解决情绪困扰以改善1型糖尿病成年人的结果:ACT1VATE随机对照试验的协议
Emily C Soriano1, Addie L Fortmann1, Susan J Guzman2
1Scripps Whittier Diabetes Institute, Scripps Health, 9834 Genesee Ave Ste 300, La Jolla, CA 92037, United States of America.
Contemporary clinical trials
|September 12, 2024
概括
这项研究测试了接受和承诺疗法 (ACT) 针对1型糖尿病 (T1D) 和HbA1c. ACT旨在通过将自我护理与个人价值观联系起来,改善糖尿病管理,提高生活质量.
科学领域:
- 心理学 心理学 心理学
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 糖尿病困扰 (DD) 显著影响1型糖尿病 (T1D) 的成年人,通常与较差的健康结果相关.
- 目前的管理策略并不总是有效地解决DD的心理负担.
- 接受和承诺疗法 (ACT) 提供了一种新的方法,侧重于在痛苦的背景下管理糖尿病,而不是消除.
研究的目的:
- 评估ACT小组干预 (ACT1VATE) 与T1D成年人通常护理的比较有效性.
- 评估HbA1c的改善,糖尿病的痛苦和生活质量.
- 为了确定ACT干预措施在12个月的成本效益.
主要方法:
- 一个双臂,并行组,随机控制的优越性试验,涉及250名T1D,HbA1c升高和显著DD的成年人.
- 参与者被随机分配,接受为期五周的ACT1VATE远程医疗干预或标准糖尿病自我管理教育和支持 (常规护理).
- 包括HbA1c,DD,生活质量和成本效益在内的结果被测量了12个月.
主要成果:
- 这个部分无法使用,因为研究正在进行中.
结论:
- 假设ACT1VATE是优越的,因为它专注于管理DD,并将自我护理行为与个人价值观联系起来.
- 这种方法旨在培养对T1D成年人可持续健康行为改变的内在动机.
- 该试验预计将提供关于ACT在慢性疾病管理中的实际有效性,可扩展性和可持续性的有价值数据.
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