Department of Occupational Therapy, Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Department of Occupational Therapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Sci Rep. 2023 Jun 22;13(1):10128. doi: 10.1038/s41598-023-37231-9.
This study evaluated the efficacy of the Occupational Therapy Diabetes Self-Management intervention (OTDSM) to enhance glycemic stability and self-management skills in people with diabetes type-2. Based on this single-blind randomized trial, 30 subjects with diabetes type-2 were assigned to two groups of intervention and control. The intervention group received a 10-week program, consisting of four group visits and six individualized sessions. The control group received an individual session and three weekly phone calls. The primary study outcome, blood hemoglobin A1C, was measured before and three months after the study. The secondary outcome was assessed in terms of the participants' self-management behaviors, self-efficacy, diabetes distress, depressive symptoms, and performance and satisfaction with daily activities. These outcomes were evaluated three times: before, one month into, and three months after the study. The study findings demonstrated significant differences between the two groups in the hemoglobin A1C levels, self-management behaviors, self-efficacy, and performance and satisfaction with daily routines after the intervention (P < 0.05). No significant differences existed between the groups for the extent of diabetes distress and depressive symptoms. Inclusion of occupational therapy protocol into the plan of care for people with diabetes can improve health outcomes by promoting their routine participation in self-management activities.
本研究评估了职业治疗糖尿病自我管理干预（OTDSM）对 2 型糖尿病患者血糖稳定和自我管理技能的疗效。基于这项单盲随机试验，30 名 2 型糖尿病患者被分配到干预组和对照组两组。干预组接受了为期 10 周的计划，包括四次小组访问和六次个体化治疗。对照组接受了一次个体化治疗和三次每周电话随访。主要研究结果，即血红蛋白 A1C，在研究前和研究后三个月进行测量。次要结果根据参与者的自我管理行为、自我效能、糖尿病困扰、抑郁症状以及日常活动的表现和满意度进行评估。这些结果在研究前、一个月和三个月进行了三次评估。研究结果表明，干预后两组在血红蛋白 A1C 水平、自我管理行为、自我效能以及日常活动的表现和满意度方面存在显著差异（P<0.05）。两组在糖尿病困扰和抑郁症状的严重程度方面没有显著差异。将职业治疗方案纳入糖尿病患者的护理计划中，可以通过促进他们日常参与自我管理活动来改善健康结果。
