The Acceptance and Commitment Therapy (ACT) Reduce Stress in Patients With Type 2 Diabetes Mellitus

  • Difran Nobel Bistara
  • Susanti Susanti
  • Satriya Pranata
  • Alva Cherry Mustamu Departement of Nursing, Politeknik Kesehatan Kemenkes Sorong, Sorong, Provinsi Papua Barat, Indonesia
Keywords: Stress levels, Type 2 diabetes mellitus, Acceptance and commitment therapy

Abstract


Background/Aimː Diabetes mellitus patients may be more vulnerable to stress due to the requirement for lifestyle changes and blood sugar management. Stress occurs when people sense a mismatch between their available resources and the expectations put on them, especially when the expectations are believed to be excessive in comparison to the preceding circumstance. The purpose of this study is to look at the effectiveness of the acceptance and commitment therapy (ACT) as a stress-reduction intervention in patients with type 2 diabetes mellitus (T2DM) by enhancing their psychological well-being.

Methodsː A total of 40 people were allocated to either the intervention or control groups at random. The intervention group got counselling on the pillars of diabetes control, followed by a stress level pre-test. Following that, the ACT intervention was carried out. After completing the post-test, the control group got the same intervention. The ACT module and a questionnaire to evaluate stress levels in T2DM patients were used in this study.

Resultsː Following the ACT session, the measuring findings for stress levels in the intervention group showed a reduction. Both the intervention and control groups saw stress reduction; however, the intervention group had a greater reduction.

Conclusionsː The ACT intervention reduced stress levels in the intervention group. ACT appeared as the variable having the largest effect on lowering stress levels after taking into account variables such as duration of suffering, education, sex and age-related to T2DM.

References

Azam M, Sakinah LF, Kartasurya MI, Fibriana AI, Minuljo TT, Aljunid SM. Prevalence and determinants of obesity among individuals with diabetes in Indonesia. F1000Res 2023. DOI: 10.12688/f1000research.125549.2.

Pratiwi C, Mokoagow MI, Made Kshanti IA, Soewondo P. The risk factors of inpatient hypoglycemia: A systematic review. Heliyon 2020 May 11;6(5):e03913. doi: 10.1016/j.heliyon.2020.e03913.

Sari Y, Yusuf S, Haryanto, Kusumawardani LH, Sumeru A, Sutrisna E, Saryono. The cultural beliefs and practices of diabetes self-management in Javanese diabetic patients: An ethnographic study. Heliyon 2022 Jan 29;8(2):e08873. doi: 10.1016/j.heliyon.2022.e08873.

KKR Badan Penelitian dan Pengembangan Kesehatan "Hasil Utama Riskesdas 2018" [Online]. 2018. [Accessed: 18-Jul-2023]. Available at: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf.

Shuyu Ng C, Toh MP, Ko Y, Yu-Chia Lee J. Direct medical cost of type 2 diabetes in singapore. PLoS One. 2015 Mar 27;10(3):e0122795. doi: 10.1371/journal.pone.0122795.

Gomes MB, Rathmann W, Charbonnel B, Khunti K, Kosiborod M, Nicolucci A, et al; DISCOVER investigators. Treatment of type 2 diabetes mellitus worldwide: Baseline patient characteristics in the global DISCOVER study. Diabetes Res Clin Pract 2019 May;151:20-32.

Hidayat B, Ramadani RV, Rudijanto A, Soewondo P, Suastika K, Siu Ng JY. Direct medical cost of type 2 diabetes mellitus and its associated complications in Indonesia. Value Health Reg Issues 2022 Mar;28:82-9.

Adu MD, Malabu UH, Malau-Aduli AEO, Malau-Aduli BS. Enablers and barriers to effective diabetes self-management: A multi-national investigation. PLoS One 2019 Jun 5;14(6):e0217771. doi: 10.1371/journal.pone.0217771.

Sharma K, Akre S, Chakole S, Wanjari MB. Stress-Induced Diabetes: A Review. Cureus. 2022 Sep 13;14(9):e29142. doi: 10.7759/cureus.29142.

Sharma A, Mittal S, Aggarwal R, Chauhan MK. Diabetes and cardiovascular disease: inter-relation of risk factors and treatment. FJPS 2020;6(1):130. doi: 10.1186/s43094-020-00151-w.

Wu FY, Yin RX. Recent progress in epigenetics of obesity. Diabetol Metab Syndr 2022 Nov 17;14(1):171. doi: 10.1186/s13098-022-00947-1.

Loos RJF, Yeo GSH. The genetics of obesity: from discovery to biology. Nat Rev Genet. 2022 Feb;23(2):120-33.

Asif M. The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. J Educ Health Promot 2014 Feb 21;3:1. doi: 10.4103/2277-9531.127541.

Mambiya M, Shang M, Wang Y, Li Q, Liu S, Yang L, et al. The play of genes and non-genetic factors on type 2 diabetes. Front Public Health 2019 Nov 19;7:349. doi: 10.3389/fpubh.2019.00349.

Śliwińska-Mossoń M, Milnerowicz H. The impact of smoking on the development of diabetes and its complications. Diab Vasc Dis Res 2017 Jul;14(4):265-76.

Choudhury AA, Devi Rajeswari V. Gestational diabetes mellitus - A metabolic and reproductive disorder. Biomed Pharmacother 2021 Nov;143:112183. doi: 10.1016/j.biopha.2021.112183.

Utli H, Vural Doğru B. The effect of the COVID-19 pandemic on self-management in patients with type 2 diabetics. Prim Care Diabetes 2021 Oct;15(5):799-805.

von Deneen KM, Garstka MA. Neuroimaging perspective in targeted treatment for type 2 diabetes melitus and sleep disorders. Intelligent Medicine 2022;4(4):209-20.

Farm BAS, Perwitasari DA, Thobari JA, Cao Q, Krabbe PFM, Postma MJ. Translation, revision, and validation of the diabetes distress scale for Indonesian type 2 diabetic outpatients with various types of complications. Value Health Reg Issues 2017 May;12:63-73.

Wong H, Singh J, Go RM, Ahluwalia N, Guerrero-Go MA. The effects of mental stress on non-insulin-dependent diabetes: determining the relationship between catecholamine and adrenergic signals from stress, anxiety, and depression on the physiological changes in the pancreatic hormone secretion. Cureus 2019 Aug 24;11(8):e5474. doi: 10.7759/cureus.5474.

Argyropoulos T, Korakas E, Gikas A, Kountouri A, Kostaridou-Nikolopoulou S, Raptis A, et al. Stress hyperglycemia in children and adolescents as a prognostic indicator for the development of type 1 diabetes mellitus. Front Pediatr 2021 Apr 26;9:670976. doi: 10.3389/fped.2021.670976.

Arifin B, van Asselt ADI, Setiawan D, Atthobari J, Postma MJ, Cao Q. Diabetes distress in Indonesian patients with type 2 diabetes: a comparison between primary and tertiary care. BMC Health Serv Res 2019 Oct 30;19(1):773. doi: 10.1186/s12913-019-4515-1.

Kusnanto K, Arifin H, Pradipta RO, Gusmaniarti G, Kuswanto H, Setiawan A, et al. Resilience-based Islamic program as a promising intervention on diabetes fatigue and health-related quality of life. PLoS One 2022 Sep 1;17(9):e0273675. doi: 10.1371/journal.pone.0273675.

Kalra S, Jena BN, Yeravdekar R. Emotional and psychological needs of people with diabetes. Indian J Endocrinol Metab 2018 Sep-Oct;22(5):696-704.

de Groot M, Golden SH, Wagner J. Psychological conditions in adults with diabetes. Am Psychol 2016 Oct;71(7):552-62.

Lawrance EL, Thompson R, Newberry Le Vay J, Page L, Jennings N. The impact of climate change on mental health and emotional wellbeing: a narrative review of current evidence, and its implications. Int Rev Psychiatry 2022 Aug;34(5):443-98.

Boluda-Verdú I, Senent-Valero M, Casas-Escolano M, Matijasevich A, Pastor-Valero M. Fear for the future: Eco-anxiety and health implications, a systematic review. J Environ Psychol 2022 Dec;84:101904. doi: 10.1016/j.jenvp.2022.101904.

Tsai N, Eccles JS, Jaeggi SM. Stress and executive control: Mechanisms, moderators, and malleability. Brain Cogn 2019 Jul;133:54-9.

Dwivedi YK, Hughes L, Baabdullah AM, Ribeiro-Navarrete S, Giannakis M, Al-Debei MM. Metaverse beyond the hype: Multidisciplinary perspectives on emerging challenges, opportunities, and agenda for research, practice and policy. IJIm 2022 Oct;66:102542. doi: 10.1016/j.ijinfomgt.2022.102542.

S. Jiang S, Ngien A. The effects of Instagram use, social comparison, and self-esteem on social anxiety: a survey study in Singapore. Soc Med Soc 2020 Apr;6(2):2056305120912488. doi: 10.1177/2056305120912488.

Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health 2020 Jul 6;16(1):57. doi: 10.1186/s12992-020-00589-w.

S. Fang S, Ding D. The differences between acceptance and commitment therapy (ACT) and cognitive behavioral therapy: A three-level meta-analysis. J Context Behav Sci 2023 Apr:28:149-68.

McLoughlin S, Roche BT. ACT: a process-based therapy in search of a process. Behavior Therapy 2022 Aug. doi: 10.1016/j.beth.2022.07.010.

Chapoutot M, Peter-Derex L, Bastuji H, Leslie W, Schoendorff B, Heinzer R, et al. Cognitive behavioral therapy and acceptance and commitment therapy for the discontinuation of long-term benzodiazepine use in insomnia and anxiety disorders. Int J Environ Res Public Health 2021 Sep 28;18(19):10222. doi: 10.3390/ijerph181910222.

Mak YW, Leung DYP, Loke AY. Effectiveness of an individual acceptance and commitment therapy for smoking cessation, delivered face-to-face and by telephone to adults recruited in primary health care settings: a randomized controlled trial. BMC Public Health 2020 Nov 16;20(1):1719. doi: 10.1186/s12889-020-09820-0.

Tyng CM, Amin HU, Saad MNM, Malik AS. The Influences of emotion on learning and memory. Front Psychol 2017 Aug 24;8:1454. doi: 10.3389/fpsyg.2017.01454.

Li Z, Shang W, Wang C, Yang K, Guo J. Characteristics and trends in acceptance and commitment therapy research: A bibliometric analysis. Front Psychol 2022 Nov 14;13:980848. doi: 10.3389/fpsyg.2022.980848.

Korecki JR, Schwebel FJ, Votaw VR, Witkiewitz K. Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments. Subst Abuse Treat Prev Policy 2020 Jul 29;15(1):51. doi: 10.1186/s13011-020-00293-3.

Hayes SC, Hofmann SG. "Third-wave" cognitive and behavioral therapies and the emergence of a process-based approach to intervention in psychiatry. World Psychiatry 2021 Oct;20(3):363-75.

Hayes SC. Acceptance and commitment therapy: towards a unified model of behavior change. World Psychiatry 2019 Jun;18(2):226-7.

S. Fang S, Ding D. The efficacy of group-based acceptance and commitment therapy on psychological capital and school engagement: A pilot study among Chinese adolescents. J Context Behav Sci 2020 Apr:16:134-43.

Arnold T, Haubrick KK, Klasko-Foster LB, Rogers BG, Barnett A, Ramirez-Sanchez NA, et al. Acceptance and commitment therapy informed behavioral health interventions delivered by non-mental health professionals: a systematic review. J Contextual Behav Sci 2022 Apr;24:185-96.

Osaji J, Ojimba C, Ahmed S. The use of acceptance and commitment therapy in substance use disorders: a review of literature. J Clin Med Res 2020 Oct;12(10):629-33.

Sakamoto R, Ohtake Y, Kataoka Y, Matsuda Y, Hata T, Otonari J, et al. Efficacy of acceptance and commitment therapy for people with type 2 diabetes: Systematic review and meta-analysis. J Diabetes Investig 2022 Feb;13(2):262-70.

Amsberg S, Wijk I, Livheim F, Toft E, Johansson UB, Anderbro T. Acceptance and commitment therapy (ACT) for adult type 1 diabetes management: study protocol for a randomised controlled trial. BMJ Open 2018 Nov 28;8(11):e022234. doi: 10.1136/bmjopen-2018-022234.

Maghsoudi Z, Razavi Z, Razavi M, Javadi M. Efficacy of acceptance and commitment therapy for emotional distress in the elderly with type 2 diabetes: a randomized controlled trial. Diabetes Metab Syndr Obes 2019 Oct 17;12:2137-43.

Shayeghian Z, Hassanabadi H, Aguilar-Vafaie ME, Amiri P, Besharat MA. A randomized controlled trial of acceptance and commitment therapy for type 2 diabetes management: the moderating role of coping styles. PLoS One 2016 Dec 1;11(12):e0166599. doi: 10.1371/journal.pone.0166599.

Azadi MM, Manshaee G, Golparvar M. Comparing the effectiveness of mobile social network-based mindfulness interventions with acceptance and commitment therapy (ACT) and mindfulness therapy on depression, anxiety, stress among patients with type 2 diabetes. J Shahrekord Univ Med 2023 Jul;7(2):775-92.

Lindholm-Olinder A, Fischier J, Fries J, Alfonsson S, Elvingson V, Eriksson JW, Leksell J. A randomised wait-list controlled clinical trial of the effects of acceptance and commitment therapy in patients with type 1 diabetes: a study protocol. BMC Nurs 2015 Nov 19;14:61. doi: 10.1186/s12912-015-0101-y.

Villatte JL, Vilardaga R, Villatte M, Plumb Vilardaga JC, Atkins DC, Hayes SC. Acceptance and commitment therapy modules: differential impact on treatment processes and outcomes. Behav Res Ther 2016 Feb;77:52-61.

Conybeare D, Behar E, Solomon A, Newman MG, Borkovec TD. The PTSD Checklist-Civilian Version: reliability, validity, and factor structure in a nonclinical sample. J Clin Psychol 2012 Jun;68(6):699-713.

Salas-Groves E, Childress A, Albracht-Schulte K, Alcorn M, Galyean S. Effectiveness of home-based exercise and nutrition programs for senior adults on muscle outcomes: a scoping review. Clin Interv Aging 2023 Jul 11;18:1067-91.

Holt RIG, DeVries JH, Hess-Fischl A, Hirsch IB, Kirkman MS, Klupa T, et al. The management of type 1 diabetes in adults. a consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2021 Nov;44(11):2589-625.

Li Z, Zhang Z, Ren Y, Wang Y, Fang J, Yue H, et al. Aging and age-related diseases: from mechanisms to therapeutic strategies. Biogerontology 2021 Apr;22(2):165-87.

Davis HE, McCorkell L, Vogel JM, Topol EJ. Long COVID: major findings, mechanisms and recommendations. Nat Rev Microbiol 2023 Mar;21(3):133-46.

Franssen T, Stijnen M, Hamers F, Schneider F. Age differences in demographic, social and health-related factors associated with loneliness across the adult life span (19-65 years): a cross-sectional study in the Netherlands. BMC Public Health 2020 Aug 6;20(1):1118. doi: 10.1186/s12889-020-09208-0.

Zamani-Alavijeh F, Araban M, Koohestani HR, Karimy M. The effectiveness of stress management training on blood glucose control in patients with type 2 diabetes. Diabetol Metab Syndr 2018 May 8;10:39. doi: 10.1186/s13098-018-0342-5.

Merabet N, Lucassen PJ, Crielaard L, Stronks K, Quax R, Sloot PMA, et al. How exposure to chronic stress contributes to the development of type 2 diabetes: A complexity science approach. Front Neuroendocrinol 2022 Apr;65:100972. doi: 10.1016/j.yfrne.2021.100972.

Kautzky-Willer A, Harreiter J, Pacini G. Sex and gender differences in risk, pathophysiology and complications of type 2 diabetes mellitus. Endocr Rev 2016 Jun;37(3):278-316.

Ciarambino T, Crispino P, Leto G, Mastrolorenzo E, Para O, Giordano M. Influence of Gender in Diabetes Mellitus and Its Complication. Int J Mol Sci 2022 Aug 9;23(16):8850. doi: 10.3390/ijms23168850.

Babicka-Wirkus A, Wirkus L, Stasiak K, Kozłowski P. University students' strategies of coping with stress during the coronavirus pandemic: Data from Poland. PLoS One 2021 Jul 26;16(7):e0255041. doi: 10.1371/journal.pone.0255041.

Rudland JR, Golding C, Wilkinson TJ. The stress paradox: how stress can be good for learning. Med Educ 2020 Jan;54(1):40-5.

Babapour AR, Gahassab-Mozaffari N, Fathnezhad-Kazemi A. Nurses' job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nurs 2022 Mar 31;21(1):75. doi: 10.1186/s12912-022-00852-y.

Adams RV, Blair E. Impact of time management behaviors on undergraduate engineering students’ performance. SAGE Open 2019 Jan;9(1):2158244018824506. doi: 10.1177/2158244018824506.

Lusardi A. Financial literacy and the need for financial education: evidence and implications. SJES 2019 Jan;155(1):1. doi: 10.1186/s41937-019-0027-5.

Carroll A, Forrest K, Sanders-O'Connor E, Flynn L, Bower JM, Fynes-Clinton S, et al. Teacher stress and burnout in Australia: examining the role of intrapersonal and environmental factors. Soc Psychol Educ 2022;25(2-3):441-69.

Darling-Hammond L, Flook L, Cook-Harvey C, Barron B, Osher D. Implications for educational practice of the science of learning and development. Appl Dev Sci 2020 Apr;24(2):97-140.

Mofatteh M. Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS Public Health 2020 Dec 25;8(1):36-65.

Freire C, Ferradás MDM, Regueiro B, Rodríguez S, Valle A, Núñez JC. Coping strategies and self-efficacy in university students: a person-centered approach. Front Psychol 2020 May 19;11:841. doi: 10.3389/fpsyg.2020.00841.

Shi S, Liu R, Yu H, Xiang L, Lu H. Experience of pediatric nurses in parent-child isolation units of COVID-19 Designated hospitals: a qualitative study. Risk Manag Healthc Policy 2023 Jul 11;16:1273-85.

Huang DR, Goodship A, Webber I, Alaa A, Sasco ER, Hayhoe B, et al. Experience and severity of menopause symptoms and effects on health-seeking behaviours: a cross-sectional online survey of community dwelling adults in the United Kingdom. BMC Womens Health 2023 Jul 14;23(1):373. doi: 10.1186/s12905-023-02506-w.

Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes 2017 Apr 15;8(4):120-9.

Bavel JJV, Baicker K, Boggio PS, Capraro V, Cichocka A, Cikara M, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav 2020 May;4(5):460-71.

Yu JS, 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 Dec 23;5(4):e20888. doi: 10.2196/20888.

Babapour Chafi M, Hultberg A, Bozic Yams N. Post-pandemic office work: perceived challenges and opportunities for a sustainable work environment. Sustainability 2022;14(1):294. https://doi.org/10.3390/su14010294.

Kozlowska K, Sawchuk T, Waugh JL, Helgeland H, Baker J, Scher S, Fobian AD. Changing the culture of care for children and adolescents with functional neurological disorder. Epilepsy Behav Rep 2021 Sep 23;16:100486. doi: 10.1016/j.ebr.2021.100486.

Bryant C. Psychological interventions for older adults: evidence-based treatments for depression, anxiety, and carer stress. In: Chiu H, Shulman K, eds. Mental Health and Illness of the Elderly. Singapore: Springer, 2017. pp. 481–514.

De Leo D. Late-life suicide in an aging world. Nat Aging 2022 Jan;2(1):7-12.

Abdi S, Spann A, Borilovic J, de Witte L, Hawley M. Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF). BMC Geriatr 2019 Jul 22;19(1):195. doi: 10.1186/s12877-019-1189-9.

American Diabetes Association. Standards of Medical Care in Diabetes-2022 abridged for primary care providers. Clin Diabetes 2022 Jan;40(1):10-38.

Joseph JJ, Deedwania P, Acharya T, Aguilar D, Bhatt DL, Chyun DA, et al; American Heart Association Diabetes Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Clinical Cardiology; and Council on Hypertension. Comprehensive management of cardiovascular risk factors for adults with type 2 diabetes: a scientific statement from the American Heart Association. Circulation 2022 Mar;145(9):e722-e759.

O'Hearn M, Lara-Castor L, Cudhea F, Miller V, Reedy J, Shi P, Zhang J, et al; Global Dietary Database. Incident type 2 diabetes attributable to suboptimal diet in 184 countries. Nat Med 2023 Apr;29(4):982-95.

Flagg LA, Sen B, Kilgore M, Locher JL. The influence of gender, age, education and household size on meal preparation and food shopping responsibilities. Public Health Nutr 2014 Sep;17(9):2061-70.

van Smoorenburg AN, Hertroijs DFL, Dekkers T, Elissen AMJ, Melles M. Patients' perspective on self-management: type 2 diabetes in daily life. BMC Health Serv Res 2019 Aug 28;19(1):605. doi: 10.1186/s12913-019-4384-7.

Powers MA, Bardsley JK, Cypress M, Funnell MM, Harms D, Hess-Fischl A, et al. Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care 2020 Jul;43(7):1636-49.

Chawla SPS, Kaur S, Bharti A, Garg R, Kaur M, Soin D, et al. Impact of health education on knowledge, attitude, practices and glycemic control in type 2 diabetes mellitus. J Family Med Prim Care 2019 Jan;8(1):261-8.

Nyblade L, Stockton MA, Giger K, Bond V, Ekstrand ML, Lean RM, et al. Stigma in health facilities: why it matters and how we can change it. BMC Med 2019 Feb 15;17(1):25. doi: 10.1186/s12916-019-1256-2.

Budreviciute A, Damiati S, Sabir DK, Onder K, Schuller-Goetzburg P, Plakys G, et al. Management and prevention strategies for non-communicable diseases (NCDs) and their risk factors. Front Public Health 2020 Nov 26;8:574111. doi: 10.3389/fpubh.2020.574111.

Brooks JT, Butler JC. Effectiveness of mask wearing to control community spread of SARS-CoV-2. JAMA 2021 Mar 9;325(10):998-9.

Akash MSH, Rehman K, Fiayyaz F, Sabir S, Khurshid M. Diabetes-associated infections: development of antimicrobial resistance and possible treatment strategies. Arch Microbiol 2020 Jul;202(5):953-65.

Hilliard ME, Yi-Frazier JP, Hessler D, Butler AM, Anderson BJ, Jaser S. Stress and A1c among people with diabetes across the lifespan. Curr Diab Rep 2016 Aug;16(8):67. doi: 10.1007/s11892-016-0761-3.

Basit KA, Mindell J, Fat L. IDF21-0303 Prevalence of cardiovascular risk factors in English young, middle-aged and older adult with and without diabetes. Diabetes Res Clin Pract 2020;186:109269. doi: 10.1016/j.diabres.2022.109269.

Kalra S, Bajaj S, Sharma SK, Priya G, Baruah MP, Sanyal D, et al. A practitioner's toolkit for insulin motivation in adults with type 1 and type 2 diabetes mellitus: evidence-based recommendations from an international expert panel. Diabetes Ther 2020 Mar;11(3):585-606.

Almalki MH, Alshahrani F. Options for controlling type 2 diabetes during Ramadan. Front Endocrinol (Lausanne) 2016 Apr 18;7:32. doi: 10.3389/fendo.2016.00032.

Ibrahim M, Davies MJ, Ahmad E, Annabi FA, Eckel RH, Ba-Essa EM, et al. Recommendations for management of diabetes during Ramadan: update 2020, applying the principles of the ADA/EASD consensus. BMJ Open Diabetes Res Care 2020 May;8(1):e001248. doi: 10.1136/bmjdrc-2020-001248.

Sanz-Cánovas J, López-Sampalo A, Cobos-Palacios L, Ricci M, Hernández-Negrín H, Mancebo-Sevilla JJ, et al. Management of type 2 diabetes mellitus in elderly patients with frailty and/or sarcopenia. Int J Environ Res Public Health 2022 Jul 16;19(14):8677. doi: 10.3390/ijerph19148677.

Gómez-Velasco DV, Almeda-Valdes P, Martagón AJ, Galán-Ramírez GA, Aguilar-Salinas CA. Empowerment of patients with type 2 diabetes: current perspectives. Diabetes Metab Syndr Obes 2019 Aug 6;12:1311-21.

Ruini C, Mortara CC. Writing technique across psychotherapies-from traditional expressive writing to new positive psychology interventions: a narrative review. J Contemp Psychother 2022;52(1):23-34.

Søvold LE, Naslund JA, Kousoulis AA, Saxena S, Qoronfleh MW, Grobler C, et al. Prioritizing the mental health and well-being of healthcare workers: an urgent global public health priority. Front Public Health 2021 May 7;9:679397. doi: 10.3389/fpubh.2021.679397.

Correia JC, Lachat S, Lagger G, Chappuis F, Golay A, Beran D; COHESION Project. Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low- and middle-income countries:a scoping review. BMC Public Health 2019 Nov 21;19(1):1542. doi: 10.1186/s12889-019-7842-6.

Egbujie BA, Delobelle PA, Levitt N, Puoane T, Sanders D, van Wyk B. Role of community health workers in type 2 diabetes mellitus self-management: A scoping review. PLoS One 2018 Jun 1;13(6):e0198424. doi: 10.1371/journal.pone.0198424.

Hanson K, Brikci N, Erlangga D, Alebachew A, De Allegri M, Balabanova D, et al. The Lancet Global Health Commission on financing primary health care: putting people at the centre. Lancet Glob Health 2022 May;10(5):e715-e772.

Reynolds R, Dennis S, Hasan I, Slewa J, Chen W, Tian D, et al. A systematic review of chronic disease management interventions in primary care. BMC Fam Pract 2018 Jan 9;19(1):11. doi: 10.1186/s12875-017-0692-3.

Werfalli M, Raubenheimer PJ, Engel M, Musekiwa A, Bobrow K, Peer N, et al. The effectiveness of peer and community health worker-led self-management support programs for improving diabetes health-related outcomes in adults in low- and-middle-income countries: a systematic review. Syst Rev 2020 Jun 6;9(1):133. doi: 10.1186/s13643-020-01377-8.

Evans S, Olive L, Dober M, Knowles S, Fuller-Tyszkiewicz M, O E, et al. Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme. BMJ Open 2022 Jun 10;12(6):e060272. doi: 10.1136/bmjopen-2021-060272.

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. Front Psychiatry 2020 Jul 28;11:711. doi: 10.3389/fpsyt.2020.00711.

Velázquez-Jurado H, Flores-Torres A, Pérez-Peralta L, Salinas-Rivera E, Valle-Nava MD, Arcila-Martinez D, et al; CAIPaDi Study Group. Cognitive behavioral treatment to improve psychological adjustment in people recently diagnosed with type 2 diabetes: Psychological treatment in type 2 diabetes. Health Psychol Behav Med 2023 Feb 19;11(1):2179058. doi: 10.1080/21642850.2023.2179058.

Cardel MI, Ross KM, Butryn M, Donahoo WT, Eastman A, Dillard JR, et al. Acceptance-based therapy: the potential to augment behavioral interventions in the treatment of type 2 diabetes. Nutr Diabetes 2020 Jan 21;10(1):3. doi: 10.1038/s41387-020-0106-9.

Visagie E, Deacon E, Kok R. Exploring the role of CBT in the self-management of type 2 diabetes: A rapid review. Health SA 2023 May 29;28:2254. doi: 10.4102/hsag.v28i0.2254.

Carpenter R, DiChiacchio T, Barker K. Interventions for self-management of type 2 diabetes: An integrative review. Int J Nurs Sci 2018 Dec 14;6(1):70-91.

Davies MJ, Aroda VR, Collins BS, Gabbay RA, Green J, Maruthur NM, et al. Management of hyperglycemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2022 Nov 1;45(11):2753-86.

Abedi H, Matinnia N, Yazdi-Ravandi S. Investigating the effectiveness of cognitive behavioral group therapy on psycho-social and emotional adaptability and cognitive flexibility in people with multiple sclerosis in Hamedan, Iran. Neurol Sci 2023 Jul 17. doi: 10.1007/s10072-023-06953-z.

Prudenzi A, Graham CD, Flaxman PE, Wilding S, Day F, O'Connor DB. A workplace Acceptance and Commitment Therapy (ACT) intervention for improving healthcare staff psychological distress: A randomised controlled trial. PLoS One 2022 Apr 20;17(4):e0266357. doi: 10.1371/journal.pone.0266357.

Keulen J, Matthijssen D, Schraven J, Deković M, Bodden D. The effectiveness and cost-effectiveness of Acceptance and Commitment Therapy as a transdiagnostic intervention for transitional-age youth: study protocol of a randomized controlled trial. BMC Psychiatry 2023 Jan 19;23(1):51. doi: 10.1186/s12888-023-04535-z.

Hahr AJ, Molitch ME. Management of diabetes mellitus in patients with chronic kidney disease. Clin Diabetes Endocrinol 2015 Jun 4;1:2. doi: 10.1186/s40842-015-0001-9.

US Preventive Services Task Force; Davidson KW, Barry MJ, Mangione CM, Cabana M, Caughey AB, Davis EM, et al. Screening for prediabetes and type 2 diabetes: US preventive services task force recommendation statement. JAMA 2021 Aug 24;326(8):736-43.

Sapra S, P. Bhandari P. Diabetes. In StatPearls, Treasure Island (FL): StatPearls Publishing, 2023. [Accessed: 18-Jul-2023]. [Online]. Available at: http://www.ncbi.nlm.nih.gov/books/NBK551501/.

Ramkisson S, Pillay BJ, Sibanda W. Social support and coping in adults with type 2 diabetes. Afr J Prim Health Care Fam Med 2017 Jul 31;9(1):e1-e8.

Galaviz KI, Narayan KMV, Lobelo F, Weber MB. Lifestyle and the prevention of type 2 diabetes: a status report. Am J Lifestyle Med 2015 Nov 24;12(1):4-20.

Strain WD, Cos X, Hirst M, Vencio S, Mohan V, Vokó Z, et al. Time to do more: addressing clinical inertia in the management of type 2 diabetes mellitus. Diabetes Res Clin Pract 2014 Sep;105(3):302-12.

Alòs F, Colomer MÀ, Martin-Cantera C, Solís-Muñoz M, Bort-Roig J, Saigi I, et al. Effectiveness of a healthcare-based mobile intervention on sedentary patterns, physical activity, mental well-being and clinical and productivity outcomes in office employees with type 2 diabetes: study protocol for a randomized controlled trial. BMC Public Health 2022 Jun 29;22(1):1269. doi: 10.1186/s12889-022-13676-x.

122. Pleus S, Freckmann G, Schauer S, Heinemann L, Ziegler R, Ji L, et al. Self-monitoring of blood glucose as an integral part in the management of people with type 2 diabetes mellitus. Diabetes Ther 2022 May;13(5):829-46.

Clark CN, Eby EL, Lensing CJ, Fultz E, Hart B, Lingcaro L, et al. Characterizing diabetes empowerment and motivation for changing health behaviors among people with type 2 diabetes: a cross-sectional survey. Diabetes Ther 2023 May;14(5):869-82.

Schmidt SK, Hemmestad L, MacDonald CS, Langberg H, Valentiner LS. Motivation and barriers to maintaining lifestyle changes in patients with type 2 diabetes after an intensive lifestyle intervention (The U-TURN Trial): a longitudinal qualitative study. Int J Environ Res Public Health 2020 Oct 13;17(20):7454. doi: 10.3390/ijerph17207454.

Woldamanuel Y, Rossen J, Andermo S, Bergman P, Åberg L, Hagströmer M, Johansson UB. Perspectives on promoting physical activity using ehealth in primary care by health care professionals and individuals with prediabetes and type 2 diabetes: qualitative study. JMIR Diabetes 2023 Jan 20;8:e39474. doi: 10.2196/39474.

Binesh M, Shafaroodi N, Mirmohammadkhani M, Aghili R, Motaharinezhad F, Khanipour M, et al. A randomized controlled trial for evaluating an occupational therapy self management intervention in adults with type 2 diabetes. Sci Rep 2023 Jun 22;13(1):10128. doi: 10.1038/s41598-023-37231-9.

Duncan AD, Peters BS, Rivas C, Goff LM. Reducing risk of Type 2 diabetes in HIV: a mixed-methods investigation of the STOP-Diabetes diet and physical activity intervention. Diabet Med 2020 Oct;37(10):1705-14.

Coningsby I, Ainsworth B, Dack C. A qualitative study exploring the barriers to attending structured education programmes among adults with type 2 diabetes. BMC Health Serv Res 2022 Apr 30;22(1):584. doi: 10.1186/s12913-022-07980-w.

Ribu L, Rønnevig M, Corbin J. People with type 2 diabetes struggling for self-management: A part study from the randomized controlled trial in RENEWING HEALTH. Nurs Open 2019 May 23;6(3):1088-96.

Lin CL, Huang LC, Chang YT, Chen RY, Yang SH. Effectiveness of health coaching in diabetes control and lifestyle improvement: a randomized-controlled trial. Nutrients 2021 Oct 29;13(11):3878. doi: 10.3390/nu13113878.

Barr JA, Tsai LP. Health coaching provided by registered nurses described: a systematic review and narrative synthesis. BMC Nurs 2021 May 10;20(1):74. doi: 10.1186/s12912-021-00594-3.

Almulhim AN, Hartley H, Norman P, Caton SJ, Doğru OC, Goyder E. Behavioural change techniques in health coaching-based interventions for type 2 diabetes: a systematic review and meta-analysis. BMC Public Health 2023 Jan 13;23(1):95. doi: 10.1186/s12889-022-14874-3.

Al-Rasheedi AA. The role of educational level in glycemic control among patients with type II Diabetes Mellitus. Int J Health Sci (Qassim) 2014 Apr;8(2):177-87.

Raghupathi V, Raghupathi W. The influence of education on health: an empirical assessment of OECD countries for the period 1995-2015. Arch Public Health 2020 Apr 6;78:20. doi: 10.1186/s13690-020-00402-5.

Andermann A; CLEAR Collaboration. Taking action on the social determinants of health in clinical practice: a framework for health professionals. CMAJ 2016 Dec 6;188(17-18):E474-E483.

Zimmer-Gembeck MJ, Skinner EA. The Development of Coping: implications for psychopathology and resilience. In: Developmental Psychopathology. New York: John Wiley & Sons Ltd, 2016. pp. 1–61.

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 Feb 3;23(1):86. doi: 10.1186/s12888-023-04546-w.

Gloster AT, Walder N, Levin ME, Twohig MP, Karekla M. The empirical status of acceptance and commitment therapy: A review of meta-analyses. J Context Behav Sci 2020 Oct;18:181-92.

Dindo L, Van Liew JR, Arch JJ. Acceptance and commitment therapy: a transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics 2017 Jul;14(3):546-553.

Ferguson T, Olds T, Curtis R, Blake H, Crozier AJ, Dankiw K, et al. Effectiveness of wearable activity trackers to increase physical activity and improve health: a systematic review of systematic reviews and meta-analyses. Lancet Digit Health 2022 Aug;4(8):e615-e626.

Timpel P, Harst L, Reifegerste D, Weihrauch-Blüher S, Schwarz PEH. What should governments be doing to prevent diabetes throughout the life course? Diabetologia 2019 Oct;62(10):1842-53.

Deslippe AL, Soanes A, Bouchaud CC, Beckenstein H, Slim M, Plourde H, et al. Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature. Int J Behav Nutr Phys Act 2023 Feb 14;20(1):14. doi: 10.1186/s12966-023-01424-2.

Lambrinou E, Hansen TB, Beulens JW. Lifestyle factors, self-management and patient empowerment in diabetes care. Eur J Prev Cardiol 2019 Dec;26(2_suppl):55-63.

Dack C, Ross J, Stevenson F, Pal K, Gubert E, Michie S, et al. A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes. Internet Interv 2019 Mar 20;17:100241. doi: 10.1016/j.invent.2019.100241.

Bendig E, Schmitt A, Wittenberg A, Kulzer B, Hermanns N, Moshagen M, et al. ACTonDiabetes: study protocol of a pragmatic randomised controlled trial for the evaluation of an acceptance and commitment-based internet-based and mobile-based intervention for adults living with type 1 or type 2 diabetes. BMJ Open 2022 Sep 15;12(9):e059336. doi: 10.1136/bmjopen-2021-059336.

Harrington D, Henson J. Physical activity and exercise in the management of type 2 diabetes: where to start? Practical Diabetes 2021;38(5): 35–40b.

Published
2023/12/21
Section
Original article