Synteza kontekstu badawczego
Opracowanie polskojęzyczne oraz dostęp do abstraktu źródłowego
PROWENIENCJA: PUBMED / MEDLINE TDM
Autorskie polskie podsumowanie kontekstu badawczego:
Randomizowane badanie kontrolowane (RCT) „Impact of an Acceptance and Commitment Therapy programme on HbA1c, self-management and psychosocial factors in adults with type 1 diabetes and elevated HbA1c levels: a randomised controlled trial” opublikowane na łamach czasopisma „BMJ Open” (2023). Główne deskryptory indeksacyjne (MeSH / słowa kluczowe autorów) przypisane do publikacji obejmują: Acceptance and Commitment Therapy, Diabetes Mellitus, Type 1, Self-Management, DIABETES & ENDOCRINOLOGY, Depression & mood disorders, PREVENTIVE MEDICINE. Poniżej prezentujemy jawny graf powiązań bibliograficznych, kontrolowaną taksonomię NLM MeSH oraz wskaźniki współwystępowania pojęć wyliczone na podstawie lokalnej analizy danych (Text & Data Mining).
Oryginalny abstrakt Open Access (PubMed PMID 38101850 · licencja otwarta CC)
OBJECTIVE: To evaluate the impact of an Acceptance and Commitment Therapy (ACT) programme, tailored for people living with type 1 diabetes, on glycated haemoglobin (HbA1c), self-management and psychosocial factors among individuals with HbA1c>60 mmol/mol compared with treatment as usual (TAU).
SETTING: An endocrinologic clinic in Sweden.
PARTICIPANTS: In this randomised controlled trial, 81 individuals with type 1 diabetes, aged 18-70 years with HbA1c>60 mmol/mol, were randomly assigned to either an ACT group intervention or TAU. Exclusion criteria were: unable to speak Swedish, untreated or severe psychiatric disease, cortisone treatment, untreated thyroid disease and newly started insulin pump therapy. At the 2-year follow-up, HbA1c was measured in 26 individuals.
INTERVENTION: The ACT programme comprised seven 2-hour sessions held over 14 weeks and focused on acceptance of stressful thoughts and emotions, and to promote value-based committed action.
OUTCOMES: The primary outcome was HbA1c, and the secondary outcomes were measures of depression, anxiety, general stress, fear of hypoglycaemia, diabetes distress, self-care activities, psychological flexibility (general and related to diabetes) and quality of life. The primary endpoint was HbA1c 2 years after the intervention programme. Linear mixed models were used to test for an interaction effect between measurement time and group.
RESULTS: Likelihood ratio test of nested models demonstrated no statistically significant interaction effect (χ2=0.49, p=0.485) between measurement time and group regarding HbA1c. However, a statistically significant interaction effect (likelihood ratio test χ2=12.63, p<0.001) was observed with improved scores on The Acceptance and Action Questionnaire in the intervention group after 1 and 2 years.
CONCLUSIONS: No statistically significant difference was found between the groups regarding the primary outcome measure, HbA1c. However, the ACT programme showed a persistent beneficial impact on psychological flexibility in the intervention group. The dropout rate was higher than expected, which may indicate a challenge in this type of study.
TRIAL REGISTRATION NUMBER: NCT02914496.
Informacja licencyjna wydawcy: © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Nota prawna (Prawo autorskie i TDM): Zgodnie z wytycznymi NLM/PubMed pełny tekst angielskiego abstraktu jest wyświetlany bezpośrednio wyłącznie dla artykułów z jawną otwartą licencją Creative Commons (CC-BY). W pozostałych przypadkach lokalny plik XML z PubMed służy wyłącznie do wewnętrznej analizy statystycznej i ekstrakcji pojęć (Text & Data Mining, art. 3–4 dyrektywy DSM UE), a powyżej prezentujemy nasze autorskie polskie omówienie kontekstu badawczego oraz bezpośredni odsyłacz do rekordu w bazie PubMed.