Evaluation of changes in diabetes distress, resilience, and self-care behavior following Occupational Therapy Diabetes Self-Management (OTDSM) among adults with type 2 diabetes: A preliminary Quasi-experimental study
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Abstract
Background: Type 2 diabetes mellitus (T2DM) is a growing health concern that necessitates consistent self-management practices to avoid complications and maintain health. Psychological factors like diabetes distress and poor resilience levels frequently interfere with self-care practices of individuals, resulting in less than adequate diabetes related self-care. By integrating selfmanagement into daily routines, occupational therapy plays a major role in preventing secondary complications of diseases.
Objectives: To find the changes in diabetes distress, resilience, and self-care behavior following the Occupational Therapy Diabetes Self-Management (OTDSM) intervention among adults with type 2 diabetes.
Materials and methods: A quasi-experimental single-group pre-test posttest study was conducted in a community setting, with 12 adults diagnosed with type 2 diabetes. The Occupational Therapy Diabetes Self-Management (OTDSM) intervention was provided for 4 weeks in 10 sessions. Outcomes were assessed using the Diabetes Distress Scale (DDS -17), the Connor-Davidson Resilience Scale (CD-RISC-25), and the Summary of Diabetes Self-Care Activities Questionnaire (SDSCA). Pre- and post-intervention data were analyzed using Paired t-tests and Repeated Measures ANOVA.
Results: Diabetes distress showed marked reduction from 3.72±0.25 to 2.53±0.28 (p<0.001). Resilience scores improved from 42.91±3.53 to 49.45±3.24 (p<0.001). Self-care behavior also showed improvements across multiple domains (p<0.001).
Conclusion: The OTDSM intervention was associated with positive changes in diabetes distress, resilience, and self-care outcomes among adults with T2DM. These preliminary findings may suggest the potential integration of OTDSM into diabetes care to address both psychosocial and behavioral aspects of disease management.
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Personal views expressed by the contributors in their articles are not necessarily those of the Journal of Associated Medical Sciences, Faculty of Associated Medical Sciences, Chiang Mai University.
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