Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK; NIHR CRF Human Metabolism Research Unit, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK; University of the West of England, Bristol BS16 1QY, UK.
Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK; NIHR CRF Human Metabolism Research Unit, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK; Division of Biomedical Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Complement Ther Med. 2024 Aug;83:103059. doi: 10.1016/j.ctim.2024.103059. Epub 2024 May 29.
The study aimed to investigate the feasibility of a remote mindfulness based self-management intervention for individuals with type 2 diabetes. It is important to further our understanding of how to improve self-management to improve health outcomes and low levels of uptake to self-management courses.
29 participants with type 2 diabetes were recruited from the University Hospital Coventry and Warwickshire NHS trust. Three groups of participants engaged with a remote mindfulness based self-management intervention, which were delivered sequentially. After each intervention was complete, patient feedback was retrieved and implemented into the following intervention. The quantitative analysis comprised of descriptive statistics, independent sample t-test, paired sample t-test and multiple regression analysis. A qualitative analysis was also conducted through reflexive thematic analysis (RTA) to understand participant's perspective on the intervention.
There was a total of 17 who attended the course (59 %) and a total drop out of 12 participants over the three courses (41 %). The qualitative findings reported three main themes: (1) Eating to manage my emotions rather than my diabetes (2) Implementing mindfulness has helped me manage my emotions (3) Medication rather than self-management behaviours control my diabetes. The focus group feedback included participants' appreciation of the community aspect of the intervention and their perception that the current course was more interactive compared to previous interventions. In addition, participants highlighted the importance of offering the course at an earlier stage of diagnosis to provide further support at the beginning of their diabetes journey. No significant findings were reported for the independent sample t-test, paired sample t-test and multiple regression analysis.
The qualitative findings suggested that the course was beneficial, especially in demonstrating how mindfulness could aid self-management for individuals living with type 2 diabetes. Further funding and trials are warranted to improve the quality of technology used and to assess impact on diabetes control and mental health.
本研究旨在探讨远程正念自我管理干预在 2 型糖尿病患者中的可行性。了解如何改善自我管理以改善健康结果和自我管理课程参与度低的问题，这一点非常重要。
从考文垂和沃里克郡大学医院 NHS 信托基金招募了 29 名 2 型糖尿病患者。三组参与者参与了远程正念自我管理干预，该干预按顺序进行。每次干预完成后，都会收集患者反馈，并将其应用于下一次干预。定量分析包括描述性统计、独立样本 t 检验、配对样本 t 检验和多元回归分析。还通过反思性主题分析（RTA）进行了定性分析，以了解参与者对干预的看法。
共有 17 人（59%）参加了该课程，共有 12 名参与者（41%）在三门课程中退出。定性研究结果报告了三个主题：（1）用饮食来控制情绪而不是糖尿病（2）实施正念有助于我控制情绪（3）药物而非自我管理行为控制我的糖尿病。焦点小组的反馈包括参与者对干预社区方面的赞赏，以及他们认为当前课程比以前的干预更具互动性的看法。此外，参与者强调在诊断早期提供课程的重要性，以便在糖尿病旅程的开始阶段提供进一步的支持。独立样本 t 检验、配对样本 t 检验和多元回归分析均未报告显著结果。
定性研究结果表明，该课程是有益的，特别是在展示正念如何帮助 2 型糖尿病患者进行自我管理方面。需要进一步的资金和试验来提高所使用技术的质量，并评估其对糖尿病控制和心理健康的影响。
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