Diabetes Mellitus Clinical Trial
Official title:
Psychosocial Treatment Intervention in Persons Newly Diagnosed With Rheumatoid Arthritis or Diabetes
The aim of this study is to evaluate the results of psychosocial treatment in patients with newly diagnosed rheumatoid arthritis and/or diabetes.
Research and clinical experience show that adaptation to chronic disease is affected by
individuals' psychological and social situations and subjective experiences of threat to
identity, autonomy, and life. It is important to identify persons whose psychosocial
situation and reaction to the diagnosis is such that they may not be able to adjust to the
illness or take adequate responsibility for adherence to treatment.
The purpose of this study is to identify such at-risk persons, and with the help of
psychosocial treatment, strengthen their resistance resources and help them work through
emotional and social problems that hinder adequate adaptation and adherence to treatment.
Beginning in 2001, 200 consecutive patients between 18 and 65 years who are newly diagnosed
with either rheumatoid arthritis (n = 100) or diabetes (n = 100) at the Karolinska Hospital,
Solna, Sweden, will be included in the study. Each person will be interviewed by a medical
social worker about their psychosocial situation and possible problems. Every other patient
with psychosocial problems will be offered intensive, personalized psychosocial treatment.
The rest of the patients with problems will be given minimal required measures. The
psychosocial well-being and medical situation of all patients (intensive treatment group,
minimal treatment group, and the group without need of psychosocial measures) will be
followed for 2 years and evaluated at the conclusion of that time.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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