The effect of guided self-determination on self-management in persons with type 1 diabetes mellitus and HbA_1c ≥64 mmol/mol: a group-based randomised controlled trial.

ABSTRACT:

Objectives

To determine whether the impact of guided self-determination (GSD) applied in group training (GSD-GT) in people with chronically elevated HbA_1c and type 1 diabetes mellitus (DM) was superior to 'care as usual' in improving HbA_1c and psychological functioning.

Setting

An outpatient clinic at a university hospital in Western Norway.

Participants

A total of 178 adults (all Caucasian) aged 18-55 (mean age 36.7±10.7, 62% women) with type 1 DM for at least 1 year and HbA_1c ≥64 mmol/mol (8.0%) were randomly assigned to participate in either GSD-GT or a control group (CG). Exclusion criteria were severe comorbidity, major psychiatric disorder, cognitive deficiency/language barriers and pregnancy.

Intervention

Intervention gro

SUBMITTER: Mohn J 

PROVIDER: S-EPMC5734217 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature