The Impact of Positive Psychology on Diabetes Outcomes:  A Review

Yi‐Frazier, Joyce P.; Hilliard, Marisa E.; Cochrane, Katherine; Hood, Korey K.

doi:10.4236/psych.2012.312a165

Cited by 35 publications

(39 citation statements)

References 76 publications

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“…15,16 While we did not appreciate any changes in the quality of life or self-management tasks based on the responses to the QoL and SMOD-A surveys, this may be due to the small sample size as the study was not powered to detect small changes. Several alternative instruments are available for studying self-efficacy 17 and self-care 18 in adolescent patients, and may be more suitable for this type of study.…”

Section: Discussionmentioning

confidence: 87%

A Novel Behavioral Intervention in Adolescents With Type 1 Diabetes Mellitus Improves Glycemic Control

et al. 2015

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Purpose The purpose of this study is to develop and pilot an innovative behavioral intervention in adolescents with type 1 diabetes mellitus (T1DM) incorporating structured care of a pet to improve glycemic control. Methods Twenty-eight adolescents with A1C > 8.5% (69 mmol/mol) were randomly assigned to either the intervention group (care of a Betta splendens pet fish) or the control group (usual care). Adolescents in the intervention group were given instructions to associate daily and weekly fish care duties with diabetes self-management tasks including blood glucose testing and parent-adolescent communication. Results After 3 months the participants in the intervention group exhibited a statistically significant decrease in A1C levels (−0.5%) compared to their peers in the control group who had an increase in A1C levels (0.8%)(p = 0.04). The younger adolescents (ages 10–13) demonstrated a greater response to the intervention which was statistically significant (−1.5% vs. 0.6%, p = 0.04) compared with the older adolescents (ages 14–17). Conclusions Structured care of a pet fish can improve glycemic control in adolescents with T1DM, likely by providing cues to perform diabetes self-management behaviors.

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Section: Discussionmentioning

confidence: 87%

A Novel Behavioral Intervention in Adolescents With Type 1 Diabetes Mellitus Improves Glycemic Control

et al. 2015

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“…Prior research has looked at the effect of depression symptoms on diabetes health care behaviors, but there are a number of psychological processes and/or emotional states that may be related to diabetes self-management. Besides self-esteem other studies have found that diabetes self-care behaviors are associated with self-efficacy, resilience, coping and family support and involvement [50]. Future studies should explore the relationship between different psychological barriers to proper diabetes management and quality of care received.…”

Section: Limitationsmentioning

confidence: 99%

Depression, self-esteem, diabetes care and self-care behaviors among middle-aged and older Mexicans

Rivera‐Hernandez

2014

Diabetes Research and Clinical Practice

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Aims Examine the associations of depression and self-esteem on self-care activities and care received among Mexicans with diabetes. Methods Using data from the Mexican Nutrition and Health Survey 2012, logistic regression models were fit to test the associations between each self-care activity and diabetes care, and self-esteem and depression. Results People with low self-esteem were less likely to follow a diet, but no other associations were found. Contrary to what was expected, there were no relationships between depression and quality of care received or self-care behaviors. Conclusion Current findings support the importance of looking at mental health and emotional state among older adults with diabetes. Future studies should explore the relationship between different psychological barriers to proper diabetes management.

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“…Given the wide variability in how patients with chronic illness are able to manage their daily behaviours needed to maintain physical and mental well-being, positive psychology has provided a particularly useful framework to identify the factors that promote successful disease management. 33 …”

Section: Positive Psychologymentioning

confidence: 99%

A systematic review of parent/peer-based group interventions for adolescents with type 1 diabetes: interventions based on theoretical/therapeutic frameworks

2018

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Objective: Although interventions which provide psychosocial support can have a positive impact on diabetes self-care, the impact of family/peer-and theory-based interventions has not yet been clearly identified. This systematic review investigates the randomised controlled trials (RCTs) employing family/peer-based interventions (based on theoretical/ therapeutic frameworks) which aim to improve adolescents' glycaemic control, psychosocial and/or behavioural functioning. Methods: The Cochrane Library, database of systematic reviews, database of abstracts of reviews of effectiveness and Health Technology Assessment database were searched (from start date until February 2016) for any previously conducted systematic reviews. Seventeen RCTs/interventions were included. The literature was also identified by contacting the leading researchers. Glycaemic control was measured by HbA1c and psychosocial functioning by measures of selfcare, knowledge and communication, collaboration/teamwork, quality of life, problem solving, social functioning and family functioning. Only those interventions which reported the use of theories/therapies to manage type 1 diabetes and other psychosocial issues among adolescents (aged 12-17) were included in the present review. Data summarising the key features of the interventions was extracted from each article. Where possible, the effect sizes were calculated. Results: The effect sizes could be computed for HbA1c in six of the 17 interventions. The overall outcomes indicated that interventions including parents have a small to large effect size on a variety of diabetes management and psychosocial outcomes. This review identified interventions, mostly including parents and rarely including peers. Conclusion: The results of this systematic review demonstrate that multicomponent interventions may be more successful for adolescents than ones that just focus on one aspect. Effectiveness is also greater if they demonstrate inter-relatedness with the various aspects of diabetes management. Short-term behavioural approach-based interventions promote improvements in parent/adolescent relationships. Outreach home-based interventions could be a more accessible alternative for intervening with families than office/hospital-based interventions. This approach may also be more acceptable to adolescents and their families. There is a need to develop evaluated interventions for adolescents involving parents. Development should involve stakeholders (ie, adolescents, their families and healthcare professionals) to co-design potentially cost-effective and feasible interventions in the context of NHS diabetes services. Br J Diabetes 2018;18:51-65

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The Impact of Positive Psychology on Diabetes Outcomes: A Review

Cited by 35 publications

References 76 publications

A Novel Behavioral Intervention in Adolescents With Type 1 Diabetes Mellitus Improves Glycemic Control

A Novel Behavioral Intervention in Adolescents With Type 1 Diabetes Mellitus Improves Glycemic Control

Depression, self-esteem, diabetes care and self-care behaviors among middle-aged and older Mexicans

A systematic review of parent/peer-based group interventions for adolescents with type 1 diabetes: interventions based on theoretical/therapeutic frameworks

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