Educational and psychosocial programmes for adolescents with diabetes: approaches, outcomes and cost-effectiveness
| Autor: | E. Adele Mcevilly, Sarah E. Hampson, L Storey, Heather Gage, Jo Hart, Sue Cradock, David R. Foxcroft, Alan Kimber, T. Chas Skinner |
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| Rok vydání: | 2004 |
| Předmět: |
Research design
Gerontology Program evaluation Health Knowledge Attitudes Practice Adolescent Cost effectiveness Cost-Benefit Analysis Psychology Adolescent MEDLINE Psychological intervention Patient Education as Topic Outcome Assessment Health Care Humans Medicine Narration Cost–benefit analysis business.industry General Medicine Self Care Self-Help Groups Diabetes Mellitus Type 1 Adolescent Health Services Evaluation Studies as Topic Research Design Needs assessment business Attitude to Health Psychosocial Needs Assessment Program Evaluation Clinical psychology |
| Zdroj: | Patient Education and Counseling. 53:333-346 |
| ISSN: | 0738-3991 |
| DOI: | 10.1016/j.pec.2003.06.003 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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