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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
18
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, United States
Changes in knowledge of diabetes self-management from baseline to six months as evidenced by scores on the Stanford Diabetes Self-Management Questionnaire.
Time frame: Baseline, 6 months
Changes in HBA1c values from baseline to six months.
Time frame: Baseline, 6 months
Changes in diabetes self-efficacy from baseline to six months as evidenced by scores on the Stanford Diabetes Self-Efficacy Questionnaire.
Time frame: 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.
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.
Time frame: 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.
Bandura's exercise self-efficacy scale will be used. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H. Freeman.
Time frame: 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.
Time frame: Baseline, 6 months
Changes in health promoting activities from baseline to six months as evidenced by scores on a standardized measure of health promoting lifestyle activities.
Time frame: Baseline, 6 months
Changes in waist circumference from baseline to six months.
Time frame: Baseline, 6 months
Changes in triceps circumference from baseline to six months.
Time frame: Baseline, 6 months
Changes in subscapular skinfold measurement from baseline to 6 months.
Time frame: Baseline, 6 months
Changes in body mass index from baseline to six months.
Time frame: Baseline, 6 months
Changes in diastolic and systolic blood pressure from baseline to six months.
Time frame: Baseline, 6 months
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