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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
Continued thread

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

The Double Power: A Duality of Powers

🌍 The concept of double power highlights how two forms of authority can coexist in society. By promoting self-management & direct democracy, we can empower communities! Let's rethink our social organization for a more just future! 💪✨ #DoublePower #DirectDemocracy #SelfManagement The concept of double power refers to a situation where two forms of power coexist and confront each other within the same society.

homohortus31.wordpress.com/202

Homo Hortus · The Double Power: A Duality of Powers🌍 The concept of double power highlights how two forms of authority can coexist in society. By promoting self-management & direct democracy, we can empower communities! Let’s rethink our …

The Democratic Necessity of Dual Power: A Reflection on Self-Management

🌍 The necessity of dual power is crucial for real democracy! If the state only provides human resources, it misses self-management and collective decision-making. Communities must organize according to their needs. 🤝 Together, let's build a future where every voice counts! #DualPower #SelfManagement #DirectDemocracy #Solidarity The concept of dual power, seen in historical movements like the…

homohortus31.wordpress.com/202

Homo Hortus · The Democratic Necessity of Dual Power: A Reflection on Self-Management🌍 The necessity of dual power is crucial for real democracy! If the state only provides human resources, it misses self-management and collective decision-making. Communities must organize accordin…