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#selfmanagement

1 post1 participant0 posts today
Public
Jan R. Boehnke

Protocol for one of our current trials published:

DIAMONDS evaluates a #diabetes #SelfManagement intervention for people living with severe mental illness
bmjopen.bmj.com/content/15/3/e

Registration incl. SAP at ISRCTN22275538
isrctn.com/ISRCTN22275538

BMJ Open · DIAMONDS—a diabetes self-management intervention for people with severe mental illness: protocol for an individually randomised controlled multicentre trialIntroduction Type 2 diabetes mellitus (T2DM) is two to three times more common in people with severe mental illness (SMI) than in the general population. Supporting self-management in diabetes is fundamental to improving clinical outcomes. The DIAMONDS trial aims to evaluate the clinical and cost effectiveness of a novel, codesigned, supported diabetes self-management programme for people with T2DM and SMI. Methods and analysis This multicentre, two-armed, parallel, individually randomised controlled trial will be conducted in National Health Service mental health trusts across England. We will recruit 380 participants (≥18 years old) with a diagnosis of SMI (schizophrenia, bipolar disorder, schizoaffective disorder, psychosis and severe depression) and T2DM. Eligible and consenting participants will be randomised to the DIAMONDS intervention or treatment as usual. The intervention group will receive one-to-one sessions with a trained DIAMONDS Coach for six months. These sessions will focus on goal setting, action planning and diabetes self-management education, supported by a paper-based workbook and an optional digital application. Individuals allocated to the control group will continue to receive usual care and may be offered National Institute for Health and Care Excellence-recommended generic diabetes self-management education programmes in line with usual practice. The primary outcome is the difference in glycated haemoglobin (HbA1c) between both groups at 12 months postrandomisation. The secondary outcomes include measures of physical and mental health, diabetes complications and physical activity. Economic and process evaluations will also be performed. Outcomes will be collected at baseline and at six and 12 month post-randomisation. Ethics and dissemination This study received ethics approval by the West of Scotland Research Ethics Committee 3 (22/WS/0117). Findings will be published in peer-reviewed, academic and professional journals. We will also be producing plain language summaries, infographics and audio summaries on the website, as well as attending conferences and dissemination events. A summary of the results will be distributed to all participants and other relevant stakeholders, and we will use social media channels, websites and knowledge exchange events to communicate our findings beyond academic audiences. Trial registration number [ISRCTN22275538][1]. [1]: /external-ref?link_type=ISRCTN&access_num=ISRCTN22275538
#SMI#Multimorbidity#ISRCTN
Continued thread
Public
ecosentido

Ahora en el 2025 estoy dedicado a aprender y apoyar colectivos autoorganizados y de autogesión. Como #JardineroOrganizacional facilito talleres, mentorías y dinámicas para organizaciones comunitarias y empresas solidarias con propósito.

Uso herramientas de #EstructurasLiberadoras #TeoríaU #LiderazgoEcosistémico #sociocracia #GobernanzaDinámica #augogestión #TealOrganizations #TheoryU #LiberatingStructures #StrategicDoing #SelfManagement #BeyondBudgeting #OpenSpaceTechnology #Sociocracy #Agile

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Erik L. Midtsveen 🏴🏳️‍🌈

If you’re feeling anxious about the next Trump administration and the grip of Big Tech, take a moment to think about where you’re getting your information. If you’re reading this on my RSS feed or here on Mastodon, congratulations—you’re already part of a decentralized alternative that doesn’t rely on corporate giants.

You don’t need to depend on Big Tech to live a simple life. It’s possible to step back and live below your means, focusing on what truly matters instead of getting caught up in the endless cycle of consumption. Reflect on the repentance needed for all the tech you consume daily. Every time you log onto a corporate platform, remember that you’re feeding into a system that prioritizes profit over your well-being.

Living simply doesn’t mean giving up; it means reclaiming your independence. The Fediverse is waiting for you, offering a chance to connect with others who share your values without the interference of algorithms and ads.

So, if you're feeling overwhelmed by the state of things, remember: you have choices. You can break free from the digital chains of Big Tech and find community in spaces that respect your autonomy. Let’s prioritize genuine connections and take back our freedom from corporate control.

#Fediverse#Decentralization#BigTech
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IDA

New brochure! 🧚‍♂️📚

All companies are already facing the challenge of planning. But how can this be done in a socialist way - with labor time instead of money? Economist Günther Sandleben examines this question in the new IDA brochure and shows how an economy based on labor time could promote transparency, efficiency and social justice.

👉 arbeitszeit.noblogs.org/en-GB/

#labortimecalculation
#councilcommunism
#selfmanagement
#arbeitszeitrechnung
#rätekommunismus
#selbstverwaltung

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