Michael van Vugt1, Maartje de Wit2, Suzanne Bader3, Frank J Snoek2. 1. Department of Medical Psychology, VU University Medical Center, Van der Boechorststraat 7, MF D-345, 1081BT Amsterdam, The Netherlands; EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. Electronic address: m.vanvugt@vumc.nl. 2. Department of Medical Psychology, VU University Medical Center, Van der Boechorststraat 7, MF D-345, 1081BT Amsterdam, The Netherlands; EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. 3. Department of Medical Psychology, VU University Medical Center, Van der Boechorststraat 7, MF D-345, 1081BT Amsterdam, The Netherlands; Dietetics, VU University Medical Center, Amsterdam, The Netherlands.
Abstract
AIMS: Diabetes self-management education improves behavioural and clinical outcomes in type 2 diabetes patients, however little is known about the modifying effects of well-being. This is relevant given high prevalence of depression and distress among diabetes patients. We aimed to test whether low well-being modifies the effects of the PRISMA self-management education program (Dutch DESMOND). METHODS: 297 primary care type 2 diabetes patients participated in the PRISMA observational study with a pre-post measurement design. Patients were grouped in low (n=63) and normal well-being (n=234). Low well-being was defined as either low mood (WHO-5<50) and/or high diabetes-distress (PAID-5>8). Outcome measures were: diabetes self-efficacy (CIDS), illness perception (IPQ) and diabetes self-care activities (SDSCA). RESULTS: Improvements were found in illness perception (b=1.586, p<0.001), general diet (b=1.508, p=0.001), foot care (b=0.678, p=0.037), weekly average diet (b=1.140, p=0.001), creating action plan (b=0.405, p=0.007). Well-being interaction effects were found for general diet (p=0.009), weekly average diet (p=0.022), and creating an action plan (p=0.002). CONCLUSIONS: PRISMA self-management education seems as effective for people with normal well-being as for people with low well-being. Further research should examine whether addressing mood and diabetes-distress as part of self-management education could reduce attrition and maintain or improve well-being among participants.
AIMS: Diabetes self-management education improves behavioural and clinical outcomes in type 2 diabetespatients, however little is known about the modifying effects of well-being. This is relevant given high prevalence of depression and distress among diabetespatients. We aimed to test whether low well-being modifies the effects of the PRISMA self-management education program (Dutch DESMOND). METHODS: 297 primary care type 2 diabetespatients participated in the PRISMA observational study with a pre-post measurement design. Patients were grouped in low (n=63) and normal well-being (n=234). Low well-being was defined as either low mood (WHO-5<50) and/or high diabetes-distress (PAID-5>8). Outcome measures were: diabetes self-efficacy (CIDS), illness perception (IPQ) and diabetes self-care activities (SDSCA). RESULTS: Improvements were found in illness perception (b=1.586, p<0.001), general diet (b=1.508, p=0.001), foot care (b=0.678, p=0.037), weekly average diet (b=1.140, p=0.001), creating action plan (b=0.405, p=0.007). Well-being interaction effects were found for general diet (p=0.009), weekly average diet (p=0.022), and creating an action plan (p=0.002). CONCLUSIONS: PRISMA self-management education seems as effective for people with normal well-being as for people with low well-being. Further research should examine whether addressing mood and diabetes-distress as part of self-management education could reduce attrition and maintain or improve well-being among participants.
Authors: Esther du Pon; Nanne Kleefstra; Frits Cleveringa; Ad van Dooren; Eibert R Heerdink; Sandra van Dulmen Journal: J Diabetes Res Date: 2020-01-08 Impact factor: 4.011