The 5A self-management program significantly improved psychosocial adaptation scores compared to routine care in hospitalized patients with type 2 diabetes (mean score 58.6 vs 72.4; p<0.001).
RCT (n=80)
Randomized
Sí
Does the 5A self-management program improve psychosocial adaptation in hospitalized patients with type 2 diabetes?
The 5A self-management program significantly improves psychosocial adaptation in hospitalized patients with type 2 diabetes compared to routine care.
Tasa de eventos absoluta: 58.6% vs 72.4%
valor p: p=<0.001
Background Diabetes management requires not only biomedical control but also psychosocial adaptation, which is often overlooked in routine care. The 5A model (Assess, Advise, Agree, Assist, and Arrange) has shown promise in chronic disease management, yet its impact on psychosocial outcomes in diabetes remains underexplored. Aim This study aimed to determine the effect of the 5A self‐management program on psychosocial adaptation among hospitalized patients with type 2 diabetes in selected teaching hospitals affiliated with Shahid Beheshti University of Medical Sciences. Methods In this randomized controlled trial (RCT), 80 patients with type 2 diabetes who met the inclusion criteria were selected through convenience sampling and randomly assigned to either the intervention group ( n = 40) or the control group ( n = 40). The intervention group received the 5A self‐management program, while the control group received routine care. Data were collected using demographic questionnaires, the Diabetes Knowledge Questionnaire, the Diabetes Self‐Management Questionnaire, and the Derogatis Psychosocial Adjustment Questionnaire. Data analysis was performed using SPSS Version 20 with descriptive and inferential statistical tests. Results The findings showed no significant differences between the two groups in demographic characteristics ( p > 0.05). After the intervention, the mean score of psychosocial adaptation in the intervention group (58.6 ± 7.9) was significantly lower than that in the control group (72.4 ± 8.3) ( p < 0.001). Within‐group comparison revealed a significant decrease in PAIS scores (indicating improvement) in the intervention group. Conclusion The 5A self‐management program can be considered an effective intervention for improving psychosocial adaptation among patients with type 2 diabetes. It is recommended that this program be utilized in the healthcare system to enhance psychosocial adaptation in these patients.
Rezapour-Nasrabad et al. (Thu,) conducted a rct in Type 2 diabetes (n=80). 5A self-management program vs. Routine care was evaluated on Psychosocial adaptation score (p=<0.001). The 5A self-management program significantly improved psychosocial adaptation scores compared to routine care in hospitalized patients with type 2 diabetes (mean score 58.6 vs 72.4; p<0.001).