Well-being interventions for individuals with diabetes: A systematic review

Abstract

In patients with diabetes, psychological well-being constructs (e.g., optimism, positive affect) have been associated with superior medical outcomes, including better glucose control and lower mortality rates. Well-being interventions may be well-suited to individuals with diabetes, as they are simple to deliver, broadly applicable across a range of psychological distress, and may help increase self-efficacy and motivation for diabetes self-care. This systematic review, completed using PRISMA guidelines, examined peer-reviewed studies indexed in PubMed, PsycINFO, and/or Scopus between database inception and October 2017 that investigated the effects of well-being interventions (e.g., positive psychology interventions, mindfulness-based interventions, resilience-based interventions) on psychological and physical health outcomes in individuals with Type 1 or Type 2 diabetes. The search yielded 34 articles (N=1635 participants), with substantial variability in intervention type, measures used, and outcomes studied; the majority found the intervention to provide benefit. Overall, results indicate that a range of well-being interventions appear to have promise in improving health outcomes in this population, but the literature does not yet provide definitive data about which specific interventions are most effective. The variability in interventions and outcomes points to a need for further rigorous, controlled, and well-powered studies of specific interventions, with well-accepted, clinically relevant outcome measures.

Global Mapping of Interventions to Improve Quality of Life of People with Diabetes in 1990–2018

“…As for content analysis, we analyzed the hierarchical clustering of major research disciplines in the interventions and visualized it in a Dendrogram. Thematic analysis was performed using the Latent Dirichlet Allocation (LDA) technique, which supports classified papers in ten major themes/topics [18,[28][29][30][31]. Titles and abstracts of papers in every topic/theme were then reviewed by two researchers.…”

“…A growing body of literature (including trials, systematic reviews, and meta-analyses) examines the effectiveness of various approaches (from health education to behavioral modification, pharmacotherapy, and surgery [12,[15][16][17][18]) in enhancing treatment outcomes and QOL among people with diabetes. However, few publications feature updated quantitative data (i.e, bibliometric or scientometric analysis) focusing on interventions aimed at improving QOL in people living with diabetes.…”

Refractive Index and Sensing of Glucose Molarities determined using Au-Cr K-SPR at 670/785 nm Wavelength

“…Generally, a healthy diet, regular exercise and insulin injections helps to manage the glucose level in both type 1 and 2 diabetic patients. Based on the research, diabetes management is mostly related to taking a very low carbohydrate diet in order to control the glucose levels (Bowman et al 2018;Dovc et al 2018;Massey et al 2018;Wang et al 2018;Yorek et al 2018). The purpose is to reduce the pressure for the pancreas to produce insulin hormone.…”

Resilience and Motivation Following Intensive Care Unit Admission: Tools for Survivorship

“…Financial implications (Bradshaw et al ., ) and family burden (Ågård et al ., 2012) can negatively affect a survivors reported QOL. Survivors report reduced income and high unemployment rates following critical illness (Massey et al ., ). The re‐employment of ICU survivors is directly linked to higher patient reported scores in QOL (Myhren et al ., ), yet only half of those surviving their critical illness will be employed after twelve months (Myhren, Ekeberg and Stokland, ).…”

“…Interventions in diabetes management have included such strategies as moderator‐facilitated behavioral change focusing on appropriate sleep, food and health‐activity choices (Bradshaw et al ., ). Authors believe these programs show promise in their effects on pain and anxiety, but they are yet to be validated in terms of efficacy (Bradshaw et al ., ; Kim et al ., ; Massey et al ., ). The theoretical underpinning of these interventions is that facilitating patients to actively process stressful events experienced during and after their hospital admission may reduce the associated symptoms of stress (Bradshaw et al ., ).…”