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

Publikation: Bidrag til tidsskriftReviewForskningfagfællebedømt

  • Heather Gage
  • Sarah Hampson
  • Skinner, Timothy
  • Jo Hart
  • Lesley Storey
  • David Foxcroft
  • Alan Kimber
  • Sue Cradock
  • E. Adele McEvilly

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.

OriginalsprogEngelsk
TidsskriftPatient Education and Counseling
Vol/bind53
Udgave nummer3
Sider (fra-til)333-346
Antal sider14
ISSN0738-3991
DOI
StatusUdgivet - 1 jun. 2004

ID: 189878230