Kato Asuka, Yoshiuchi Kazuhiro, Hashimoto Hideki, Suzuki Ryo, Yamauchi Toshimasa, Kadowaki Takashi
Department of Health and Social Behavior, School of Public Health, The University of Tokyo, Tokyo, Japan.
Department of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
PEC Innov. 2022 Nov 28;2:100112. doi: 10.1016/j.pecinn.2022.100112. eCollection 2023 Dec.
To examine the feasibility, acceptability, and effects of a self-stigma reduction program for patients with type 2 diabetes mellitus (T2DM).
We adopted a within-subjects pre-post study design, measuring self-stigma among T2DM patients who received treatment at a tertiary-level hospital.
Of the 17 participants, 11 participants completed the program (mean age: 54.36 ± 8.58 years; women: 63.6%; mean T2DM duration: 12.09 ± 10.41 years). Participants experienced reduced levels of self-stigma between the pre- and post-study time points (mean pre-study score: 35.82 ± 16.26; mean post-study score: 25.55 ± 16.91). The difference in self-stigma was not significant (effect size: d = 0.8, χ = 3.6, p = 0.057). Overall, participants who completed the program were satisfied except for the duration of each session.
The self-stigma reduction program was relatively feasible and acceptable. Although due to the small sample size our results were not statistically significant, a large reduction of self-stigma was found in those who completed the program, which is promising. Future studies with larger sample sizes are needed to measure the program's long-term effects on the reduction of self-stigma.
This program is innovative as the researchers and healthcare professionals collaborated with patients who contributed their narratives.
探讨针对2型糖尿病（T2DM）患者的自我污名减少计划的可行性、可接受性及效果。
我们采用了受试者内前后对照研究设计，对在一家三级医院接受治疗的T2DM患者的自我污名进行测量。
17名参与者中，11名完成了该计划（平均年龄：54.36±8.58岁；女性：63.6%；平均T2DM病程：12.09±10.41年）。参与者在研究前和研究后时间点之间的自我污名水平有所降低（研究前平均得分：35.82±16.26；研究后平均得分：25.55±16.91）。自我污名的差异不显著（效应量：d = 0.8，χ = 3.6，p = 0.057）。总体而言，完成该计划的参与者除了对每节课的时长不满意外，其他方面都很满意。
自我污名减少计划相对可行且可接受。尽管由于样本量小，我们的结果在统计学上不显著，但在完成该计划的参与者中发现自我污名有大幅降低，这很有前景。需要进行更大样本量的未来研究来衡量该计划对减少自我污名的长期影响。
该计划具有创新性，因为研究人员和医疗保健专业人员与患者合作，患者提供了他们的叙述。
