A5082544212- Diabetes Management and Education
- Chronic Disease Management Strategies
- Diabetes Management and Research
- Primary Care and Health Outcomes
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diet and metabolism studies
- Clinical practice guidelines implementation
- Down syndrome and intellectual disability research
- Mental Health and Patient Involvement
- Obesity and Health Practices
- Schizophrenia research and treatment
- Diabetes Treatment and Management
- Diabetes and associated disorders
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare innovation and challenges
- Bipolar Disorder and Treatment
- Eating Disorders and Behaviors
- Interpreting and Communication in Healthcare
- Stroke Rehabilitation and Recovery
- Lipoproteins and Cardiovascular Health
- Telemedicine and Telehealth Implementation
- Management and Marketing Education
- Health, psychology, and well-being
- Psychological Testing and Assessment
- Health Promotion and Cardiovascular Prevention
University of Cambridge
2022
Leicester General Hospital
2014-2020
University of Leicester
2008-2019
University Hospitals of Leicester NHS Trust
2009-2019
Kairos (United States)
2018
Department of Medical Sciences
2017
University of Sheffield
2008
The University of Western Australia
2008
Brain Injury Association of America
2001
To evaluate the effectiveness of a structured group education programme on biomedical, psychosocial, and lifestyle measures in people with newly diagnosed type 2 diabetes.Multicentre cluster randomised controlled trial primary care randomisation at practice level.207 general practices 13 sites United Kingdom.824 adults (55% men, mean age 59.5 years).A for six hours delivered community by two trained healthcare professional educators compared usual care.Haemoglobin A(1c) levels, blood...
<b>Objective</b> To measure whether the benefits of a single education and self management structured programme for people with newly diagnosed type 2 diabetes mellitus are sustained at three years. <b>Design</b> Three year follow-up multicentre cluster randomised controlled trial in primary care, randomisation practice level. <b>Setting</b> 207 general practices 13 care sites United Kingdom. <b>Participants</b> 731 824 participants included original were eligible follow-up. Biomedical data...
<b>Objectives</b> To assess the long term clinical and cost effectiveness of diabetes education self management for ongoing newly diagnosed (DESMOND) intervention compared with usual care in people type 2 diabetes. <b>Design</b> We undertook a cost-utility analysis that used data from 12 month, multicentre, cluster randomised controlled trial and, using Sheffield model, modelled outcomes terms use therapies, incidence complications, mortality, associated effect on costs health related...
Background Obesity is a major challenge for people with schizophrenia. Aims We assessed whether STEPWISE, theory-based, group structured lifestyle education programme could support weight reduction in Method In this randomised controlled trial (study registration: ISRCTN19447796), we recruited adults schizophrenia, schizoaffective disorder or first-episode psychosis from ten mental health organisations England. Participants were randomly allocated to the STEPWISE intervention treatment as...
Abstract Aims To determine whether differences in the amount of time educators talk during a self‐management education programme relate to degree change participants’ reported beliefs about diabetes. Method Educators trained be facilitative and non‐didactic their approach were observed delivering DESMOND for individuals newly diagnosed with Type 2 Observers used 10‐s event coding estimate spoke different sessions programme. Facilitative as opposed didactic delivery was indicated by targets...
Background Obesity is twice as common in people with schizophrenia the general population. The National Institute for Health and Care Excellence guidance recommends that psychosis or schizophrenia, especially those taking antipsychotics, be offered a healthy eating physical activity programme by their mental health care provider. There insufficient evidence to inform how these lifestyle services should commissioned. Objectives To develop intervention first episode evaluate its clinical...
Abstract Aims To consider the global provision of self‐management diabetes education and training for healthcare professionals using data from second Diabetes Attitudes, Wishes Needs ( DAWN 2) study. Methods A total 4785 caring people with were surveyed in 17 countries to assess provision, support training. Results Of surveyed, 33.5% received formal postgraduate (19.3–51.4% across countries) 62.9% medical management (47.6–70.6% variation). Training psychological was low (19.1%), ranging 3.6...
This article explores the utility of cluster analysis illness representations, in comparison to analysing each dimension individual's representation, predict an response diagnosis type 2 diabetes. Participants a large multi-centre randomised controlled trial self-management education intervention for people with diabetes, completed measures beliefs (coherence, timeline, impact, seriousness, personal responsibility) and depression along HbA1c body mass index (BMI), at baseline 4, 8 12 months....
Globally, diabetes is increasing with concerns about the impact on outcomes, including premature death and costs associated managing condition. Research indicates that adults intellectual disabilities (ID) are two to three times more likely develop diabetes; however, there has been limited focus service utilisation in this population. The aim of study explore perceptions experiences ID practitioners.A series 1:1 semi-structured interviews were undertaken one Scottish health area. In total,...
Abstract Aim To report on the outcomes of a pilot feasibility study structured self‐management diabetes education programme targeting HbA 1c . Methods We conducted two‐arm, individually randomized, superiority trial for adults with intellectual disability and Type 2 mellitus. A total 66 disabilities across UK met eligibility criteria. Of these, 39 agreed to participate were randomly assigned either DESMOND ‐ ID ( n = 19) or control group 20). The consisted seven weekly educational sessions....
To describe the characteristics of newly diagnosed people with Type 2 diabetes (T2DM) and compare these published studies.Baseline data participants recruited to DESMOND randomized controlled trial conducted in 13 sites across England Scotland were used. Biomedical measures questionnaires on psychological collected within 4 weeks diagnosis.Of 1109 referred, 824 consented participate (74.3%). Mean (+/- sd) age was 59.5 +/- 12 years 54.9% male. HbA(1c) 8.1 2.1% did not differ by gender. body...
Diabet. Med. 27, 965–967 (2010) Abstract Aims To describe the course of depressive symptoms during first year after diagnosis Type 2 diabetes. Methods Post hoc analysis data from a randomized controlled trial self‐management education for 824 individuals newly diagnosed with Participants completed Depression scale Hospital Anxiety and Scale at 4, 8 12 months follow‐up. also Problem Areas in Diabetes We present descriptive statistics on prevalence persistence symptoms. Logistic regression is...
Abstract Aim To determine the stability of beliefs patients with Type 2 diabetes about their over 3 years, following diagnosis. Methods Data were collected as part a multicentre cluster randomized controlled trial 6‐h self‐management programme, across 207 general practices in UK . Participants original eligible for follow‐up biomedical data (HbA 1c levels, blood pressure, weight, lipid levels) at practice, and questionnaire by postal distribution return. Psychological outcome measures...
Abstract Aim To explore the organizational context in which Type 2 diabetes structured group education is provided. Methods Four Clinical Commissioning Groups England providing self‐management participated a qualitative study exploring for provision of that education. Using UK National Diabetes Audit returns, two were selected had non‐attendance rates ≤25%, and ≥50%. Between May 2016 August 2017, 20 interviews conducted with Group staff including: commissioners, healthcare professionals,...
Abstract Aim To develop and test a format of delivery diabetes self‐management education by paired professional lay educators. Methods We conducted an equivalence trial with non‐randomized participant allocation to Diabetes Education Self Management for Ongoing Newly Diagnosed Type 2 ( DESMOND ) course, delivered in the standard two trained healthcare educators (to control group) or one educator intervention group). A total 260 people diagnosed within previous 12 months were referred as part...
Background Prevention of type 2 diabetes mellitus (T2DM) is a global priority; however, there lack evidence investigating how to effectively translate prevention research into primary care setting. Objectives (1) To develop and validate risk score identify individuals at high T2DM in the UK; (2) establish whether or not structured education programme targeting lifestyle behaviour change was clinically effective cost-effective preventing progression people with prediabetes (PDM), identified...
The use of lay people to deliver education programmes for with chronic conditions is a potential method addressing healthcare staff capacity and increasing the cost efficiency delivering education. This qualitative substudy embedded within an equivalence trial (2008-2011 including development stage).In substudy, we aimed elicit views key stakeholders (patients, educators) about using recently diagnosed type 2 diabetes, alongside professional educator equal role. In this way, sought explore...