Show simple item record

dc.contributor.authorIsmail, K.
dc.contributor.authorStewart, K.
dc.contributor.authorRidge, K.
dc.contributor.authorBritneff, E.
dc.contributor.authorFreudenthal, R.
dc.contributor.authorStahl, D.
dc.contributor.authorMcCrone, P.
dc.contributor.authorGayle, C.
dc.contributor.authorDoherty, Anne M.
dc.contributor.authorIsmail, K.
dc.date.accessioned2019-09-05T10:18:55Z
dc.date.issued2019-02-01
dc.identifier.citationIsmail, K., Stewart, K., Ridge, K., Britneff, E., Freudenthal, R., Stahl, D., McCrone, P., Gayle, C., Doherty, A. M. A pilot study of an integrated mental health, social and medical model for diabetes care in an inner-city setting: Three Dimensions for Diabetes (3DFD). Diabetic Medicine, doi: 10.1111/dme.13918en_IE
dc.identifier.issn1464-5491
dc.identifier.urihttp://hdl.handle.net/10379/15401
dc.description.abstractWe examined the effectiveness of a service innovation, Three Dimensions for Diabetes (3DFD), that consisted of a referral to an integrated mental health, social care and diabetes treatment model, compared with usual care in improving biomedical and health economic outcomes. Using a non-randomized control design, the 3DFD model was offered in two inner-city boroughs in London, UK, where diabetes health professionals could refer adult residents with diabetes, suboptimal glycaemic control [HbA1c ¿ 75 mmol/mol (¿ 9.0%)] and mental health and/or social problems. In the usual care group, there was no referral pathway and anonymized data on individuals with HbA1c ¿ 75 mmol/mol (¿ 9.0%) were collected from primary care records. Change in HbA1c from baseline to 12 months was the primary outcome, and change in healthcare costs and biomedical variables were secondary outcomes. 3DFD participants had worse glycaemic control and higher healthcare costs than control participants at baseline. 3DFD participants had greater improvement in glycaemic control compared with control participants [-14 mmol/mol (-1.3%) vs. -6 mmol/mol (-0.6%) respectively, P en_IE
dc.description.sponsorshipThis work was supported by the NHS London Regional Innovation Fund, Guys and St Thomas’s, King’s, and Maudsley Charities and Lambeth and Southwark Clinical Commissioning Groups.en_IE
dc.formatapplication/pdfen_IE
dc.language.isoenen_IE
dc.publisherWileyen_IE
dc.relation.ispartofDiabetic Medicineen
dc.subjectGlycaemic controlen_IE
dc.subjectIntegrated careen_IE
dc.subjectMental healthen_IE
dc.subjectSocial careen_IE
dc.titleA pilot study of an integrated mental health, social and medical model for diabetes care in an inner-city setting: Three Dimensions for Diabetes (3DFD).en_IE
dc.typeArticleen_IE
dc.date.updated2019-08-26T12:55:49Z
dc.identifier.doi10.1111/dme.13918
dc.local.publishedsourcehttps://doi.org/10.1111/dme.13918en_IE
dc.description.peer-reviewedpeer-reviewed
dc.description.embargo2020-02-01
dc.internal.rssid17398894
dc.local.contactAnne Doherty, School Of Medicine, Nui Galway. Email: anne.doherty@nuigalway.ie
dc.local.copyrightcheckedYes
dc.local.versionACCEPTED
nui.item.downloads1


Files in this item

Attribution-NonCommercial-NoDerivs 3.0 Ireland
This item is available under the Attribution-NonCommercial-NoDerivs 3.0 Ireland. No item may be reproduced for commercial purposes. Please refer to the publisher's URL where this is made available, or to notes contained in the item itself. Other terms may apply.

The following license files are associated with this item:

Thumbnail

This item appears in the following Collection(s)

Show simple item record