Premium
Short‐term effects of cognitive behavioural group training (CBGT) in adult Type 1 diabetes patients in prolonged poor glycaemic control. A randomized controlled trial
Author(s) -
Der Ven N. C. W.,
Hogenelst M. H. E.,
TrompWever A. M. E.,
Twisk J. W. R.,
Der Ploeg H. M.,
Heine R. J.,
Snoek F. J.
Publication year - 2005
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.2005.01691.x
Subject(s) - medicine , diabetes mellitus , randomized controlled trial , type 2 diabetes , distress , mood , psychological intervention , physical therapy , psychiatry , clinical psychology , endocrinology
Abstract Aims To assess the effects of cognitive behavioural group training (CBGT) on glycaemic control, diabetes self‐efficacy and well‐being in Type 1 diabetes patients in persistent poor glycaemic control. Methods In a randomized controlled trial, a total of 107 patients with Type 1 diabetes in poor glycaemic control (HbA 1c ≥ 8%) were assigned to a 6‐week CBGT or blood glucose awareness training (BGAT) as control condition. The intervention was preceded by a 3‐month run‐in period. Glycaemic control (HbA 1c ), diabetes‐specific self‐efficacy (CIDS), diabetes‐related distress (PAID) and depressive symptoms (CES‐D), were assessed at baseline (T1), directly before (T2) and 3 months after (T3) the intervention. Results No significant changes in HbA 1c were found after CBGT, whilst diabetes self‐efficacy increased (mean CIDS score 71.6 ± 14.0 to 74.3 ± 12.2) and diabetes‐related distress (mean PAID score 47.0 ± 21.6 to 42.6 ± 20.8) and depressive symptoms decreased (mean CES‐D score 16.9 ± 12.8 to 13.5 ± 12.6). Changes in psychological outcomes were similar for both treatment groups. Diabetes self‐care behaviours improved equally. Drop‐out rate, which was higher among CBGT participants, was relatively low overall (total n = 15, 17.05%), and both interventions were well‐appreciated by the participants. Conclusions CBGT was successful in improving self‐efficacy, diabetes‐related distress and mood at 3 months’ follow‐up, but not in improving glycaemic control.