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Guided Self-determination - Promoting Self-management in Type 1 Diabetes (GSD)

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
Haukeland University Hospital Identifier:
First received: March 11, 2011
Last updated: September 9, 2015
Last verified: September 2015

Background: 50% of people with diabetes are living with too high blood sugars and increased risk of diabetes related complications together with poor quality of life. The need to improve diabetes care by better enabling patients to utilise their individual and local resources to self-manage the condition is widely recognized, yet there is a lack of access to evidence-based patient-centred healthcare interventions. At present the individual patient's judgement of own concrete situation mostly remains unexplored and insufficiently used in decision-making causing that problems perceived by the patient in living with the illness remain unrecognised and insufficiently resolved.

Aim and Methods: Guided self-determination (GSD) is an educational method developed to promote patient autonomy, participation, skills building and intrinsic motivation. In this evidence-based group-intervention the main objective is to implement and evaluate GSD through a randomised controlled trial. GSD methods will be performed seven times for the intervention group. The control group will receive traditional out-patient consultations - 'care as usual' Outcome measures will be performed at baseline, after 9 and 18 months. The project will focus on adults with type 1 diabetes (18-55 yrs) where an improvement will be highly cost-effective in preventing late complications and enhanced psychosocial health. GSD is presumably an intervention providing psychosocial support applicable in busy clinical practice.

An alliance is established between Haukeland University Hospital, Norway and Steno Diabetes centre, Copenhagen, Denmark, Centre of Evidence-Based Practice, Bergen University College, and Bergen University to conduct this intervention and thus make the best possible use of interrelated knowledge within the issue.

Condition Intervention
Diabetes Behavioral: Guided self-determination

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Using Guided Self-determination (GSD) to Promote Improved Self-management in Adults With Type 1 Diabetes - an Intervention Study.

Resource links provided by NLM:

Further study details as provided by Haukeland University Hospital:

Primary Outcome Measures:
  • Change in HbA1c [ Time Frame: 0, 9 and 18 months ]

Secondary Outcome Measures:
  • Who 5 [ Time Frame: 0, 9 and 18 months ]
  • TSRQ scales [ Time Frame: 0, 9 and 18 months ]
  • PAID scales [ Time Frame: 0, 9 and 18 months ]
  • Rosenberg's self-esteem scale [ Time Frame: 0, 9 and 18 months ]
  • PCD scales [ Time Frame: 0, 9 and 18 months ]
  • HCCQ scales [ Time Frame: 0, 9 and 18 months ]
  • DDS scales [ Time Frame: 0, 9 and 18 months ]

Estimated Enrollment: 216
Study Start Date: March 2011
Estimated Study Completion Date: December 2021
Estimated Primary Completion Date: December 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Lifestyle counselling Behavioral: Guided self-determination
Group counselling
Experimental: No intervention
Care as usual
Behavioral: Guided self-determination
Group counselling


Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

Diabetes type one, HbA1c >= 8%

Exclusion Criteria:

Pregnancy, decreased cognitive function and/or serious mental health disturbances, language barriers to the Norwegian language

  Contacts and Locations
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Please refer to this study by its identifier: NCT01317459

Helse Vest HF, Haukeland University Hospital
Bergen, Norway, 5021
Sponsors and Collaborators
Haukeland University Hospital
Principal Investigator: Marit Graue, RN, PhD Bergen University College
  More Information

Responsible Party: Haukeland University Hospital Identifier: NCT01317459     History of Changes
Other Study ID Numbers: 2010/1325
Study First Received: March 11, 2011
Last Updated: September 9, 2015

Keywords provided by Haukeland University Hospital:
Self management
Diabetes type one
Intrinsic motivation

Additional relevant MeSH terms:
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases processed this record on September 20, 2017