dc.contributor.author | Mulligan, Kathleen | |
dc.contributor.author | McBain, Hayley | |
dc.contributor.author | Lamontagne-Godwin, Frederique | |
dc.contributor.author | Chapman, Jacqui | |
dc.contributor.author | Flood, Chris | |
dc.contributor.author | Haddad, Mark | |
dc.contributor.author | Jones, Julia | |
dc.contributor.author | Simpson, Alan | |
dc.date.accessioned | 2018-06-27T17:07:01Z | |
dc.date.available | 2018-06-27T17:07:01Z | |
dc.date.issued | 2018-06-01 | |
dc.identifier.citation | Mulligan , K , McBain , H , Lamontagne-Godwin , F , Chapman , J , Flood , C , Haddad , M , Jones , J & Simpson , A 2018 , ' Barriers to effective diabetes management - a survey of people with severe mental illness ' , BMC Psychiatry , vol. 18 , 165 . https://doi.org/10.1186/s12888-018-1744-5 | |
dc.identifier.issn | 1471-244X | |
dc.identifier.other | ORCID: /0000-0003-3221-7362/work/62751107 | |
dc.identifier.uri | http://hdl.handle.net/2299/20206 | |
dc.description | © 2018 The Authors. Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |
dc.description.abstract | Background: People with severe mental illnesses (SMI) such as schizophrenia and bipolar disorder have an increased risk of developing type 2 diabetes and have poorer health outcomes than those with diabetes alone. To maintain good diabetes control, people with diabetes are advised to engage in several self-management behaviours. The aim of this study was to identify barriers or enablers of diabetes self-management experienced by people with SMI. Methods: Adults with type 2 diabetes and SMI were recruited through UK National Health Service organisations and mental health and diabetes charities. Participants completed an anonymous survey consisting of: Summary of Diabetes Self-Care Activities (SDSCA); CORE-10 measure of psychological distress; a measure of barriers and enablers of diabetes self-management based on the Theoretical Domains Framework; Diabetes UK care survey on receipt of 14 essential aspects of diabetes healthcare. To identify the strongest explanatory variables of SDSCA outcomes, significant variables (p < .05) identified from univariate analyses were entered into multiple regressions. Results: Most of the 77 participants had bipolar disorder (42%) or schizophrenia (36%). They received a mean of 7.6 (SD 3.0) diabetes healthcare essentials. Only 28.6% had developed a diabetes care plan with their health professional and only 40% reported receiving specialist psychological support. Engagement in self-management activities was variable. Participants reported taking medication on 6.1 (SD 2.0) days in the previous week but other behaviours were less frequent: general diet 4.1 (2.3) days; specific diet 3.6 (1.8) days, taking exercise 2.4 (2.1) days and checking feet on 1.7 (1.8) days. Smoking prevalence was 44%. Participants reported finding regular exercise and following a healthy diet particularly difficult. Factors associated with diabetes self-management included: the level of diabetes healthcare and support received; emotional wellbeing; priority given to diabetes; perceived ability to manage diabetes or establish a routine to do so; and perceived consequences of diabetes self-management. Conclusions: Several aspects of diabetes healthcare and self-management are suboptimal in people with SMI. There is a need to improve diabetes self-management support for this population by integrating diabetes action plans into care planning and providing adequate psychological support to help people with SMI manage their diabetes. | en |
dc.format.extent | 1385188 | |
dc.language.iso | eng | |
dc.relation.ispartof | BMC Psychiatry | |
dc.subject | Diabetes | |
dc.subject | Self-management | |
dc.subject | Service users | |
dc.subject | Severe mental illness | |
dc.subject | Theoretical domains framework | |
dc.subject | Psychiatry and Mental health | |
dc.title | Barriers to effective diabetes management - a survey of people with severe mental illness | en |
dc.contributor.institution | Centre for Research in Public Health and Community Care | |
dc.contributor.institution | Patient Experience and Public Involvement | |
dc.contributor.institution | School of Health and Social Work | |
dc.contributor.institution | Centre for Applied Clinical, Health and Care Research (CACHE) | |
dc.description.status | Peer reviewed | |
dc.identifier.url | http://www.scopus.com/inward/record.url?scp=85047983036&partnerID=8YFLogxK | |
rioxxterms.versionofrecord | 10.1186/s12888-018-1744-5 | |
rioxxterms.type | Journal Article/Review | |
herts.preservation.rarelyaccessed | true | |