Volume 16, Issue 1 (3-2024)                   IJDO 2024, 16(1): 9-16 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Jalali A, Pourhosein R, Alipour A, Afrooz G A. Effects of Self-Care Training Combined with Stress Management on Treatment Adherence in Type 2 Diabetes People. IJDO 2024; 16 (1) :9-16
URL: http://ijdo.ssu.ac.ir/article-1-850-en.html
1Department of Health Psychology, Faculty of Psychology and Educational Sciences, Kish International Campus, Tehran University, Kish, Iran. 2Clinical Research Development Unit, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran.
Abstract:   (297 Views)
Objective: Diabetes is a chronic metabolic disorder that can be exacerbated by stress, poor compliance and self-care practices. This study investigated the effects of self-care training combined with stress management on treatment adherence in type 2 diabetes mellitus (T2DM) people.
Materials and Methods: This is a randomized clinical trial with repeated measures. The study sample included 30 T2DM who were purposively selected among the eligible members of the Kerman Diabetes Association. The participants were randomized to the experimental group (stress management based on cognitive-behavioral therapy and self-care training) (n=15) and the control group (no intervention) (n=15). Both groups completed the Medanlo Treatment Adherence Questionnaire at the pretest, posttest, and follow-up time points. Data were analyzed statistically using ANOVA.
Results: The post-test and follow-up mean scores of treatment adherence significantly increased in the experimental group compared with the control group (P< 0.001). In addition, the results demonstrated that treatment adherence improved in follow-up (P< 0.001).
Conclusion: According to the study results, psychological training should be integrated with self-care training to achieve long lasting treatment adherence in T2DM people.
 
Full-Text [PDF 238 kb]   (228 Downloads)    
Type of Study: Research | Subject: Special
Received: 2023/11/14 | Accepted: 2024/01/25 | Published: 2024/03/20

References
1. Banday MZ, Sameer AS, Nissar S. Pathophysiology of diabetes: An overview. Avicenna journal of medicine. 2020;10(04):174-88.(in Persian)
2. Firouzkouhi M, Abdollahimohammad A. Lived Experiences of Type 2 Diabetes with Irreversible Complications: A Qualitative Research. Iranian journal of diabetes and obesity. 2022;14(3):176-182.
3. Standl E, Khunti K, Hansen TB, Schnell O. The global epidemics of diabetes in the 21st century: Current situation and perspectives. European journal of preventive cardiology. 2019;26(2_suppl):7-14.
4. Galaviz KI, Narayan KV, Lobelo F, Weber MB. Lifestyle and the prevention of type 2 diabetes: a status report. American journal of lifestyle medicine. 2018 ;12(1):4-20.
5. Motaghi S, Rahimian Boogar I, Moradi S, Setoodeh Asl N. The Effectiveness of Cognitive Behavioral Stress Management on Health-Related Quality of Life, Diabetes Management Self-Efficacy, and Treatment Adherence in Type 2 Diabetes. Iranian Journal of Diabetes and Obesity. 2023;15(1):14-24.
6. Gupta J, Kapoor D, Sood V. Quality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of India. Indian journal of endocrinology and metabolism. 2021;25(3):211-19.
7. Zewdie S, Moges G, Andargie A, Habte BM. Self-Care Practice and Associated Factors Among Patients with Type 2 Diabetes Mellitus at a Referral Hospital in Northern Ethiopia-A Mixed Methods Study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2022:3081-91.
8. Gómez-Velasco DV, Almeda-Valdes P, Martagón AJ, Galán-Ramírez GA, Aguilar-Salinas CA. Empowerment of patients with type 2 diabetes: current perspectives. Diabetes, metabolic syndrome and obesity: targets and therapy. 2019;12:1311-21.
9. Majidzadeh R, Rezaei S, Akbari B. Self-Compassion Reduces the Destructive Effects of Perceived Stress on Psychological Well-Being and Self-Care Behaviors: Results from Type II Diabetes Mellitus Patients. Iranian journal of diabetes and obesity. 2022;14(4):189-201.
10. Eshete A, Mohammed S, Deresse T, Kifleyohans T, Assefa Y. Association of stress management behavior and diabetic self-care practice among diabetes type II patients in North Shoa Zone: a cross-sectional study. BMC Health Services Research. 2023;23(1):767.
11. Jessica SY, Xu T, James RA, Lu W, Hoffman JE. Relationship between diabetes, stress, and self-management to inform chronic disease product development: retrospective cross-sectional study. JMIR diabetes. 2020;5(4):e20888.
12. Kalra S, Jena BN, Yeravdekar R. Emotional and psychological needs of people with diabetes. Indian journal of endocrinology and metabolism. 2018;22(5):696-704.
13. Vasanth R, Ganesh A, Shanker R. Impact of stress on type 2 diabetes mellitus management. Psychiatria Danubina. 2017;29(suppl. 3):416-21.
14. Surwit RS, Van Tilburg MA, Zucker N, McCaskill CC, Parekh P, Feinglos MN, et al. Stress management improves long-term glycemic control in type 2 diabetes. Diabetes care. 2002;25(1):30-4.
15. Zhao FF, Suhonen R, Katajisto J, Leino-Kilpi H. The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study. Patient Preference and Adherence. 2018 :1677-86.
16. Comer-HaGans D, Austin S, Ramamonjiarivelo Z, Sherman LD. Preventative diabetes self-care management practices among individuals with diabetes and mental health stress. Journal of Affective Disorders. 2022 ;298:24-34.
17. Banerjee M, Chakraborty S, Pal R. Diabetes self-management amid COVID-19 pandemic. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(4):351-4.
18. Van Duinkerken E, Snoek FJ, De Wit M. The cognitive and psychological effects of living with type 1 diabetes: a narrative review. Diabetic Medicine. 2020;37(4):555-63.
19. Abbas Q, Latif S, Ayaz Habib H, Shahzad S, Sarwar U, Shahzadi M, et al. Cognitive behavior therapy for diabetes distress, depression, health anxiety, quality of life and treatment adherence among patients with type-II diabetes mellitus: a randomized control trial. BMC psychiatry. 2023;23(1):86. [DOI:10.1186/s12888-023-04546-w]
20. Ardeshirpey J, Bakhshayesh AR, Dehghan M, Abadi HZ. Effect of Mindfulness-Based Cognitive Therapy on Cognitive Emotion Regulation, Perseverative Thinking, and Glycemic Index in Patients with Type 2 Diabetes-A Trial Study. Iranian journal of diabetes and obesity. 2021;13(3):150-59.
21. Sayeed KA, Qayyum A, Jamshed F, Gill U, Usama SM, Asghar K, Tahir A, Siddiqui A. Impact of diabetes-related self-management on glycemic control in type II diabetes mellitus. Cureus. 2020;12(4):e7845.
22. Alanazi M, Alatawi AM. Adherence to Diabetes Mellitus Treatment Regimen Among Patients With Diabetes in the Tabuk Region of Saudi Arabia. Cureus. 2022;14(10):e30688.
23. Alqarni AM, Alrahbeni T, Qarni AA, Qarni HM. Adherence to diabetes medication among diabetic patients in the Bisha governorate of Saudi Arabia-a cross-sectional survey. Patient preference and adherence. 2018;13:63-71.
24. Yang X, Li Z, Sun J. Effects of cognitive behavioral therapy-based intervention on improving glycaemic, psychological, and physiological outcomes in adult patients with diabetes mellitus: a meta-analysis of randomized controlled trials. Frontiers in psychiatry. 2020;11:711.
25. Aljawarneh YM, Al-Qaissi NM, Ghunaim HY. Psychological interventions for adherence, metabolic control, and coping with stress in adolescents with type 1 diabetes: a systematic review. World Journal of Pediatrics. 2020;16(5):456-70.
26. Zaheri H, Najar S, Abbaspoor Z. Effectiveness of cognitive-behavioral stress management on psychological stress and glycemic control in gestational diabetes: a randomized controlled trial. The Journal of Maternal-Fetal & Neonatal Medicine. 2017;30(11):1378-82.
27. Seyed Fatemi N, Rafii F, Hajizadeh E, Modanloo M. Psychometric properties of the adherence questionnaire in patients with chronic disease: A mix method study. Koomesh. 2018;20(2):179-91.(in Persian)
28. Antoni MH, Ironson G, Schneiderman N. Cognitive-behavioral stress management. Oxford University Press; 2007.
29. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. Journal of diabetes & Metabolic disorders. 2013;12(1):14.
30. Nasli-Esfahani E, Peimani M, Rambod C, Omidvar M, Larijani B. Developing a clinical diabetes guideline in diabetes research network in Iran. Iranian journal of public health. 2014;43(6):713-21.
31. Khan P, Qayyum N, Malik F, Khan T, Khan M, Tahir A, Siddiqui A. Incidence of anxiety and depression among patients with type 2 diabetes and the predicting factors. Cureus. 2019;11(3):e4254.

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Iranian Journal of Diabetes and Obesity

Designed & Developed by : Yektaweb