title: Experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients.
abstract: OBJECTIVE
  To describe experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients, in terms of feasibility, predictors and associations of improved glycaemic control.
  
  
  METHODS
  Data were collected on 94 poorly controlled adult type 1 diabetes patients who were randomised to a study evaluating the effects of a behavioural medicine intervention. Statistics covered descriptive and comparison analysis. Backward stepwise regression models were used for predictive and agreement analyses involving socio-demographic and medical factors, as well as measures of diabetes self-efficacy (DES), diabetes locus of control (DLOC), self-care activities (SDSCA), diabetes-related distress (Swe-PAID-20), fear of hypoglycaemia (HFS), well-being (WBQ), depression (HAD) and perceived stress (PSS).
  
  
  RESULTS
  The participation rate in the study was 41% and attrition was 24%. Of those patients actually participating in the behavioural medicine intervention, 13% withdrew. From the regression models no predictors or associations of improvement in HbA(1c) were found.
  
  
  CONCLUSIONS
  The programme proved to be feasible in terms of design and methods. However, no clear pattern was found regarding predictors or associations of improved metabolic control as the response to the intervention. Further research in this area is called for.
authors.affiliation: Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Medicine, House 17, 4th Floor, SE-182 88 Stockholm, Sweden. susanne.amsberg@ki.se
authors.forename: Susanne
authors.initials: S
authors.lastname: Amsberg
authors.forename: Therese
authors.initials: T
authors.lastname: Anderbro
authors.forename: Regina
authors.initials: R
authors.lastname: Wredling
authors.forename: Jan
authors.initials: J
authors.lastname: Lisspers
authors.forename: Per-Eric
authors.initials: PE
authors.lastname: Lins
authors.forename: Ulf
authors.initials: U
authors.lastname: Adamson
authors.forename: Unn-Britt
authors.initials: UB
authors.lastname: Johansson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001524:Behavioral Medicine / Q000379:methods*; D015928:Cognitive Behavioral Therapy; D003922:Diabetes Mellitus, Type 1 / Q000378:metabolism / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D010353:Patient Education as Topic; D012648:Self Care / Q000523:psychology; D016896:Treatment Outcome; D055815:Young Adult