The Impact of an Internet-Based Self-Management Intervention (HeLP-Diabetes) on the Psychological Well-Being of Adults with Type 2 Diabetes: A Mixed-Method Cohort Study.

Megan Hofmann,Charlotte Dack,Elizabeth Murray,Chris Barker

doi:10.1155/2016/1476384

Megan Hofmann, Charlotte Dack + Show 2 more

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https://doi.org/10.1155/2016/1476384

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Abstract

This mixed-method study assessed the impact of an internet-based, self-management intervention (“HeLP-Diabetes”) on the psychological well-being of adults with type 2 diabetes. Nineteen participants were recruited from 3 general practices. Data were collected at baseline and at 6 weeks follow-up. Access to HeLP-Diabetes was associated with a significant decrease in participants' diabetes-related distress (Z = 2.04, p = 0.04, and d = 0.28). No significant differences were found in emotional distress or self-efficacy. The qualitative data found that participants reported improvements including increased self-efficacy and support, better management of low mood, greater diabetes awareness, and taking the condition more seriously. Participants also reported making improvements to their eating habits, exercise routine, and medical management. Some negative experiences associated with using the intervention were mentioned including feelings of guilt for not using the intervention as suggested or not making any behavioral changes, as well as technical and navigational frustrations with the intervention. Internet-based self-management interventions may have the potential to decrease diabetes-related distress in people with type 2 diabetes. The qualitative data also suggests internet interventions can positively impact both psychological and behavioural outcomes of adults with type 2 diabetes.

Highlights

Type 2 diabetes is a complex and challenging condition affecting around 2.5 million people in the UK [1]
The scores on the HADS and DMSES indicated that overall the sample did not have clinical levels of depression or anxiety and they had a reasonable level of self-efficacy regarding their diabetes management
The findings of the current study further highlight the need for health professionals to consider the psychological impact of living with diabetes and to take steps to help their patients address it

Summary

Introduction

Type 2 diabetes is a complex and challenging condition affecting around 2.5 million people in the UK [1]. The risk of developing many of these problems can be reduced if people with type 2 diabetes are given the knowledge and skills to self-manage their condition. This involves making substantial behavioural and lifestyle changes [3]. Poor psychological wellbeing in people with diabetes is associated with suboptimal glycaemic control and increased risk of complications [8, 10] It is associated with lower medication adherence, greater difficulties managing medical care, and lost productivity [11]. These findings highlight the importance of improving psychological wellbeing in people with type 2 diabetes in order to facilitate diabetes self-management [12, 13]

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