Dataset Information

Feasibility of a Manualized Occupation-Based Diabetes Management Intervention.

ABSTRACT:

Objective

We investigated the feasibility and acceptability of an occupational therapy intervention targeting diabetes management for underserved young adults.

Method

Eight participants completed the intervention and a battery of assessments at baseline and after the intervention. At completion, the participants and occupational therapist were interviewed about their experiences with the study. Four categories of assessment questions were used to guide the study: process, resource, management, and scientific.

Results

Successes included recruitment; fulfillment of tasks by staff and partnering clinics; adequate space, financial support, and equipment; and meaningfulness of the intervention for participants. Challenges included scheduling participants for the intervention and follow-up focus groups and providing client centeredness and flexibility while reducing burden on the intervener.

Conclusion

This feasibility study allowed us to make necessary revisions to our study protocol before implementing a larger pilot study.

SUBMITTER: Carandang KM

PROVIDER: S-EPMC5807405 | biostudies-literature | 2018 Mar/Apr

REPOSITORIES: biostudies-literature

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Publications

Feasibility of a Manualized Occupation-Based Diabetes Management Intervention.

Carandang Kristine M KM Pyatak Elizabeth A EA

The American journal of occupational therapy : official publication of the American Occupational Therapy Association 20180301 2

<h4>Objective</h4>We investigated the feasibility and acceptability of an occupational therapy intervention targeting diabetes management for underserved young adults.<h4>Method</h4>Eight participants completed the intervention and a battery of assessments at baseline and after the intervention. At completion, the participants and occupational therapist were interviewed about their experiences with the study. Four categories of assessment questions were used to guide the study: process, resource ...[more]

PMID: 29426394

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Project description:BackgroundIndividuals with diabetes mellitus have difficulty solving problems in meaningful occupations and have similar difficulties with self-care regimens. We examined the effects of an occupation-based intervention supported with problem-solving therapy in individuals with type 2 diabetes mellitus on participation in and satisfaction with meaningful occupations, diabetes-related psychosocial self-efficacy, preferred coping strategies and individual well-being.MethodsThis study was planned as a single-blind, randomised controlled study with a 3-month follow-up involving 67 adults with type 2 diabetes. The Canadian Occupational Performance Measure, Diabetes Empowerment Scale, Brief COPE and five-item World Health Organisation Well-Being Index were used. This programme included evaluations, diabetes education, and problem-solving therapy. The intervention was conducted for 6 weeks, and each weekly session lasted approximately 60 min. Differences between groups were analysed using the Mann-Whitney U test, and the Friedman test was used to calculate group-time interaction differences (i.e., baseline, after 6 weeks and after 3 months).ResultsAll participants identified the most significant occupational performance problems in self-care as personal care. Significant improvement was reported in the intervention group compared to the control group regarding participation in meaningful occupation, satisfaction with performance, psychosocial self-efficacy, and well-being results (p < 0.001) after the programme and 3 months of follow-up. Participant use of effective coping strategies, active coping and acceptance strategies, and self-efficacy, as revealed by the results, suggested improvement in favour of the intervention group (p < 0.05).ConclusionsOccupation-based problem-solving therapy encourages participation in meaningful occupations and improves psychosocial self-efficacy, effective coping styles, and well-being in patients with type 2 diabetes mellitus. Problem-solving therapies that incorporate individuals' priorities via meaningful occupation can be used to lead to a meaningful and quality life for individuals with type 2 diabetes mellitus.Trial registrationClinicalTrials.gov Identifier: NCT03783598 . Retrospectively Registered. First Posted-December 21, 2018, Last Update Posted-February 18, 2020.

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Dataset Information

Feasibility of a Manualized Occupation-Based Diabetes Management Intervention.

Objective

Method

Results

Conclusion

Publications

Feasibility of a Manualized Occupation-Based Diabetes Management Intervention.

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