Nurse-led MBSR therapy significantly improved diabetes distress (interaction effect 95% CI: 0.58-0.77, p<0.001), self-efficacy, self-management, and HbA1c levels over 12 weeks.
RCT (n=100)
randomly allocated
Does a nurse-led mindfulness-based stress reduction (MBSR) intervention improve diabetes distress, self-management, and HbA1c levels in people with type 2 diabetes?
A nurse-led mindfulness-based stress reduction intervention is feasible and significantly improves diabetes distress, self-management, and glycemic control in patients with type 2 diabetes.
Effect estimate: time-by-group interaction effect (95% CI 0.58-0.77)
p-value: p=< 0.001
People with diabetes frequently have elevated diabetes distress. Although mindfulness-based stress reduction (MBSR) therapy has been shown effective in reducing diabetes distress, it has only been delivered by psychologists or a multidisciplinary team with an attrition rate of up to 39%, which limits its dissemination to a broader audience. This study was aimed to pilot evaluate the feasibility of a nurse-led MBSR therapy and explore its potential efficacy amongst people with type 2 diabetes mellitus. A total of 100 participants were randomly allocated either to the intervention group (nurse-led MBSR therapy + regular diabetes education) or the control group (regular diabetes education). Data on diabetes distress, diabetes self-efficacy, and diabetes self-management were collected at baseline, 8 and 12 weeks. Hemoglobin A1c (HbA1c) was collected at baseline and 12 weeks. A generalized estimating equation analysis for repeated measures was used to determine intervention and time effects. As predicted, the nurse-led MBSR therapy had a significant time-by-group interaction effect on diabetes distress total score (95% confidence interval CI: 0.58-0.77, p < 0.001), diabetes self-efficacy (95% CI: -0.93 to -0.74, p < 0.001), diabetes self-management (95% CI: -10.80 to -7.83, p < 0.001), and HbA1c levels (95% CI: 0.04-1.14, p = 0.03) in the intervention group compared with the control group over 12 weeks. This is the first nurse-led MBSR therapy in a hospital setting that is feasible and has the potential to improve health outcomes. This approach may offer an innovative model to deliver MBSR therapy. A randomized controlled trial comparing the nurse-led MBSR plus usual diabetes education with usual diabetes education along with a mechanism to equalize intervention attention between the groups is indicated.
Guo et al. (Sat,) conducted a rct in type 2 diabetes mellitus (n=100). nurse-led mindfulness-based stress reduction (MBSR) therapy + regular diabetes education vs. regular diabetes education was evaluated on diabetes distress total score (time-by-group interaction effect, 95% CI 0.58-0.77, p=< 0.001). Nurse-led MBSR therapy significantly improved diabetes distress (interaction effect 95% CI: 0.58-0.77, p<0.001), self-efficacy, self-management, and HbA1c levels over 12 weeks.