Department of Family Medicine, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
University of Utrecht, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Diabet Med. 2018 Jun;35(6):750-759. doi: 10.1111/dme.13615. Epub 2018 Mar 30.
To evaluate the effectiveness of a brief, value-based emotion-focused educational programme (VEMOFIT) in Malay adults with Type 2 diabetes mellitus compared with a programme of active listening to participants' emotional experiences, social support and their opinion on the health clinic diabetes care services (attention control).
Malay adults with severe diabetes distress [Diabetes Distress Scale (DDS-17) mean score ≥ 3] were included. VEMOFIT consisted of four biweekly group sessions, a booster session after 3 months and a follow-up 6 months post intervention. The attention control programme consisted of three sessions over the same period. Outcomes included diabetes distress, depressive symptoms, self-efficacy and disease control. Required total sample size was 165.
Participants (n = 124) were randomized to either VEMOFIT (n = 53) or the attention control programme (n = 71). Participants had a mean (sd) age of 55.7 (9.7) years, median diabetes duration of 7.0 (8.0) years and mean HbA level of 82 mmol/mol (9.7%). The mean DDS-17 level decreased significantly in both the VEMOFIT and the attention control programmes (3.4 to 2.9 vs. 3.1 to 2.7, respectively). The adjusted between-group DDS-17 difference was not significant [-0.01, 95% confidence interval (CI) -0.38, 0.35]. The proportion of individuals with severe diabetes distress decreased in both groups, from 89% to 47% vs. 69% to 39% (odds ratio 0.88; 95% CI 0.26, 2.90). Other outcomes did not differ between groups.
Both interventions decreased diabetes distress significantly. The theory-based VEMOFIT programme was not superior to the attention control programme. The latter approach is a simpler way to decrease severe diabetes distress (Trial registration: NCT02730078; NMRR-15-1144-24803).
评估基于价值的情绪聚焦教育方案（VEMOFIT）在马来成年人 2 型糖尿病中的有效性，与积极倾听参与者的情绪体验、社会支持以及他们对健康诊所糖尿病护理服务的看法（对照组）的方案相比。
纳入严重糖尿病困扰的马来成年人[糖尿病困扰量表（DDS-17）平均得分≥3]。VEMOFIT 包括四组每两周一次的小组会议，三个月后进行一次强化会议，干预后 6 个月进行一次随访。对照组方案在同一时期包括三次会议。结果包括糖尿病困扰、抑郁症状、自我效能和疾病控制。需要的总样本量为 165。
参与者（n=124）被随机分配到 VEMOFIT 组（n=53）或对照组（n=71）。参与者的平均（标准差）年龄为 55.7（9.7）岁，中位糖尿病病程为 7.0（8.0）年，平均 HbA 水平为 82mmol/mol（9.7%）。VEMOFIT 和对照组方案中 DDS-17 平均值均显著下降（分别为 3.4 至 2.9，3.1 至 2.7）。调整后的组间 DDS-17 差异无统计学意义[-0.01，95%置信区间（CI）-0.38，0.35]。两组中严重糖尿病困扰的比例均下降，从 89%降至 47%，69%降至 39%（优势比 0.88；95%CI 0.26，2.90）。其他结果两组间无差异。
两种干预均显著降低了糖尿病困扰。基于理论的 VEMOFIT 方案并不优于对照组方案。后者是降低严重糖尿病困扰的一种更简单的方法（试验注册：NCT02730078；NMRR-15-1144-24803）。
