Effect of Self-regulation Training on Management of Type 2 Diabetes

Abstract

Background:Diabetes is the most common metabolic disorder which is required to be taken under control. According to some studies, the impact of self-regulation on health has been considered as a monitoring strategy to achieve individual’s goals.Objectives:This study, which was performed in 2012, aimed at determining the consequences of self-regulation on controlling type 2 diabetes.Patients and Methods:In this double-blind clinical trial, 60 patients with type 2 diabetes - who were referred to Diabetes Clinic of Bisto-Dou Bahman Hospital in Gonabad, Iran - were divided randomly into case and control groups. Self-regulation questionnaire, nutritional information and physical activity checklists were completed by both groups once at the beginning and once at end of the training. Fasting blood sugar (FBS) of both groups were measured as well. Case group was trained for a month, whereas the control group received no special training. Data were analyzed by SPSS version 19 software, K-square and paired t-tests.Results:Comparing the case with the control group before and after the training showed that teaching patients self-regulatory strategies had significant impact on lowering blood sugar (-16.50 vs. -2.47, P < 0.001), observing dietary behaviors (5.97 vs. -0.87, P < 0.001) and increasing physical activities (6.2 vs. -0.73, P < 0.001) of the former group.Conclusions:Learning self-regulations has a role to play in controlling type 2 diabetes. Therefore, it is suggested to professionals in healthcare centers to educate patients about self-regulatory techniques and use them as auxiliary methods for keeping type 2 diabetes under control.

Behavioral interventions to improve self-management in Iranian adults with type 2 diabetes: a systematic review and meta-analysis

“…All eligible articles had been published between January 2009 and March 2017. Of the twenty-three included studies, eleven (47.8%) were published in English [22][23][24][25][36][37][38][39][40][41][42], and the rests were published in Persian. Characteristics of the included studies can be found in Table 1.…”

“…Due to the nature of the intervention, blinding of participants and educators was not feasible. The methodological quality of studies ranged from good to poor, with two studies (8.7%) were classified as being of good quality [22,23], and nine (39.1%) were of moderate quality [24][25][26][27][28][29][30][31][32]. The remaining twelve studies (52.2%) were of poor quality.…”

Treatment adherence and associated factors in older people with type 2 diabetes: A qualitative study

“…A review of qualitative studies highlighted the importance of self‐regulation for treatment adherence (Kelly et al, 2014 ). In addition, improving self‐regulation has been shown to help improve disease management in patients with diabetes (Tavakolizadeh et al, 2014 ). In the process of self‐regulation and behaviour change, health care providers need to know how to help patients develop skills to take control of their condition.…”

Consciousness Level and Disease Awareness among Patients with Diabetese

“…While similar situations are experienced in some countries, some made considerable progress in treatment and prevention with training and new regulations. Tavakolizadeh et al (13) showed that the blood sugar levels of diabetic patients significantly decreases after training and that their diet and exercise habits changed in a positive way.…”