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基于在线接受,承诺和自我同情的治疗,以减少2型糖尿病患者的心理痛苦:可行性随机对照试验.

Ayşenur Kılıç1,2, Joanna Hudson2, Whitney Scott2,3

  • 1School of Pharmacy, University College London, London WC1H 9JP, UK.

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概括

这项研究发现,针对2型糖尿病 (T2D) 的在线自我同情和接受和承诺治疗 (ACT) 计划由于保留和完成率低,可行性有限. 对于未来的试验,需要进一步改进.

关键词:
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科学领域:

  • 心理学 心理学 心理学
  • 临床心理学 临床心理学
  • 健康心理学 心理健康心理学

背景情况:

  • 心理困扰在2型糖尿病 (T2D) 患者中很常见.
  • 自主导的在线干预提供了一个潜在的途径来管理T2D中的痛苦.
  • 接受和承诺疗法 (ACT) 和自我同情在改善心理健康方面表现有前途.

研究的目的:

  • 探索对T2D患者进行自我指导,在线自我同情和ACT集中治疗的可行性和可接受性.
  • 评估一项更大规模试验的潜力,研究这种干预措施来减少心理痛苦.

主要方法:

  • 一个双臂,并行,可行性随机对照试验与嵌套的定性方法.
  • 英国患有T2D的成年人被随机 (1:1) 分给为期五周的在线自我同情和ACT治疗或等候名单对照.
  • 可行性结果包括招聘,保留和治疗完成率,以及对可接受性的定性访谈. 二次结果测量了心理痛苦和治疗过程.

主要成果:

  • 在访问该链接的91个人中,55人符合条件,33人随机分配 (19人接受治疗,14人接受控制).
  • 治疗完成率为47.37%,试验保留率为39.39% (5周) 和21.2% (9周).
  • 较低的治疗完成率和保留率限制了二次可行性结果的解释性.

结论:

  • 虽然在线自我同情和ACT治疗可能有利于T2D患者经历心理困扰的个体,但其目前的可行性有限.
  • 需要进行进一步的研究和修改,以提高治疗的可接受性,并改进未来研究的试验程序.