A concordance therapy to help older people self-manage type 2 diabetes

Kate Hamilton-West, Julie Rowe, Cornelius Katona, Annette King, Simon Coulton, Alisoun Milne, Andy Alaszewski, Kathy Ellis, Hilary Pinnock

Research output: Contribution to journalArticlepeer-review


Active self-management of diabetes is essential for reducing the risk of serious complications. However, research indicates that many people with diabetes struggle to adhere to complex self-management regimens. Here, the authors describe the development of an intervention - a "concordance therapy" - to support diabetes self-management. The approach uses techniques from cognitive behavioural therapy and motivational interviewing to help people with diabetes and healthcare professionals work together to develop self-management regimens that are realistic and that work for the individual. Following development work, the intervention was piloted with a sample of older adults who had inadequately controlled type 2 diabetes. The authors' findings are presented, along with their considerations for future work in the area.

Original languageEnglish
Pages (from-to)240-248
Number of pages9
JournalDiabetes and Primary Care
Issue number5
Publication statusPublished - 19 Oct 2013


  • Cognitive behavioural therapy
  • Concordance
  • Motivational interviewing
  • Self-management


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