RCT comparing empowerment intervention, psychotherapy (CAT) and requested CAT for patients with Type 1 diabetes

A study analysing psychological morbidity amongst patients with Type 1 diabetes was conducted at the Royal Bournemouth Hospital (Shaban, Fosbury et al, Diabetic Medicine 2006). 

Part 2 of the study was a RCT randomising patients in to empowerment intervention, psychotherapy (CAT) and requested CAT. This second part has been published as part of an abstract and has been submitted to Diabetologia for review. Biochemical (HbAlc) and psychological data were measured. All groups reduced HbAlc in a way which reduced clinical risk in patients with diabetes (e.g. blindness, amputations etc) but patients who requested CAT showed the greatest result in psychological and biochemical terms and significant statistical data at 2 year follow up (Diabetic Medicine March 2008, Vol 25, Supplement 1, p 135).

The second part is a continuation of the first RCT of CAT in diabetes published by Jackie Fosbury (Fosbury et al 1997, Diabetes Care). This study recommends that more complex therapy is effective in those reporting more severe diabetes related psychological distress. We are making a case for CAT, which goes over and above current limitations of the IAPT agenda and a case for CAT for people with long term physical conditions (commissioning process). As second author to the Bournemouth study I will be following up the part 2 study with comments about how the trial was conducted i.e. the psychotherapist was supervised by me but not CAT trained formally and was quite 'resistant' to CAT at outset.

Contact: Jackie Fosbury
jackie@dtaylor0.wanadoo.co.uk

November 2014 - Update:
This research is now complete but not yet published.

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