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Cognitive behaviour therapy-informed guidelines for type 2 diabetes self-management: A Delphi method study.

Elné Visagie1,2, Elmari Deacon2, Rumando Kok2

  • 1University of Pretoria, Faculty of Humanities, South Africa.

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Summary

Healthcare professionals can use new cognitive-behavioural therapy (CBT) guidelines to enhance self-management in adults with type 2 diabetes. These practical, adaptable guidelines support a holistic patient approach.

Keywords:
CBT-informed guidelinescognitive behaviour therapyself-managementthe Delphi methodtype 2 diabetes

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Area of Science:

  • Endocrinology
  • Behavioral Medicine
  • Health Services Research

Background:

  • Type 2 diabetes requires effective self-management strategies.
  • Cognitive-behavioural therapy (CBT) principles can aid diabetes self-management.
  • Existing guidelines may need refinement for practical clinical application.

Purpose of the Study:

  • To evaluate the content and quality of CBT-informed guidelines for type 2 diabetes self-management.
  • To refine these guidelines through expert feedback for healthcare professional implementation.

Main Methods:

  • Qualitative study design utilizing the Delphi method.
  • Two rounds of feedback collected from a panel of 12 healthcare professionals.
  • Collaborative refinement process to enhance guideline clarity and practicality.

Main Results:

  • First round identified themes: clarity, role clarification needs, patient readiness to change, and time considerations.
  • Second round confirmed the clear and practical nature of the refined guidelines.
  • Guidelines offer a flexible framework for a holistic approach to diabetes self-management.

Conclusions:

  • The developed CBT-informed guidelines are clear, practical, and adaptable for healthcare professionals.
  • These guidelines support a holistic approach to improving self-management in adults with type 2 diabetes.
  • The Delphi method proved effective for collaborative guideline refinement.