MedPath

Improving Diabetes Outcomes for Persons With Severe Mental Illness

Not Applicable
Completed
Conditions
Diabetes
Interventions
Behavioral: Diabetes self-management and education
Registration Number
NCT02053714
Lead Sponsor
University of North Carolina, Chapel Hill
Brief Summary

Persons with severe mental illness are at great risk for developing type 2 diabetes (T2DM). Unfortunately, persons with mental illness and T2DM are less likely to receive recommended diabetes monitoring and are more likely to have poorly controlled diabetes, which leads to microvascular and macrovascular complications later in life. Evidence-based diabetes self-management education and support interventions have yet to be adapted for persons with mental illness and there have been no randomized controlled trials (RCTs) to examine their feasibility and efficacy. The purpose of this study is to assess the feasibility of conducting a RCT of a diabetes self-management intervention for persons with severe mental illness and T2DM.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
18
Inclusion Criteria

Type 2 diabetes plus severe mental illness -

Exclusion Criteria

None

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Self-management and education groupDiabetes self-management and educationSelf-management and education group - 8 weeks of group-based information and activities designed to improve diabetes self-management
Primary Outcome Measures
NameTimeMethod
Changes in knowledge of diabetes self-management from baseline to six months as evidenced by scores on the Stanford Diabetes Self-Management Questionnaire.Baseline, 6 months
Secondary Outcome Measures
NameTimeMethod
Changes in HBA1c values from baseline to six months.Baseline, 6 months
Changes in subscapular skinfold measurement from baseline to 6 months.Baseline, 6 months
Changes in eating self-efficacy from baseline to six months as evidenced by scores on a standardized measure of eating self-efficacy.Baseline, 6 months

Glynn and Ruderman's (1986) eating self-efficacy scale will be used.

Glynn, S.M., \& Ruderman, J. (1986). The development and validation of an eating self-efficacy scale. Cognitive Therapy and Research, 10, 403-420.

Changes in health promoting activities from baseline to six months as evidenced by scores on a standardized measure of health promoting lifestyle activities.Baseline, 6 months
Changes in waist circumference from baseline to six months.Baseline, 6 months
Changes in body mass index from baseline to six months.Baseline, 6 months
Changes in diabetes self-efficacy from baseline to six months as evidenced by scores on the Stanford Diabetes Self-Efficacy Questionnaire.Baseline, 6 months
Changes in healthy lifestyle activities from baseline to six months as evidenced by scores on a standardized measure of adult health behavior.Baseline, 6 months
Changes in triceps circumference from baseline to six months.Baseline, 6 months
Changes in exercise self-efficacy from baseline to six months as evidenced by scores on a standardized measure of exercise self-efficacy.Baseline, 6 months

Bandura's exercise self-efficacy scale will be used. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H. Freeman.

Changes in diastolic and systolic blood pressure from baseline to six months.Baseline, 6 months

Trial Locations

Locations (1)

University of North Carolina at Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

© Copyright 2025. All Rights Reserved by MedPath