In 2015 is de patiƫntdata van het implementatie-onderzoek extra geanalyseerd, waarbij is gekeken naar stemming in relatie tot PRISMA.

Samenvatting van het onderzoek:

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).

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).

Improvements were found in illness perception (b=1.586, p<.001), general diet (b=1.508, p=.001), foot care (b=.678, p=.037), weekly average diet (b=1.140, p=.001), creating action plan (b=.405, p=.007). Well-being interaction effects were found for general diet (p=.009), weekly average diet (p=.022), and creating an action plan (p=.002).

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.


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