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. 2022 Jun 29;22(2):27. doi: 10.5334/ijic.5960

Table 3.

Summary of study and participant characteristics.


AUTHOR, YEAR, COUNTRY STUDY DESIGN/METHODS, SAMPLE SIZE LENGTH OF INTERVENTION LOCATION PARTICIPANT CHARACTERISTICS INTERVENTION CHARACTERISTICS

QUANTITATIVE STUDIES

Aftab et al., 2018 (1), USA Randomised Controlled Trial
200
TTIM group: N = 100
Control group: N = 100
60 weeks Primary care Anxiety diagnosis group:
  • Diagnosis: 22.34% with schizophrenia/schizoaffective disorder, 34.04% with bipolar disorder; 43.62% with major depressive disorder

  • Age (M ± SD): 51.78 ± 9.96

  • Gender: 68.09% Females, 32.81% Males

  • Ethnicity: 51.06% African American, 35.11% Caucasian, 13.83% other

  • HbA1c (M ± SD %): 7.80 ± 2.11


No anxiety diagnosis group:
  • Diagnosis: 26.42% with schizophrenia/schizoaffective disorder, 34.04% with bipolar disorder, 22.64% with major depressive disorder

  • Age (M ± SD): 53.47 ± 8.93

  • Gender: 60.38% Females; 39.62% Males

  • Ethnicity: 55.66% African American, 38.68% Caucasian, 5.66% other

  • HbA1c (M ± SD %): 8.17 ± 2.38

Targeted Training in Illness Management (TTIM): A group-based psychosocial treatment focusing on psychoeducation, problem identification, goal setting, behavioural modelling, and care linkage. Sessions co-facilitated by a nurse and a peer-educator covers topics on SMI education, diabetes education, problem solving skills, nutrition, physical activity, medication education, medical and social support, and foot care education.
TTIM is delivered in a 2-step process:
  • Step 1- 12 weekly in-person group sessions with six to 10 participants per group.

  • Step 2- 48 weeks with telephone maintenance sessions which last from 10 to 15 mins, for the first three months and monthly thereafter.


Chwastiak et al., 2018 (2),
USA
Randomized controlled pilot study
35
The mean duration of the active treatment was 14.8 weeks, with a range of 9 weeks to 27 weeks.
The mean number of visits was 4.9
Community mental health centre
  • Diagnosis: 48% with depression, 24% with schizophrenia, 28% with bipolar disorder, all with T2D diagnosis

  • Age (M ± SD): 54 ± 9.4

  • Gender: 64% Females, 36% Males

  • Ethnicity: 53% African American, 10% Hispanic, 37% White

Adapted collaborative care (based on TEAMcare model): Initial (60-minute) nurse care manager visit for a health assessment and an individualised health plan, then 30-minute visits for the support of chronic illness self-management (including medication adherence, healthy nutrition, and regular physical activity) every other week for 12 weeks and monthly thereafter for up to six months. Nurses used motivational interviewing and behavioural activation to address barriers to self-management and coordinated multi-agency care.

McKibbin et al., 2010 (3),
USA
Randomized pre-test, post-test control group design
52
24 weeks In board-and-care and community clubhouse settings Usual care + information:
  • Diagnosis (M ± SD): Schizophrenia: 23 ± 88.5, Schizoaffective: 3 ± 11.5, all with T2D diagnosis

  • Gender: 38.5% Females, 61.5% Males

  • Age (M ± SD): 55.6 ± 8.7

  • Ethnicity (M ± SD): Euro-American: 18 ± 69.2, Other: 8 ± 30.8


Diabetes Awareness Rehabilitation Training (DART)
  • Diagnosis (M ± SD): Schizophrenia: 19 ± 73.1,

  • Schizoaffective: 7 ± 26.9, all with T2D diagnosis

  • Gender: 38.5% Females, 61.5% Males

  • Age (M ± SD): 52.4 ± 8.6

  • Ethnicity (M ± SD): Euro-American: 12 ± 46.2,


Other: 14 ± 53.8
From the paper: Diabetes Awareness Rehabilitation Training (DART) comprised a 24-week intervention with three modules: (1) Basic Diabetes Education; (2) Nutrition; (3) Lifestyle Exercise. Each module contained 4 90-minute manualised sessions. Participants met in groups with 6 to 8 of their peers and one diabetes-trained mental health professional. Concrete behavioural change strategies were used including self-monitoring (e.g., pedometers), modelling, practice (i.e., healthy food sampling), goal setting and reinforcement (i.e., raffle tickets). Simple guidelines were provided such as switching from regular to diet soda and eating slowly.

Sajatovic et al., 2011 (4),
USA
Prospective, uncontrolled, case-series pilot trial
12
16 weeks Primary care
  • Diagnosis: 25% with schizophrenia, 28% with bipolar disorder, 48% with major depressive disorder, all with T2D diagnosis

  • Age (M ± SD): 52.7 ± 9.5

  • Gender: 64% Females, 36% Males

  • Ethnicity: 54% African American, 37% Caucasian, 10% Other

  • Use of second-generation antipsychotic medication: 37%

  • HbA1c (M ± SD %): 8.2 ± 2.3

  • BMI (M ± SD): 36.0 ± 8.7

Targeted training in illness management (TTIM) (as previously described).

Sajatovic et al., 2017 (5),
USA
Randomised controlled trial
200
TTIM group: N = 100
Control group: N = 100
60 weeks Primary care
  • Diagnosis: all with a diagnosis of TD2 and SMI

  • Age range: 33 to 62 years (median 49.5)

  • Ethnicity: 75% were from a racial ethnic minority group

Targeted training in illness management (TTIM) (as previously described).

Blixen et al., (2014) (6), USA Phenomenological
8 peer-educators
Primary care
  • Age range: 45 to 64 (median 56)

  • Gender: 5 females; 3 males

  • Ethnicity: 2 White non-Hispanic, 4 Black, non-Hispanic, 2 Hispanic, White.

  • Diagnosis: 5 T2D and depression, 2 T2D and schizophrenia, 1 T2D and bipolar disorder

Targeted training in illness management (TTIM) (as previously described).

Lawless et al., (2016) (7), USA Basic interpretation
Missing data
Primary care Missing data Targeted training in illness management (TTIM) (as previously described).

Key: BMI = Body Mass Index; DART = Diabetes Awareness and Rehabilitation Training; HbA1c = Glycated haemoglobin; T2D = Type 2 diabetes; TTIM = Targeted Training in Illness Management.