en تخصصي Special پژوهشي Research <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Objective:</span></span></span></b><b> </b><span style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">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.</span></span><i><span dir="RTL" lang="FA" style="font-size:10.5pt"><span style="font-family:"Times New Roman","serif""></span></span></i></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">Materials and Methods</span></span></b><b><span dir="RTL" lang="FA" style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">:</span></span></b> <span style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">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.</span></span><i><span dir="RTL" style="font-size:10.5pt"><span style="font-family:"Times New Roman","serif""></span></span></i></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">Results</span></span></b><b><span dir="RTL" lang="FA" style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">:</span></span></b> <span style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">The post-test and follow-up mean scores of treatment adherence significantly increased in the experimental group compared with the control group (<i>P</i>< 0.001). In addition, the results demonstrated that treatment adherence improved in follow-up (<i>P</i>< 0.001).</span></span><b><i><span dir="RTL" lang="FA" style="font-size:10.5pt"><span style="font-family:"Times New Roman","serif""></span></span></i></b></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></b><b><span dir="RTL" lang="FA" style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">:</span></span></b> <span style="font-size:10.5pt"><span new="" roman="" style="font-family:" times="">According to the study results, psychological training should be integrated with self-care training to achieve long lasting treatment adherence in T2DM people.</span></span><i><span dir="RTL" lang="FA" style="font-size:10.5pt"><span style="font-family:"Times New Roman","serif""></span></span></i></span></span></span></span><br> &nbsp; Treatment adherence, Self-care, Stress, Diabetes mellitus 9 16 http://ijdo.ssu.ac.ir/browse.php?a_code=A-10-30-401&slc_lang=en&sid=1 Amineh Jalali 0000-0003-2720-9480 Yes 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. Reza Pourhosein 0000-0003-3615-467X No Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran. Ahmad Alipour 0000-0002-0208-969X No Department of Psychology, Payame Noor University, Tehran, Iran. Gholam Ali Afrooz 0000-0003-2386-3223 No Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.