School of Nursing, The University of Texas at Austin, Austin, Texas, USA.
Int J Nurs Pract. 2020 Oct;26(5):e12825. doi: 10.1111/ijn.12825. Epub 2020 Feb 6.
The aim of this project was to develop and demonstrate the feasibility of a comprehensive cognitive training intervention to build self-efficacy for implementation of cognitive strategies in people with diabetes.
People with diabetes are at greater risk than the general population for developing cognitive dysfunction. Some attention has been paid to the effect of cognitive impairments on diabetes self-management, but even when cognitive problems have been identified, few interventions have been tailored for those with diabetes.
The intervention combines in-person classes and home-based online computer training. Development, in 2017, included (a) adaptation of prior established, tested interventions; (b) interviews with stakeholders; and (c) integration of course content.
Information provided by the stakeholders was used to modify an existing intervention to meet the needs of people with diabetes so that feasibility testing could occur. Despite initial difficulty with recruitment, the intervention was found to be feasible, and nineteen participants found it to be acceptable.
This comprehensive cognitive training intervention targeting type 2 diabetes and cognitive dysfunction demonstrates that existing interventions can be adapted for use with people with diabetes.
本项目旨在开发并验证一种全面的认知训练干预措施的可行性，以增强糖尿病患者实施认知策略的自我效能。
与一般人群相比，糖尿病患者发生认知功能障碍的风险更高。人们已经注意到认知障碍对糖尿病自我管理的影响，但即使已经发现认知问题，针对糖尿病患者的干预措施也很少。
该干预措施结合了面对面课程和基于家庭的在线计算机培训。2017 年的开发包括：（a）对先前已建立的、经过测试的干预措施进行改编；（b）与利益相关者进行访谈；（c）整合课程内容。
利益相关者提供的信息被用于修改现有的干预措施，以满足糖尿病患者的需求，从而进行可行性测试。尽管最初在招募方面存在困难，但该干预措施被证明是可行的，有 19 名参与者认为该干预措施是可以接受的。
针对 2 型糖尿病和认知功能障碍的这种全面的认知训练干预措施表明，现有的干预措施可以进行改编，以用于糖尿病患者。
