Barriers to effective diabetes management – a survey of people with severe mental illness
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http://data.d4science.org/ctlg/RISIS2OpenData/dedup_wf_001--41cf74271e8d9b32648984b37aabbc76 |
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Identity
Access Modality
Field | Value |
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Access Right | Open Access |
Attribution
Field | Value |
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Author | Mulligan, Kathleen |
Author | McBain, Hayley |
Author | Lamontagne-Godwin, Frederique |
Author | Chapman, Jacqui |
Author | Flood, Chris |
Author | Haddad, Mark |
Author | Jones, Julia |
Author | Simpson, Alan |
Contributor | Centre for Research in Public Health and Community Care |
Contributor | Patient Experience and Public Involvement |
Contributor | School of Health and Social Work |
Publishing
Field | Value |
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Collected From | Datacite; University of Hertfordshire Research Archive |
Hosted By | figshare; University of Hertfordshire Research Archive |
Publication Date | 2018-06-01 |
Publisher | Figshare |
Additional Info
Field | Value |
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Country | United Kingdom |
Description | Background: People with severe mental illnesses (SMI) such as schizophrenia and bipolar disorder have an increased risk of developing type 2 diabetes and have poorer health outcomes than those with diabetes alone. To maintain good diabetes control, people with diabetes are advised to engage in several self-management behaviours. The aim of this study was to identify barriers or enablers of diabetes self-management experienced by people with SMI. Methods: Adults with type 2 diabetes and SMI were recruited through UK National Health Service organisations and mental health and diabetes charities. Participants completed an anonymous survey consisting of: Summary of Diabetes Self-Care Activities (SDSCA); CORE-10 measure of psychological distress; a measure of barriers and enablers of diabetes self-management based on the Theoretical Domains Framework; Diabetes UK care survey on receipt of 14 essential aspects of diabetes healthcare. To identify the strongest explanatory variables of SDSCA outcomes, significant variables (p < .05) identified from univariate analyses were entered into multiple regressions. Results: Most of the 77 participants had bipolar disorder (42%) or schizophrenia (36%). They received a mean of 7.6 (SD 3.0) diabetes healthcare essentials. Only 28.6% had developed a diabetes care plan with their health professional and only 40% reported receiving specialist psychological support. Engagement in self-management activities was variable. Participants reported taking medication on 6.1 (SD 2.0) days in the previous week but other behaviours were less frequent: general diet 4.1 (2.3) days; specific diet 3.6 (1.8) days, taking exercise 2.4 (2.1) days and checking feet on 1.7 (1.8) days. Smoking prevalence was 44%. Participants reported finding regular exercise and following a healthy diet particularly difficult. Factors associated with diabetes self-management included: the level of diabetes healthcare and support received; emotional wellbeing; priority given to diabetes; perceived ability to manage diabetes or establish a routine to do so; and perceived consequences of diabetes self-management. Conclusions: Several aspects of diabetes healthcare and self-management are suboptimal in people with SMI. There is a need to improve diabetes self-management support for this population by integrating diabetes action plans into care planning and providing adequate psychological support to help people with SMI manage their diabetes. |
Description | Peer reviewed |
Language | UNKNOWN |
Resource Type | Collection; UNKNOWN |
system:type | other |
Management Info
Field | Value |
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Source | https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::41cf74271e8d9b32648984b37aabbc76 |
Author | jsonws_user |
Last Updated | 20 December 2020, 03:45 (CET) |
Created | 20 December 2020, 03:45 (CET) |