University Of Tasmania

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Diabetes education and self-management for ongoing and newly diagnosed (DESMOND): Process modelling of pilot study

journal contribution
posted on 2023-05-17, 09:09 authored by Skinner, TC, Carey, ME, Cradock, S, Daly, H, Davies, MJ, Doherty, Y, Heller, S, Khunti, K, Oliver, L

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).

Conclusion: 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. Practice implications: 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.


Publication title

Patient Education and Counseling: An Interdisciplinary Journal for Patient Education Researchers and Managers










Tasmanian School of Medicine


Elsevier Sci Ireland Ltd

Place of publication

Customer Relations Manager, Bay 15, Shannon Industrial Estate Co, Clare, Ireland

Rights statement

The definitive version is available at

Repository Status

  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified