title: Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND): process modelling of pilot study.
abstract: OBJECTIVE
  To determine the effects of a structured education program on illness beliefs, quality of life and physical activity in people newly diagnosed with Type 2 diabetes.
  
  
  METHODS
  Individuals attending a diabetes education and self-management for ongoing and newly diagnosed (DESMOND) program in 12 Primary Care Trusts completed questionnaire booklets assessing illness beliefs and quality of life at baseline and 3-month follow-up, metabolic control being assessed through assay of HbA1c.
  
  
  RESULTS
  Two hundred and thirty-six individuals attended the structured self-management education sessions, with 97% and 64% completing baseline and 3-month follow-up questionnaires. At 3 months, individuals were more likely to: understand their diabetes; agree it is a chronic illness; agree it is a serious condition, and that they can affect its course. Individuals achieving a greater reduction in HbA1c over the first 3 months were more likely to agree they could control their diabetes at 3 months (r=0.24; p=0.05), and less likely to agree that diabetes would have a major impact on their day to day life (r=0.35; p=0.006).
  
  
  CONCLUSIONS
  Pilot data indicate the DESMOND program for individuals newly diagnosed with Type 2 diabetes changes key illness beliefs and that these changes predict quality of life and metabolic control at 3-month follow-up.
  
  
  CONCLUSIONS
  Newly diagnosed individuals are open to attending self-management programs and, if the program is theoretically driven, can successfully engage with the true, serious nature of diabetes.
authors.affiliation: School of Psychology & School of Medicine, University of Southampton, Southampton, UK. t.c.skinner@soton.ac.uk
authors.forename: T Chas
authors.initials: TC
authors.lastname: Skinner
authors.forename: Marian E
authors.initials: ME
authors.lastname: Carey
authors.forename: Sue
authors.initials: S
authors.lastname: Cradock
authors.forename: Heather
authors.initials: H
authors.lastname: Daly
authors.forename: Melanie J
authors.initials: MJ
authors.lastname: Davies
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Doherty
authors.forename: Simon
authors.initials: S
authors.lastname: Heller
authors.forename: Kamlesh
authors.initials: K
authors.lastname: Khunti
authors.forename: Lindsay
authors.initials: L
authors.lastname: Oliver
mesh_terms: D000203:Activities of Daily Living; D001294:Attitude to Health; D002755:Choice Behavior; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000378:metabolism / Q000517:prevention & control* / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006302:Health Services Research / Q000458:organization & administration; D006801:Humans; D007258:Informed Consent; D008297:Male; D008875:Middle Aged; D017145:Models, Educational; D017146:Models, Organizational; D008960:Models, Psychological; D010043:Outcome and Process Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration*; D018802:Patient-Centered Care / Q000458:organization & administration; D010865:Pilot Projects; D011209:Power, Psychological; D015397:Program Evaluation; D011788:Quality of Life / Q000523:psychology; D012107:Research Design; D012648:Self Care / Q000379:methods / Q000523:psychology; D012944:Social Support; D011795:Surveys and Questionnaires