DESMOND-ID pilot study

  • Research type

    Research Study

  • Full title

    Diabetes education for adults with intellectual disabilities (ID) with Type 2 diabetes (T2D) and their family/paid carers: A pilot RCT study

  • IRAS ID

    162914

  • Contact name

    Laurence Taggart

  • Contact email

    l.taggart@ulster.ac.uk

  • Duration of Study in the UK

    0 years, 11 months, 27 days

  • Research summary

    Background:
    The need for structured education programmes for T2D is a high priority for many Governments around the world. One such national education programme in the UK is DESMOND, which has been shown to be a robust and effective programme for patients in general. However, these programmes are not offered to people with ID and robust evidence on their effects for this population is lacking. The research team assembled for this trial have adapted DESMOND for people with ID and T2D, to produce an amended programme known as DESMOND-ID.

    This protocol is for a pilot trial to determine whether a large-scale, randomised trial is feasible to test if DESMOND-ID is more effective than usual care in adults with ID for self-management of their T2D, in particular as a means to reduce Hb1Ac, improve psychological well-being and quality of life, and promote a healthier lifestyle.

    Methods/Design:
    The randomised trial described in this protocol is a two arm, individually randomised, pilot trial for adults with ID and T2D, and their family/paid carers. It compares the DESMOND-ID programme (N= 36) with usual routine care (N= 36). The DESMOND-ID programme is an amended version of the original DESMOND programme. Approximately 36 adults with mild-moderate intellectual disabilities and 36 family/paid carers from three countries in the UK will be recruited. Participants will be randomly assigned to 1 of 2 conditions using a secure computerised system with robust allocation concealment. A range of data will be collected from the adults with ID (bio-medical, psycho-social and self-management strategies) and from their family/paid carers. Focus groups with all the participants who took part in the DESMOND-ID intervention group will assess the acceptability of the intervention and the randomised trial. One-to-one interviews will also be held with the educators.

  • REC name

    HSC REC B

  • REC reference

    14/NI/1104

  • Date of REC Opinion

    29 Oct 2014

  • REC opinion

    Further Information Favourable Opinion