People with severe mental illness (SMI), such as schizophrenia, have higher rates of type 2 diabetes and worse outcomes, compared to those without SMI and it is not known whether diabetes self-management interventions are effective for people who have both conditions. Research in this area has been impeded by a lack of consensus on which outcomes to prioritise in people with co-existing SMI and diabetes.
Aims To develop a core outcome set (COS) for use in effectiveness trials of diabetes self-management interventions in adults with both type 2 diabetes and SMI.
Methods The COS was developed in three stages: (i) identification of outcomes from systematic literature review of intervention studies, followed by multi-stakeholder and service user workshops; (ii) rating of outcomes in a two-round online Delphi survey; (iii) agreement of final ‘core’ outcomes through a stakeholder consensus workshop.
Results Seven outcomes were selected: glucose control, blood pressure, body composition (body weight, BMI, body fat), health-related quality of life, diabetes self-management, diabetes-related distress and medication adherence.
Conclusions This COS is recommended for future trials of effectiveness of diabetes self-management interventions for people with SMI and type 2 diabetes. Its use will ensure trials capture important outcomes and reduce heterogeneity so findings can be readily synthesised to inform practice and policy.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2024 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | core outcome set; self-management; severe mental illness; type 2 diabetes |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Health Economics (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM) > Clinical & Population Science Dept (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 25 Jan 2024 16:07 |
Last Modified: | 25 Jan 2024 16:07 |
Published Version: | http://dx.doi.org/10.1111/dme.15288 |
Status: | Published online |
Publisher: | Wiley |
Identification Number: | 10.1111/dme.15288 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:208246 |