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Effectiveness of a nurse‐led mindfulness stress‐reduction intervention on diabetes distress, diabetes self‐management, and HbA1c levels among people with type 2 diabetes: A pilot randomized controlled trial.
- Source :
- Research in Nursing & Health; Feb2022, Vol. 45 Issue 1, p46-58, 13p
- Publication Year :
- 2022
-
Abstract
- People with diabetes frequently have elevated diabetes distress. Although mindfulness‐based stress reduction (MBSR) therapy has been shown effective in reducing diabetes distress, it has only been delivered by psychologists or a multidisciplinary team with an attrition rate of up to 39%, which limits its dissemination to a broader audience. This study was aimed to pilot evaluate the feasibility of a nurse‐led MBSR therapy and explore its potential efficacy amongst people with type 2 diabetes mellitus. A total of 100 participants were randomly allocated either to the intervention group (nurse‐led MBSR therapy + regular diabetes education) or the control group (regular diabetes education). Data on diabetes distress, diabetes self‐efficacy, and diabetes self‐management were collected at baseline, 8 and 12 weeks. Hemoglobin A1c (HbA1c) was collected at baseline and 12 weeks. A generalized estimating equation analysis for repeated measures was used to determine intervention and time effects. As predicted, the nurse‐led MBSR therapy had a significant time‐by‐group interaction effect on diabetes distress total score (95% confidence interval [CI]: 0.58–0.77, p < 0.001), diabetes self‐efficacy (95% CI: −0.93 to −0.74, p < 0.001), diabetes self‐management (95% CI: −10.80 to −7.83, p < 0.001), and HbA1c levels (95% CI: 0.04–1.14, p = 0.03) in the intervention group compared with the control group over 12 weeks. This is the first nurse‐led MBSR therapy in a hospital setting that is feasible and has the potential to improve health outcomes. This approach may offer an innovative model to deliver MBSR therapy. A randomized controlled trial comparing the nurse‐led MBSR plus usual diabetes education with usual diabetes education along with a mechanism to equalize intervention attention between the groups is indicated. [ABSTRACT FROM AUTHOR]
- Subjects :
- TYPE 2 diabetes & psychology
MINDFULNESS
GLYCOSYLATED hemoglobin
PILOT projects
CONFIDENCE intervals
DIABETES
TYPE 2 diabetes
SELF-efficacy
TREATMENT effectiveness
RANDOMIZED controlled trials
T-test (Statistics)
STRESS management
RESEARCH funding
PSYCHOSOCIAL factors
REPEATED measures design
DESCRIPTIVE statistics
QUESTIONNAIRES
CHI-squared test
STATISTICAL sampling
PATIENT education
DATA analysis software
PSYCHOLOGICAL distress
HEALTH self-care
NURSING interventions
PEOPLE with diabetes
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 01606891
- Volume :
- 45
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Research in Nursing & Health
- Publication Type :
- Academic Journal
- Accession number :
- 154833087
- Full Text :
- https://doi.org/10.1002/nur.22195