Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdf

<p>Diabetes self-management is critical for improving health outcomes, but people with severe mental illness (SMI) face additional barriers that complicate effective engagement with self-management behaviours and with existing diabetes services. This feasibility study assessed the acceptabilit...

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Autor Principal: J. V. E. Brown (13116521) (author)
Outros autores: C. Carswell (13116518) (author), D. Podmore (22687061) (author), I. Featherstone (22687064) (author), S. Alderson (16523066) (author), J. R. Böhnke (22687067) (author), T. Doran (12170381) (author), M. Hadjiconstantinou (7651217) (author), C. E. Hewitt (13116542) (author), R. I. G. Holt (13116545) (author), R. Jacobs (4222000) (author), V. Johnson (2455069) (author), I. Kellar (13116548) (author), J. Li (51350) (author), D. P. Osborn (22687076) (author), G. Russell (3803236) (author), J. Watson (11026341) (author), N. Siddiqi (7627379) (author), P. A. Coventry (22687079) (author), the DIAMONDS Research Team (22687082) (author)
Publicado: 2025
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author J. V. E. Brown (13116521)
author2 C. Carswell (13116518)
D. Podmore (22687061)
I. Featherstone (22687064)
S. Alderson (16523066)
J. R. Böhnke (22687067)
T. Doran (12170381)
M. Hadjiconstantinou (7651217)
C. E. Hewitt (13116542)
R. I. G. Holt (13116545)
R. Jacobs (4222000)
V. Johnson (2455069)
I. Kellar (13116548)
J. Li (51350)
D. P. Osborn (22687076)
G. Russell (3803236)
J. Watson (11026341)
N. Siddiqi (7627379)
P. A. Coventry (22687079)
the DIAMONDS Research Team (22687082)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet J. V. E. Brown (13116521)
C. Carswell (13116518)
D. Podmore (22687061)
I. Featherstone (22687064)
S. Alderson (16523066)
J. R. Böhnke (22687067)
T. Doran (12170381)
M. Hadjiconstantinou (7651217)
C. E. Hewitt (13116542)
R. I. G. Holt (13116545)
R. Jacobs (4222000)
V. Johnson (2455069)
I. Kellar (13116548)
J. Li (51350)
D. P. Osborn (22687076)
G. Russell (3803236)
J. Watson (11026341)
N. Siddiqi (7627379)
P. A. Coventry (22687079)
the DIAMONDS Research Team (22687082)
author_role author
dc.creator.none.fl_str_mv J. V. E. Brown (13116521)
C. Carswell (13116518)
D. Podmore (22687061)
I. Featherstone (22687064)
S. Alderson (16523066)
J. R. Böhnke (22687067)
T. Doran (12170381)
M. Hadjiconstantinou (7651217)
C. E. Hewitt (13116542)
R. I. G. Holt (13116545)
R. Jacobs (4222000)
V. Johnson (2455069)
I. Kellar (13116548)
J. Li (51350)
D. P. Osborn (22687076)
G. Russell (3803236)
J. Watson (11026341)
N. Siddiqi (7627379)
P. A. Coventry (22687079)
the DIAMONDS Research Team (22687082)
dc.date.none.fl_str_mv 2025-11-26T06:27:10Z
dc.identifier.none.fl_str_mv 10.3389/frhs.2025.1688787.s002
dc.relation.none.fl_str_mv https://figshare.com/articles/dataset/Data_Sheet_1_The_DIAMONDS_intervention_for_type_2_diabetes_for_people_with_severe_mental_illness_findings_from_a_single-group_feasibility_study_pdf/30718364
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Public Health and Health Services not elsewhere classified
serious mental illness (SMI)
type 2 diabetes
self-management
feasibility and acceptability
integrated care
dc.title.none.fl_str_mv Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdf
dc.type.none.fl_str_mv Dataset
info:eu-repo/semantics/publishedVersion
dataset
description <p>Diabetes self-management is critical for improving health outcomes, but people with severe mental illness (SMI) face additional barriers that complicate effective engagement with self-management behaviours and with existing diabetes services. This feasibility study assessed the acceptability and feasibility of the DIAMONDS intervention, a tailored type 2 diabetes (T2D) self-management programme designed for people with SMI and delivered by trained coaches over 16 weekly sessions, in preparation for a future randomised controlled trial (RCT). Thirty participants with both T2D and SMI were recruited, and 29 were included in the study. The thresholds for participant recruitment and retention for progression to the RCT were met. Twenty-three participants (66%) attended at least one intervention session. Consistent weekly participation proved challenging, with only 15 participants (52%) attending eight or more (50%+) sessions. However, the intervention was acceptable to both participants and coaches, as indicated by coach session logs. High completion rates were observed for self-reported measures, while physical health data and data from primary care records had some omissions, prompting refinements in data collection for the RCT. This study highlights the feasibility and acceptability of delivering an evaluation of a structured diabetes self-management intervention in people with SMI. Some modifications to study processes will be required before moving to the main RCT, including adjustments to intervention delivery (including more flexibility in the timing of intervention sessions and coach training to improve confidence in supporting the use of a mobile app), data collection processes, and intervention fidelity assessment for the RCT, to enhance adherence and accommodating the complex needs of this population. This study represents an important step towards the development and robust evaluation of a self-management intervention to improve diabetes outcomes for people with SMI, addressing a significant gap in health equity.</p>Clinical Trial Registration<p>https://www.isrctn.com/ISRCTN15328700, ISRCTN 15328700.</p>
eu_rights_str_mv openAccess
id Manara_4f5b886c53c5eb34579b50df9fc1efa4
identifier_str_mv 10.3389/frhs.2025.1688787.s002
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/30718364
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdfJ. V. E. Brown (13116521)C. Carswell (13116518)D. Podmore (22687061)I. Featherstone (22687064)S. Alderson (16523066)J. R. Böhnke (22687067)T. Doran (12170381)M. Hadjiconstantinou (7651217)C. E. Hewitt (13116542)R. I. G. Holt (13116545)R. Jacobs (4222000)V. Johnson (2455069)I. Kellar (13116548)J. Li (51350)D. P. Osborn (22687076)G. Russell (3803236)J. Watson (11026341)N. Siddiqi (7627379)P. A. Coventry (22687079)the DIAMONDS Research Team (22687082)Public Health and Health Services not elsewhere classifiedserious mental illness (SMI)type 2 diabetesself-managementfeasibility and acceptabilityintegrated care<p>Diabetes self-management is critical for improving health outcomes, but people with severe mental illness (SMI) face additional barriers that complicate effective engagement with self-management behaviours and with existing diabetes services. This feasibility study assessed the acceptability and feasibility of the DIAMONDS intervention, a tailored type 2 diabetes (T2D) self-management programme designed for people with SMI and delivered by trained coaches over 16 weekly sessions, in preparation for a future randomised controlled trial (RCT). Thirty participants with both T2D and SMI were recruited, and 29 were included in the study. The thresholds for participant recruitment and retention for progression to the RCT were met. Twenty-three participants (66%) attended at least one intervention session. Consistent weekly participation proved challenging, with only 15 participants (52%) attending eight or more (50%+) sessions. However, the intervention was acceptable to both participants and coaches, as indicated by coach session logs. High completion rates were observed for self-reported measures, while physical health data and data from primary care records had some omissions, prompting refinements in data collection for the RCT. This study highlights the feasibility and acceptability of delivering an evaluation of a structured diabetes self-management intervention in people with SMI. Some modifications to study processes will be required before moving to the main RCT, including adjustments to intervention delivery (including more flexibility in the timing of intervention sessions and coach training to improve confidence in supporting the use of a mobile app), data collection processes, and intervention fidelity assessment for the RCT, to enhance adherence and accommodating the complex needs of this population. This study represents an important step towards the development and robust evaluation of a self-management intervention to improve diabetes outcomes for people with SMI, addressing a significant gap in health equity.</p>Clinical Trial Registration<p>https://www.isrctn.com/ISRCTN15328700, ISRCTN 15328700.</p>2025-11-26T06:27:10ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.3389/frhs.2025.1688787.s002https://figshare.com/articles/dataset/Data_Sheet_1_The_DIAMONDS_intervention_for_type_2_diabetes_for_people_with_severe_mental_illness_findings_from_a_single-group_feasibility_study_pdf/30718364CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/307183642025-11-26T06:27:10Z
spellingShingle Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdf
J. V. E. Brown (13116521)
Public Health and Health Services not elsewhere classified
serious mental illness (SMI)
type 2 diabetes
self-management
feasibility and acceptability
integrated care
status_str publishedVersion
title Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdf
title_full Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdf
title_fullStr Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdf
title_full_unstemmed Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdf
title_short Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdf
title_sort Data Sheet 1_The DIAMONDS intervention for type 2 diabetes for people with severe mental illness: findings from a single-group feasibility study.pdf
topic Public Health and Health Services not elsewhere classified
serious mental illness (SMI)
type 2 diabetes
self-management
feasibility and acceptability
integrated care