Dissemination of evidence-base minimal psychological intervention for diabetes management in Taiwan adults with type 2 diabetes

Ching-Ju Chiu, Yi Han Hu, Linda A. Wray, Elizabeth A. Beverly, Yi-Ching Yang, Jin-Shang Wu, Feng-Hwa Lu

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish
Pages (from-to)14489-14498
Number of pages10
JournalInternational Journal of Clinical and Experimental Medicine
Volume9
Issue number7
Publication statusPublished - 2016 Jul 30

Fingerprint

Medical problems
Taiwan
Type 2 Diabetes Mellitus
Psychology
Telephone
Hemoglobins
Blood Glucose
Early Diagnosis
Primary Health Care
Randomized Controlled Trials
Nurses
Depression
Population

All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

@article{ef9bfce0aea74180b26c48bc96007d54,
title = "Dissemination of evidence-base minimal psychological intervention for diabetes management in Taiwan adults with type 2 diabetes",
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.",
author = "Ching-Ju Chiu and Hu, {Yi Han} and Wray, {Linda A.} and Beverly, {Elizabeth A.} and Yi-Ching Yang and Jin-Shang Wu and Feng-Hwa Lu",
year = "2016",
month = "7",
day = "30",
language = "English",
volume = "9",
pages = "14489--14498",
journal = "International Journal of Clinical and Experimental Medicine",
issn = "1940-5901",
publisher = "e-Century Publishing Corporation",
number = "7",

}

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.

UR - http://www.scopus.com/inward/record.url?scp=84985946826&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84985946826&partnerID=8YFLogxK

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 -