A pragmatic trial to reduce diabetes distress

REDEEM: A Pragmatic Trial to Reduce Diabetes Distress

OBJECTIVE To compare three interventions to reduce diabetes distress (DD) and improve self-management among non-clinically depressed adults with type 2 diabetes mellitus (T2DM). RESEARCH DESIGN AND METHODS In REDEEM, 392 adults with T2DM and DD were randomized to computer-assisted self-management (CASM), CASM plus DD-specific problem solving (CAPS), or a computer-administered minimal supporti...

Antenatal betamethasone and incidence of neonatal respiratory distress after elective caesarean section: pragmatic randomised trial.

OBJECTIVE To test whether steroids reduce respiratory distress in babies born by elective caesarean section at term. DESIGN Multicentre pragmatic randomised trial. SETTING 10 maternity units. PARTICIPANTS 998 consenting women randomised at decision to deliver by elective caesarean section; 503 randomised to treatment group. INTERVENTIONS The treatment group received two intramuscular do...

DETERMINING THE EFFECT OF BRAIN BEHAVIORAL SYSTEM ON PSYCHOLOGICAL VULNERABILITY WITH THE MEDIATION OF ANXIETY SENSITIVITY, EMOTIONS, AND DISTRESS TOLERANCE IN THE PATIENTS WITH DIABETES MELLITUS

Background & Aim: People with diabetes are potentially threatened by other factors such as negative emotions, nervous system defects, and sensitivity to anxiety, which affects whether or not they are affected by diabetes-related wounds. The aim of the study was to investigate the effect of brain-behavioral system on diabetic female patients exposed to psychological vulnerability with the mediat...

Lessons learnt from a cluster-randomised trial evaluating the effectiveness of Self-Management Support (SMS) delivered by practice nurses in routine diabetes care

OBJECTIVE To evaluate the effectiveness of biopsychosocial Self-Management Support (SMS) delivered by practice nurses in routine diabetes care. DESIGN A pragmatic cluster-randomised controlled trial within a hybrid effectiveness-implementation study design. Practice nurses were cluster-randomised. SETTING A regional care group in the Netherlands consisting of 77 family practices. The study ...

Author's response to reviews Title:Six-month effects of integrative treatment, therapeutic acupuncture and conventional treatment in alleviating psychological distress in primary care patients - follow up from an open, pragmatic randomized controlled trial Authors: