Nasim Soltanian; Isaac Rahimian Boogar; Siavash Talepasand
Abstract
Aim: Non-pharmacological treatment models are offered to the diabetics to better manage their diabetes and blood sugar. This study compared two popular treatments which are evidenced to have an acceptable effect on diabetes. The purpose of this study was to compare the effectiveness of acceptance and ...
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Aim: Non-pharmacological treatment models are offered to the diabetics to better manage their diabetes and blood sugar. This study compared two popular treatments which are evidenced to have an acceptable effect on diabetes. The purpose of this study was to compare the effectiveness of acceptance and commitment therapy (ACT) and health-promoting lifestyle intervention or diabetes self-management program (DSMP) in the management of HbA1c.Methods: A total of 60 patients referred to Tehran Diabetes Treatment centers were selected by convenience sampling and were assigned to three 20-member groups. The first group received ACT intervention, the second group received DSMP intervention, and the third group did not receive any intervention. All the three groups received relevant medications during the study. They were examined for glycated hemoglobin in the three phases of before the intervention, after the intervention and follow-up using blood tests. The data were analyzed using descriptive statistics and mixed-design analysis of varianceResults:. The results showed that both ACT and DSMP methods were effective in improving the Management of Glycated Hemoglobin Levels in Type 2 Diabetes (F=5.835, P value<0.005). In addition, the effectiveness was sustained until the follow-up phase (F=26.274, P value<0.001). However, the comparison of the two treatments showed that ACT was more effective than DSMP in post-test and follow-up phases (F=10.902, P value<0.001).Conclusion:. It seems that along with pharmacological treatments, ACT could be significantly effective in the management of glycated hemoglobin levels. Glycated hemoglobin levels were better managed with the lifestyle modification by ACT than DSMP
Nasim Soltanian; Isaac Rahimian Boogar; siavash talepasand
Abstract
Summary: In this study, two well-known therapies that have had acceptable efficacy on diabetes are compared with each other. In fact, the purpose of this study was to compare the effectiveness of acceptance and commitment therapy (ACT) and the Diabetes Self-Care Program (DSMP) that is a health-promoting ...
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Summary: In this study, two well-known therapies that have had acceptable efficacy on diabetes are compared with each other. In fact, the purpose of this study was to compare the effectiveness of acceptance and commitment therapy (ACT) and the Diabetes Self-Care Program (DSMP) that is a health-promoting lifestyle intervention on diabetes adjustment and perception. Method: A number of 60 patients referred to Tehran Diabetes Clinics were selected and randomly assigned to three groups of 20 patients: one group under ACT intervention, one group under DSMP intervention and one control group that did not receive any intervention. All groups received medicine. All three groups were examined in three stages, before and after intervention and follow-up study by diabetes adjustment and diabetes perception questionnaire. Then, the collected data analyzed by descriptive statistics and mixed variance analysis (Intragroup, intergroup and interactive). Results: The results show that both ACT and DSMP methods are effective in improving disease adaptation (F = 5/515, P value <0.001) and disease perception (F = 0.665, P value <0.001). The follow-up phase also maintains its effectiveness. Also, a comparison of the two treatments shows that the ACT method is more effective than the DSMP method. Conclusion: It seems that Act protocol for type 2 diabetic patients can be significantly more effective than DSMP. It seems that the acceptance factor, values, commitment and other hexagonal factors of ACT can lead patients to a better understanding of diabetes, which may improve their adaptation and self-care behaviors.
