Publications by authors named "Alison Stansfield"
Background: Although supported self-management is a well-recognised part of chronic disease management, it has not been routinely used as part of healthcare for adults with a learning disability. We developed an intervention for adults with a mild or moderate learning disability and type 2 diabetes, building on the principles of supported self-management with reasonable adjustments made for the target population.
Methods: In five steps, we:Clarified the principles of supported self-management as reported in the published literatureIdentified the barriers to effective self-management of type 2 diabetes in adults with a learning disabilityReviewed existing materials that aim to support self-management of diabetes for people with a learning disabilitySynthesised the outputs from the first three phases and identified elements of supported self-management that were (a) most relevant to the needs of our target population and (b) most likely to be acceptable and useful to themImplemented and field tested the intervention.
Article Synopsis
- The study investigates the application of self-management principles for adults with learning disabilities who have type 2 diabetes in three cities in West Yorkshire, UK.
- It combines an observational study with a feasibility randomized controlled trial (RCT) to compare a standardised supported self-management (SSM) intervention against usual treatment.
- Key outcomes measured include participant eligibility, health metrics, mood, recruitment rates, intervention adherence, and qualitative experiences of participants in the research process.
Background: Individuals with a learning disability (LD) are at higher risk of developing type 2 diabetes, but LD is not straightforward to define or identify, especially at the milder end of the spectrum, which makes case finding difficult. While supported self-management of health problems is now established, current material is largely educational and didactic with little that facilitates behavioural change. The interaction between the person with diabetes and others supporting their care is also largely unknown.
View Article and Find Full Text PDFBackground: There is a lack of systematic studies into comorbidity of Asperger syndrome and psychosis.
Aim: To determine the prevalence of Asperger syndrome among patients of an early intervention in psychosis service.
Methods: This study was a cross-sectional survey consisting of three phases: screening, case note review and diagnostic interviews.