Effectiveness of Motivational Enhancement Therapy Plus Cognitive Behavior Therapy on Glycerol Control, Depressive Symptoms, and Health Related Quality of Life in Diabetic Patients: A Randomized Controlled Trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/335279
Category:
Full-text
Type:
Presentation
Title:
Effectiveness of Motivational Enhancement Therapy Plus Cognitive Behavior Therapy on Glycerol Control, Depressive Symptoms, and Health Related Quality of Life in Diabetic Patients: A Randomized Controlled Trial
Author(s):
Huang, Chiung-Yu; Chen, Wen-Kuei; Lai, Hui-Ling
Lead Author STTI Affiliation:
Non-member
Author Details:
Chiung-Yu Huang, PhD, chyh@isu.edu.tw; Wen-Kuei Chen, PhD; Hui-Ling Lai, PhD, RN
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: When patients with diabetes have proper glycerol control, negative emotional responses usually occur and their health related quality of life is consequently under threats. The objective of this study was to determine the effectiveness of motivational enhancement therapy (MET) plus cognitive behavioral therapy (CBT) on depressive symptoms, HbA1C, fasting sugar, BMI, and health related quality of life in type II diabetic patients. Methods: There was an experimental design, a repeated measurement analysis. Data were collected in diabetic outpatient department. In the outpatients department of a general hospital, 241 diabetes patients had been approached in a managed diabetes care system, and 61 of them were recruited for the intervention clinical trial, who were screened by using Radloff CESD for depressive symptoms with score above 16. The MET plus CBT intervention consisted of twelve weekly 80 minute-sessions. At this purpose, six scales were repeated measured before and after the intervention, and there month follow-up. Results: Sixty-one patients completed the study. There were statistically significant improvements for outcome variables in the MET plus CBT experimental group (n = 31) (p < 0.01). In comparison the outcomes to experiment and control group (n = 30), there were statistically significant decreasing in HbA1C and fasting sugar three months after intervention (p = 0.0009, p = 0.0144), and significant decreasing in depressive symptoms after and three month later of intervention (p = 0.0000). Conclusion: Cognitive behavioral therapy improves self control skills and thus strengthens diabetes control skills, which results into the changes in fasting sugar, HbA1C, and depressive symptoms, and enhance health related quality of life. The intervention results 1-month improvement in HbA1C, fasting sugar and post and 3-month decreasing depressive symptoms compared with usual medical care. Nurse and psychiatrist delivered MET plus CBT as feasible for adults with depressive symptoms of type II diabetes. Nursing professional can consider using MET plus CBT besides usual care for improving psychological adjustment to their situation and thus lower the complications and cost of diabetic consequences.
Keywords:
Motivational enhancement therapy; cognitive behavioral therapy; depressive symptoms
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14PST153
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleEffectiveness of Motivational Enhancement Therapy Plus Cognitive Behavior Therapy on Glycerol Control, Depressive Symptoms, and Health Related Quality of Life in Diabetic Patients: A Randomized Controlled Trialen
dc.contributor.authorHuang, Chiung-Yuen
dc.contributor.authorChen, Wen-Kueien
dc.contributor.authorLai, Hui-Lingen
dc.contributor.departmentNon-memberen
dc.author.detailsChiung-Yu Huang, PhD, chyh@isu.edu.tw; Wen-Kuei Chen, PhD; Hui-Ling Lai, PhD, RNen
dc.identifier.urihttp://hdl.handle.net/10755/335279-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: When patients with diabetes have proper glycerol control, negative emotional responses usually occur and their health related quality of life is consequently under threats. The objective of this study was to determine the effectiveness of motivational enhancement therapy (MET) plus cognitive behavioral therapy (CBT) on depressive symptoms, HbA1C, fasting sugar, BMI, and health related quality of life in type II diabetic patients. Methods: There was an experimental design, a repeated measurement analysis. Data were collected in diabetic outpatient department. In the outpatients department of a general hospital, 241 diabetes patients had been approached in a managed diabetes care system, and 61 of them were recruited for the intervention clinical trial, who were screened by using Radloff CESD for depressive symptoms with score above 16. The MET plus CBT intervention consisted of twelve weekly 80 minute-sessions. At this purpose, six scales were repeated measured before and after the intervention, and there month follow-up. Results: Sixty-one patients completed the study. There were statistically significant improvements for outcome variables in the MET plus CBT experimental group (n = 31) (p < 0.01). In comparison the outcomes to experiment and control group (n = 30), there were statistically significant decreasing in HbA1C and fasting sugar three months after intervention (p = 0.0009, p = 0.0144), and significant decreasing in depressive symptoms after and three month later of intervention (p = 0.0000). Conclusion: Cognitive behavioral therapy improves self control skills and thus strengthens diabetes control skills, which results into the changes in fasting sugar, HbA1C, and depressive symptoms, and enhance health related quality of life. The intervention results 1-month improvement in HbA1C, fasting sugar and post and 3-month decreasing depressive symptoms compared with usual medical care. Nurse and psychiatrist delivered MET plus CBT as feasible for adults with depressive symptoms of type II diabetes. Nursing professional can consider using MET plus CBT besides usual care for improving psychological adjustment to their situation and thus lower the complications and cost of diabetic consequences.en
dc.subjectMotivational enhancement therapyen
dc.subjectcognitive behavioral therapyen
dc.subjectdepressive symptomsen
dc.date.available2014-11-17T13:48:41Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:48:41Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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