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dc.contributor.authorMulligan, Kathleen
dc.contributor.authorMcBain, Hayley
dc.contributor.authorLamontagne-Godwin, Frederique
dc.contributor.authorChapman, Jacqui
dc.contributor.authorFlood, Chris
dc.contributor.authorHaddad, Mark
dc.contributor.authorJones, Julia
dc.contributor.authorSimpson, Alan
dc.date.accessioned2018-06-27T17:07:01Z
dc.date.available2018-06-27T17:07:01Z
dc.date.issued2018-06-01
dc.identifier.citationMulligan , 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.issn1471-244X
dc.identifier.otherPURE: 13840612
dc.identifier.otherPURE UUID: 7193216c-854f-4078-89f1-16802a01ec7f
dc.identifier.otherScopus: 85047983036
dc.identifier.otherORCID: /0000-0003-3221-7362/work/62751107
dc.identifier.urihttp://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.abstractBackground: 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.language.isoeng
dc.relation.ispartofBMC Psychiatry
dc.subjectDiabetes
dc.subjectSelf-management
dc.subjectService users
dc.subjectSevere mental illness
dc.subjectTheoretical domains framework
dc.subjectPsychiatry and Mental health
dc.titleBarriers to effective diabetes management - a survey of people with severe mental illnessen
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionPatient Experience and Public Involvement
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionCentre for Applied Clinical, Health and Care Research (CACHE)
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85047983036&partnerID=8YFLogxK
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1186/s12888-018-1744-5
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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