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Person-centred, occupation-based intervention program supported with problem-solving therapy for type 2 diabetes: a
Zeynep Bahadır Ağce1, Gamze Ekici2
1Department of Occupational Therapy, Uskudar University, İstanbul, Turkey. fztzeynepbahadir@gmail.com.
Health and Quality of Life Outcomes
|August 5, 2020
Summary
This study shows that occupation-based problem-solving therapy significantly improves daily living, self-care, and overall well-being for individuals with type 2 diabetes. The intervention enhanced coping strategies and psychosocial self-efficacy, leading to better quality of life.
Area of Science:
- Occupational Therapy
- Psychology
- Endocrinology
Background:
- Individuals with type 2 diabetes mellitus often face challenges in daily occupations and self-care.
- Problem-solving deficits impact meaningful engagement and adherence to health regimens.
Purpose of the Study:
- To evaluate an occupation-based intervention with problem-solving therapy for type 2 diabetes patients.
- To assess effects on occupational participation, satisfaction, self-efficacy, coping, and well-being.
Main Methods:
- A single-blind, randomized controlled trial with 67 adults with type 2 diabetes.
- Intervention included 6 weeks of occupation-based problem-solving therapy and diabetes education.
- Outcome measures: Canadian Occupational Performance Measure, Diabetes Empowerment Scale, Brief COPE, WHO Well-Being Index.
Main Results:
- The intervention group showed significant improvements in occupational participation, satisfaction, psychosocial self-efficacy, and well-being compared to the control group (p < 0.001).
- Effective coping strategies, including active coping and acceptance, improved significantly in the intervention group (p < 0.05).
- Personal care was identified as a key area of occupational performance difficulty.
Conclusions:
- Occupation-based problem-solving therapy is effective in enhancing meaningful occupation participation and psychosocial self-efficacy in type 2 diabetes patients.
- This therapy approach can improve coping styles and overall well-being.
- Tailoring problem-solving to individual priorities through meaningful occupations promotes a higher quality of life for individuals with type 2 diabetes.
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