Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND): process modelling of pilot study

Patient Educ Couns. 2006 Dec;64(1-3):369-77. doi: 10.1016/j.pec.2006.04.007. Epub 2006 Sep 29.


Objective: To determine the effects of a structured education program on illness beliefs, quality of life and physical activity in people newly diagnosed with Type 2 diabetes.

Methods: Individuals attending a diabetes education and self-management for ongoing and newly diagnosed (DESMOND) program in 12 Primary Care Trusts completed questionnaire booklets assessing illness beliefs and quality of life at baseline and 3-month follow-up, metabolic control being assessed through assay of HbA1c.

Results: Two hundred and thirty-six individuals attended the structured self-management education sessions, with 97% and 64% completing baseline and 3-month follow-up questionnaires. At 3 months, individuals were more likely to: understand their diabetes; agree it is a chronic illness; agree it is a serious condition, and that they can affect its course. Individuals achieving a greater reduction in HbA1c over the first 3 months were more likely to agree they could control their diabetes at 3 months (r=0.24; p=0.05), and less likely to agree that diabetes would have a major impact on their day to day life (r=0.35; p=0.006).

Conclusion: Pilot data indicate the DESMOND program for individuals newly diagnosed with Type 2 diabetes changes key illness beliefs and that these changes predict quality of life and metabolic control at 3-month follow-up.

Practice implications: Newly diagnosed individuals are open to attending self-management programs and, if the program is theoretically driven, can successfully engage with the true, serious nature of diabetes.

MeSH terms

  • Activities of Daily Living
  • Attitude to Health*
  • Choice Behavior
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / metabolism
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Diabetes Mellitus, Type 2 / psychology*
  • Female
  • Follow-Up Studies
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Health Services Needs and Demand
  • Health Services Research / organization & administration
  • Humans
  • Informed Consent
  • Male
  • Middle Aged
  • Models, Educational
  • Models, Organizational
  • Models, Psychological
  • Outcome and Process Assessment, Health Care
  • Patient Education as Topic / organization & administration*
  • Patient-Centered Care / organization & administration
  • Pilot Projects
  • Power, Psychological
  • Program Evaluation
  • Quality of Life / psychology
  • Research Design
  • Self Care* / methods
  • Self Care* / psychology
  • Social Support
  • Surveys and Questionnaires