Comparison of the effects of K orean mindfulness‐based stress reduction, walking, and patient education in diabetes mellitus
Abstract
The purpose of this study was to compare the effects of Korean mindfulness‐based stress reduction (K‐MBSR), walking, and patient education regarding diabetes mellitus (DM) on stress response, glycemic control, and vascular inflammation in patients with diabetes mellitus. A cluster randomized trial including 56 adults with diabetes mellitus (K‐MBSR group = 21, walking group = 18, patient education group = 17) was conducted between 13 J uly and 14 S eptember 2012. The questionnaire included the D iabetes D istress S cale and P erceived S tress R esponse I nventory. Fasting blood samples were used to measure levels of cortisol, blood glucose, plasminogen activator inhibitor‐1 (PAI‐1), and tissue plasminogen activator (t‐PA). There were no statistically significant differences between the effects of K‐MBSR, walking, and patient education on stress, glycemic control, or vascular inflammation. However, in the K‐MBSR and walking groups, significant reductions in the levels of serum cortisol and PAI‐1 were observed. A significant reduction in psychological responses to stress was observed in the walking and patient education groups. Longitudinal studies could provide better insight into the impact of K‐MBSR, walking, and patient education on health outcomes in adults with diabetes mellitus.
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Two studies reported attrition rates of >20%.
“Five studies carried out intention‐to‐treat analysis, Six studies 12 , 13 , 14 , 27 , 33 , 41 reported attrition rates of <20%, and two studies 26 , 40 reported attrition rates of >20%, but no significant difference between groups regarding attrition rates.”
From Effects of mindfulness-based intervention on glycemic control and psychological outcomes in people with diabetes: a systematic review and meta-analysis (2021) · cites this paper as [40]
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- Authors
- Jung, H. Y., Lee, H., & Park, J.
- Affiliations
- Busan Women's College (KR)
- Pusan National University (KR)
- Corresponding author
- Lee, Haejung
- Venue
- Nursing & Health Sciences
- Publisher
- Wiley
- Published
- 2015-08-14
- Volume
- 17
- Issue
- 4
- Pages
- 516-525
- ISSN
- 1441-0745 (ISSN-L)
- 1442-2018
- OpenAlex
- W1592101523
- Cited by
- 48
- References
- 35
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 8 · 2019: 4 · 2018: 5 · 2017: 4 · 2016: 1 · 2012: 1
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nursing and Health Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Keywords
- walking, patient education, diabetes mellitus, stress response, glycemic control, vascular inflammation, cortisol, plasminogen activator inhibitor-1, tissue plasminogen activator, diabetes distress, psychological stress
- MeSH terms
- Adult, Aged, Analysis of Variance, Attitude to Health, Blood Glucose, China, Diabetes Mellitus, Type 2, Educational Status, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Education as Topic, Prospective Studies, Rural Population, Socioeconomic Factors, Stress, Psychological, Exercise, Cluster Analysis, Chi-Square Distribution, Walking, Treatment Outcome, Risk Assessment, Mindfulness
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