Psychosocial outcomes in adults with type 1 diabetes following a novel ‘short course’ structured flexible MDI therapy self-management programme

Abstract

Our objectives were to evaluate the psychosocial impact of a novel education programme, comprising an abbreviated curriculum based on the ‘core elements’ of insulin self-management education, with a view to identifying education options for those unable to attend a five-day Dose Adjustment for Normal Eating (DAFNE) programme. The novel programme was developed by DAFNE course facilitators and trialled using participants naive to flexible multiple daily injection (MDI) education. Post-course treatment satisfaction, wellbeing and diabetes distress were compared to baseline. Twenty-one adults attended the programme and 16 participants returned three months post-course. Significant improvements were seen in W-BQ12 total score, PAID score and DTSQ, equivalent to those observed following participation in the five-day programme. It was concluded that short course flexible MDI education is well tolerated by adults with type 1 diabetes, with improvements in treatment satisfaction and psychosocial outcome that are consistent with the five-day DAFNE programme. Further investigation of the longer-term impact on psychosocial and glycaemic outcomes of this novel curriculum is warranted. Copyright © 2017 John Wiley & Sons.L6182896862017-09-20 <br />2017-09-25 <br />