A randomized controlled trial of acceptance and commitment therapy for type 2 diabetes management: the moderating role of coping styles
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BACKGROUND AND AIM: Evidence of the efficacy of existing psychological interventions for self-management in diabetes is limited. The current study aimed at assessing the effects of group-based ACT on self-management of patients with T2DM, considering the moderating role of coping styles. METHODS: One hundred and six patients with type 2 diabetes were randomly assigned either to the education alone (n = 53) or to a combination of education and group-based acceptance and commitment therapy (n = 53) over a period of 10 sessions. In each group, 50 participants completed a 3 month follow-up assessment. RESULTS: After 3 months, compared to patients who received education alone, those in the group-based acceptance and commitment therapy condition were more likely to use effective coping strategies, reported better diabetes self-care, and optimum glycated hemoglobin (HbA1C) levels in the target range. CONCLUSIONS: Consideration of the role of coping style for a more accurate evaluation of the effects of acceptance and commitment therapy may be a useful addition to services provided for patients with type 2 diabetes.
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Three studies reported their intervention protocols or manuals.
“Three studies reported their intervention protocols or manuals (Gregg et al., 2007;Shayeghian et al., 2016;Whitehead et al., 2017).”
From Effectiveness of acceptance and commitment therapy in people with type 2 diabetes mellitus: A systematic review and meta‐analysis. (2024) · cites this paper as Shayeghian et al., 2016
One of three ACT studies measuring diabetes self-management found a significant post-intervention increase.
“One of the three studies that measured diabetes self-management found a significant increase post-intervention [63].”
From Well-being interventions for individuals with diabetes: A systematic review (2019) · cites this paper as [63]
Of four ACT studies measuring HBA1C, only one found significant post-intervention reductions.
“Of the four studies that measured HBA1C, only one found significant reductions post-intervention [63].”
From Well-being interventions for individuals with diabetes: A systematic review (2019) · cites this paper as [63]
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The acceptance and commitment therapy (ACT) reduce stress in patients with type 2 diabetes mellitus
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a spotlight on acceptance and commitment therapy
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- Authors
- Shayeghian, Z., Hassanabadi, H., Aguilar-Vafaie, M. E., Amiri, P., & Besharat, M. A.
- Affiliations
- Research Institute for Endocrine Sciences (IR)
- Kharazmi University (IR)
- Corresponding author
- Amiri, Parisa
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2016-12-01
- Volume
- 11
- Issue
- 12
- Pages
- e0166599
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5132195
- OpenAlex
- W2558477713
- Cited by
- 77
- References
- 42
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 7 · 2023: 10 · 2022: 5 · 2021: 20 · 2020: 9 · 2019: 5 · 2018: 4 · 2017: 5
- FWCI
- 6.24
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- acceptance and commitment therapy, type 2 diabetes, diabetes self-management, coping styles, HbA1c, diabetes self-care, psychological intervention, diabetes education, moderating effect
- MeSH terms
- Aged, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Self Care, Acceptance and Commitment Therapy
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