The effectiveness of an emotion-focused educational programme in reducing diabetes distress in adults with Type 2 diabetes mellitus (VEMOFIT) : A cluster randomized controlled trial
| Autor: | Boon How Chew, Mastura Ismail, G. E. H. M. Rutten, Rebecca K. Stellato, Rimke C. Vos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism Emotions 030209 endocrinology & metabolism Pilot Projects law.invention 03 medical and health sciences Social support 0302 clinical medicine Endocrinology Quality of life Randomized controlled trial Patient Education as Topic law Diabetes mellitus medicine Internal Medicine Cluster Analysis Humans 030212 general & internal medicine Analysis of Variance business.industry Depression Malaysia Type 2 Diabetes Mellitus Odds ratio Middle Aged medicine.disease Confidence interval Self Efficacy Self Care Diabetes and Metabolism Distress Treatment Outcome Diabetes Mellitus Type 2 Physical therapy Quality of Life Psychotherapy Brief Female business Stress Psychological |
| Zdroj: | Diabetic Medicine, 35(jo), 750. Wiley-Blackwell |
| ISSN: | 0742-3071 |
| Popis: | Aims To evaluate the effectiveness of a brief, value-based emotion-focused educational programme (VEMOFIT) in Malay adults with Type 2 diabetes mellitus compared with a programme of active listening to participants' emotional experiences, social support and their opinion on the health clinic diabetes care services (attention control). Methods Malay adults with severe diabetes distress [Diabetes Distress Scale (DDS-17) mean score ≥ 3] were included. VEMOFIT consisted of four biweekly group sessions, a booster session after 3 months and a follow-up 6 months post intervention. The attention control programme consisted of three sessions over the same period. Outcomes included diabetes distress, depressive symptoms, self-efficacy and disease control. Required total sample size was 165. Results Participants (n = 124) were randomized to either VEMOFIT (n = 53) or the attention control programme (n = 71). Participants had a mean (sd) age of 55.7 (9.7) years, median diabetes duration of 7.0 (8.0) years and mean HbA1c level of 82 mmol/mol (9.7%). The mean DDS-17 level decreased significantly in both the VEMOFIT and the attention control programmes (3.4 to 2.9 vs. 3.1 to 2.7, respectively). The adjusted between-group DDS-17 difference was not significant [-0.01, 95% confidence interval (CI) -0.38, 0.35]. The proportion of individuals with severe diabetes distress decreased in both groups, from 89% to 47% vs. 69% to 39% (odds ratio 0.88; 95% CI 0.26, 2.90). Other outcomes did not differ between groups. Conclusions Both interventions decreased diabetes distress significantly. The theory-based VEMOFIT programme was not superior to the attention control programme. The latter approach is a simpler way to decrease severe diabetes distress (Trial registration: NCT02730078; NMRR-15-1144-24803). |
| Databáze: | OpenAIRE |
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