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Improving outcomes among young adults with type 1 diabetes: the D1 now randomised pilot study protocol

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Show simple item record Casey, Bláthín Byrne, M. Casey, Dympna Gillespie, Paddy Hobbins, A. Newell, John Morrissey, Eimear C. Dinneen, Sean F. 2020-07-23T09:48:53Z 2020
dc.description peer-reviewed en_US
dc.description.abstract Background Young adults (18‐25 years old) living with type 1 diabetes mellitus often have sub‐optimal glycaemic levels which can increase their risk of long term diabetes complications. Informed by health psychology theory and using a (public and patient involvement) young adult‐centred approach, we have developed a complex intervention, entitled D1 Now, to improve outcomes in this target group. The D1 Now intervention includes three components; 1) a support‐worker, 2) an interactive messaging system and 3) an agenda setting tool for use during clinic consultations. Aims The aim of the D1 Now pilot study is to gather and analyse acceptability and feasibility data to allow us to (1) refine the D1 Now intervention, and (2) determine the feasibility of a definitive Randomised Control Trial (RCT) of the intervention. Methods Diabetes clinics on the island of Ireland will be recruited and randomised to a D1 Now intervention arm or a usual care control arm. For a participant to be eligible they should be 18‐25 years old and living with type 1 diabetes for at least 12 months. Participant outcomes (influenced by a Core Outcome Set) include change in HbA1c, clinic attendance, number of episodes of severe hypoglycaemia and of diabetic ketoacidosis, diabetes distress, self‐management, quality of life and perceived level of control over diabetes; these will be will be measured at baseline and after 12 months follow‐up for descriptive statistics only. An assessment of treatment fidelity, a health economic analysis and a qualitative sub‐study will also be incorporated into the pilot study. ISRCTN (ref: ISRCTN74114336). en_US
dc.language.iso eng en_US
dc.publisher Wiley and Sons Ltd en_US
dc.relation.ispartofseries Diabetic Medicine; 37 (9), pp. 1590-1604
dc.rights This is the peer reviewed author version of the following article:Improving outcomes among young adults with type 1 diabetes: the D1 now randomised pilot study protocol , which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. en_US
dc.subject diabetes en_US
dc.subject young adults en_US
dc.title Improving outcomes among young adults with type 1 diabetes: the D1 now randomised pilot study protocol en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1111/dme.14337
dc.contributor.sponsor HRB en_US
dc.relation.projectid DIFA-2017-034 en_US 2021-06-08
dc.embargo.terms 2021-06-08 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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