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Development and evaluation of a psychosocial intervention for children and teenagers experiencing diabetes (DEPICTED): a protocoal for a cluster randomised controlled trial of the effectiveness of a communication skills training programme for healthcare professionals working with young people with type 1 diabetes

McNamara, Rachel, Robling, Michael Richard, Hood, Kerenza, Bennert, Kristina, Channon, Susan Jane, Cohen, David, Crowne, Elizabeth, Hambly, Helen Francesca, Hawthorne, Kamila, Longo, Mirella, Lowes, Lesley Madeline, Playle, Rebecca Anne, Rollnick, Stephen and Gregory, John Welbourn 2010. Development and evaluation of a psychosocial intervention for children and teenagers experiencing diabetes (DEPICTED): a protocoal for a cluster randomised controlled trial of the effectiveness of a communication skills training programme for healthcare professionals working with young people with type 1 diabetes. BMC Health Services Research 10 (36) 10.1186/1472-6963-10-36

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Abstract

Background Diabetes is the third most common chronic condition in childhood and poor glycaemic control leads to serious short-term and life-limiting long-term complications. In addition to optimal medical management, it is widely recognised that psychosocial and educational factors play a key role in improving outcomes for young people with diabetes. Recent systematic reviews of psycho-educational interventions recognise the need for new methods to be developed in consultation with key stakeholders including patients, their families and the multidisciplinary diabetes healthcare team. Methods/design Following a development phase involving key stakeholders, a psychosocial intervention for use by paediatric diabetes staff and not requiring input from trained psychologists has been developed, incorporating a communication skills training programme for health professionals and a shared agenda-setting tool. The effectiveness of the intervention will be evaluated in a cluster-randomised controlled trial (RCT). The primary outcome, to be measured in children aged 4-15 years diagnosed with type 1 diabetes for at least one year, is the effect on glycaemic control (HbA1c) during the year after training of the healthcare team is completed. Secondary outcomes include quality of life for patients and carers and cost-effectiveness. Patient and carer preferences for service delivery will also be assessed. Twenty-six paediatric diabetes teams are participating in the trial, recruiting a total of 700 patients for evaluation of outcome measures. Half the participating teams will be randomised to receive the intervention at the beginning of the trial and remaining centres offered the training package at the end of the one year trial period. Discussion The primary aim of the trial is to determine whether a communication skills training intervention for specialist paediatric diabetes teams will improve clinical and psychological outcomes for young people with type 1 diabetes. Previous research indicates the effectiveness of specialist psychological interventions in achieving sustained improvements in glycaemic control. This trial will evaluate an intervention which does not require the involvement of trained psychologists, maximising the potential feasibility of delivery in a wider NHS context. Trial registration Current Controlled Trials ISRCTN61568050.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Dentistry
Medicine
Healthcare Sciences
Subjects: R Medicine > R Medicine (General)
Additional Information: Study protocol MS:8280439832680257
Publisher: BioMed Central
ISSN: 1472-6963
Date of First Compliant Deposit: 21 August 2018
Last Modified: 03 Sep 2019 03:08
URI: http://orca-mwe.cf.ac.uk/id/eprint/12093

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