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Educational and psychosocial programmes for adolescents with diabetes: approaches, outcomes and cost-effectiveness

Gage, H, Hampson, S, Skinner, TC, Hart, J, Storey, L, Foxcroft, D, Kimber, A, Cradock, S and McEvilly, EA (2004) Educational and psychosocial programmes for adolescents with diabetes: approaches, outcomes and cost-effectiveness Patient Education and Counseling, 53 (3). pp. 333-346.

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Diabetes incurs heavy personal and health system costs. Self-management is required if complications are to be avoided. Adolescents face particular challenges as they learn to take responsibility for their diabetes. A systematic review of educational and psychosocial programmes for adolescents with diabetes was undertaken. This aimed to: identify and categorise the types of programmes that have been evaluated; assess the cost-effectiveness of interventions; identify areas where further research is required. Sixty-two papers were identified and Subjected to a narrative review. Generic programmes focus on knowledge/skills, psychosocial issues, and behaviour/self-management. They result in modest improvements across a range of outcomes but improvements are often not sustained, suggesting a need for continuous support, possibly integrated into normal care. In-hospital education at diagnosis confers few advantages over home treatment. The greatest returns may be obtained by targeting poorly controlled individuals. Few studies addressed resourcing issues and robust cost-effectiveness appraisals are required to identify interventions that generate the greatest returns on expenditure. (C) 2004 Elsevier Ireland Ltd. All rights reserved.

Item Type: Article
Divisions : Surrey research (other units)
Authors :
Hampson, S
Skinner, TC
Hart, J
Storey, L
Foxcroft, D
Kimber, A
Cradock, S
McEvilly, EA
Date : 2004
Uncontrolled Keywords : educational programmes; adolescents; diabetes; cost-effectiveness metabolic-control; glycemic control; self-management; personal models; anchored instruction; social support; economic-evaluation; group intervention; stress management; patient education
Depositing User : Symplectic Elements
Date Deposited : 16 May 2017 14:48
Last Modified : 24 Jan 2020 13:21

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