Key result
Patient interviews indicate perceived cognitive impairment in T2D impacts self-management and requires tailored cognitive rehabilitation.
Why the study?
Perceived cognitive impairment in people with type 2 diabetes may impact diabetes self-management, but understanding of these cognitive problems and tailored interventions is limited.
Perceived cognitive impairment impacts diabetes self-management, suggesting potential utility for tailored cognitive rehabilitation interventions in people with type 2 diabetes.
May warrant cognitive screening in T2D care; hypothesis-generating for tailored rehabilitation.
Purpose The purpose of this study is 2-fold: (1) to explore how people with diabetes view diabetes-related cognitive problems and (2) to examine participants' ideas on a cognitive rehabilitation intervention to adapt it for persons diagnosed with type 2 diabetes (T2DM). Methods A qualitative descriptive study based on narrative interviews was conducted with adults (n = 10) with T2DM. The interview data were analyzed using content analysis. Results The interviews reflected 4 major themes: search for advice regarding cognitive complaints, cognitive symptoms, impact of perceived cognitive dysfunction on diabetes self-management, and maintenance of cognitive health. Specific areas of interest for an intervention included the following: understanding how cognitive function relates to diabetes, dealing with cognitive barriers to self-management, and learning how to incorporate a "brain healthy" lifestyle into daily activities. Conclusions Findings showed that perceived cognitive impairment impacted self-management and suggested that cognitive rehabilitation interventions have potential utility for people with T2DM. Existing successful interventions can be tailored to meet the needs of those whose diabetes self-management is impacted by cognitive problems.
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Cuevas et al. (2017) studied Type 2 Diabetes (n=10). Cognitive changes was evaluated on Themes from narrative interviews regarding diabetes-related cognitive problems. Narrative interviews with 10 adults with type 2 diabetes revealed that perceived cognitive impairment impacts self-management and highlighted a need for tailored cognitive rehabilitation.
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