Abstract
This study evaluated the impact of minimal psychological intervention (MPI) on improving psychological well-being and glycemic control in patients with type 2 diabetes in Taiwan. A randomized controlled trial was conducted, comparing the MPI with usual care in 182 primary care type 2 diabetes patients 50 and older in Taiwan. Nurses called patients at home over a period of 6 weeks. Questionnaire data were obtained from 174 participants at baseline, immediately post intervention, and 1-month after intervention. Hemoglobin A1c levels (HbA1c) from baseline to eight months after the interventions were assessed from medical charts. The telephone-delivered MPI significantly reduced patients’ diabetes-specific distress (βMPI*time= -3.24, P = 0.03), but not depressive symptoms, in those who have more than one complications. We also observed there is a trend suggesting those who diagnosed with diabetes within the last 10 years had greater reduction in diabetes-specific distress (βMPI*time= -1.58, P = 0.05). In patients whose baseline HbA1c were less than 8%, an improvement on the blood glucose level was observed 3 months after the intervention (βMPI*period 3= -0.18, P = 0.02). A telephone-delivered MPI might be a feasible and effective method for decreasing diabetes-specific distress and achieving better glycemic control in non-Western populations, especially in those who were at the early stage of diagnosis but had poor glycemic control.
| Original language | English |
|---|---|
| Pages (from-to) | 14489-14498 |
| Number of pages | 10 |
| Journal | International Journal of Clinical and Experimental Medicine |
| Volume | 9 |
| Issue number | 7 |
| Publication status | Published - 2016 Jul 30 |
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All Science Journal Classification (ASJC) codes
- Biochemistry, Genetics and Molecular Biology(all)
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Dissemination of evidence-base minimal psychological intervention for diabetes management in Taiwan adults with type 2 diabetes. / Chiu, Ching-Ju; Hu, Yi Han; Wray, Linda A.; Beverly, Elizabeth A.; Yang, Yi-Ching; Wu, Jin-Shang; Lu, Feng-Hwa.
In: International Journal of Clinical and Experimental Medicine, Vol. 9, No. 7, 30.07.2016, p. 14489-14498.Research output: Contribution to journal › Article
TY - JOUR
T1 - Dissemination of evidence-base minimal psychological intervention for diabetes management in Taiwan adults with type 2 diabetes
AU - Chiu, Ching-Ju
AU - Hu, Yi Han
AU - Wray, Linda A.
AU - Beverly, Elizabeth A.
AU - Yang, Yi-Ching
AU - Wu, Jin-Shang
AU - Lu, Feng-Hwa
PY - 2016/7/30
Y1 - 2016/7/30
N2 - This study evaluated the impact of minimal psychological intervention (MPI) on improving psychological well-being and glycemic control in patients with type 2 diabetes in Taiwan. A randomized controlled trial was conducted, comparing the MPI with usual care in 182 primary care type 2 diabetes patients 50 and older in Taiwan. Nurses called patients at home over a period of 6 weeks. Questionnaire data were obtained from 174 participants at baseline, immediately post intervention, and 1-month after intervention. Hemoglobin A1c levels (HbA1c) from baseline to eight months after the interventions were assessed from medical charts. The telephone-delivered MPI significantly reduced patients’ diabetes-specific distress (βMPI*time= -3.24, P = 0.03), but not depressive symptoms, in those who have more than one complications. We also observed there is a trend suggesting those who diagnosed with diabetes within the last 10 years had greater reduction in diabetes-specific distress (βMPI*time= -1.58, P = 0.05). In patients whose baseline HbA1c were less than 8%, an improvement on the blood glucose level was observed 3 months after the intervention (βMPI*period 3= -0.18, P = 0.02). A telephone-delivered MPI might be a feasible and effective method for decreasing diabetes-specific distress and achieving better glycemic control in non-Western populations, especially in those who were at the early stage of diagnosis but had poor glycemic control.
AB - This study evaluated the impact of minimal psychological intervention (MPI) on improving psychological well-being and glycemic control in patients with type 2 diabetes in Taiwan. A randomized controlled trial was conducted, comparing the MPI with usual care in 182 primary care type 2 diabetes patients 50 and older in Taiwan. Nurses called patients at home over a period of 6 weeks. Questionnaire data were obtained from 174 participants at baseline, immediately post intervention, and 1-month after intervention. Hemoglobin A1c levels (HbA1c) from baseline to eight months after the interventions were assessed from medical charts. The telephone-delivered MPI significantly reduced patients’ diabetes-specific distress (βMPI*time= -3.24, P = 0.03), but not depressive symptoms, in those who have more than one complications. We also observed there is a trend suggesting those who diagnosed with diabetes within the last 10 years had greater reduction in diabetes-specific distress (βMPI*time= -1.58, P = 0.05). In patients whose baseline HbA1c were less than 8%, an improvement on the blood glucose level was observed 3 months after the intervention (βMPI*period 3= -0.18, P = 0.02). A telephone-delivered MPI might be a feasible and effective method for decreasing diabetes-specific distress and achieving better glycemic control in non-Western populations, especially in those who were at the early stage of diagnosis but had poor glycemic control.
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M3 - Article
AN - SCOPUS:84985946826
VL - 9
SP - 14489
EP - 14498
JO - International Journal of Clinical and Experimental Medicine
JF - International Journal of Clinical and Experimental Medicine
SN - 1940-5901
IS - 7
ER -