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A cognitive behavior therapy-based intervention among poorly controlled adult type 1 diabetes patients--a randomized controlled trial.
Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.ORCID-id: 0000-0002-7256-349X
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2009 (Engelska)Ingår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 77, nr 1, s. 72-80Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVE: To examine the impact of a Cognitive Behavior Therapy (CBT)-based intervention on HbA(1c), self-care behaviors and psychosocial factors among poorly controlled adult type 1 diabetes patients. METHODS: Ninety-four type 1 diabetes patients were randomly assigned to either an intervention group or a control group. The intervention was based on CBT and was mainly delivered in group format, but individual sessions were also included. All subjects were provided with a continuous glucose monitoring system (CGMS) during two 3-day periods. HbA(1c), self-care behaviors and psychosocial factors were measured up to 48 weeks. RESULTS: Significant differences were observed with respect to HbA(1c) (P<0.05), well-being (P<0.05), diabetes-related distress (P<0.01), frequency of blood glucose testing (P<0.05), avoidance of hypoglycemia (P<0.01), perceived stress (P<0.05), anxiety (P<0.05) and depression (P<0.05), all of which showed greater improvement in the intervention group compared with the control group. A significant difference (P<0.05) was registered with respect to non-severe hypoglycemia, which yielded a higher score in the intervention group. CONCLUSION: This CBT-based intervention appears to be a promising approach to diabetes self-management. PRACTICE IMPLICATIONS: Diabetes care may benefit from applying tools commonly used in CBT. For further scientific evaluation in clinical practice, there is a need for specially educated diabetes care teams, trained in the current approach, as well as cooperation between diabetes care teams and psychologists trained in CBT.

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2009. Vol. 77, nr 1, s. 72-80
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Psykologi
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URN: urn:nbn:se:miun:diva-6603DOI: 10.1016/j.pec.2009.01.015ISI: 000270332000014PubMedID: 19297117Lokalt ID: 5437OAI: oai:DiVA.org:miun-6603DiVA, id: diva2:31642
Tillgänglig från: 2008-11-19 Skapad: 2008-11-19 Senast uppdaterad: 2017-12-12Bibliografiskt granskad

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