The effectiveness of adding cognitive behavioural therapy aimed at changing lifestyle to managed diabetes care for patients with type 2 diabetes: design of a randomised controlled trial
Why the study?
Does adding cognitive behavioural therapy to managed care improve cardiovascular risk scores in patients with type 2 diabetes?
Population
Patients with type 2 diabetes selected from 13 general practices participating in a managed diabetes care…
Comparison
Cognitive behaviour therapy consisting of 3 to 6… vs Managed care only
Design
Randomised into an intervention group and a control group
Authors
Discussion
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Member takes
Implication
MI-PST add-on yielded no lifestyle or risk-factor gains vs usual care; leaves open optimized delivery or targeted subgroups.
Structured PICO
Does adding cognitive behavioural therapy to managed care improve cardiovascular risk scores in patients with type 2 diabetes?
P
Population
Patients with type 2 diabetes selected from 13 general practices participating in a managed diabetes care system (target n=194)
I
Intervention
Cognitive behaviour therapy (CBT) consisting of 3 to 6 individual 30-minute sessions using Motivational Interviewing (MI) and Problem Solving Treatment (PST), added to managed care
C
Comparator
Managed care only
O
Outcome
Difference in change in cardiovascular risk score (assessed via blood pressure, HbA1c, total and HDL-cholesterol, and smoking status)surrogate
This study protocol outlines a randomized controlled trial to evaluate whether adding cognitive behavioral therapy to managed care improves cardiovascular risk profiles in patients with type 2 diabetes.
Cite This Study
Welschen et al. (2007) studied this question.