Effects of a cognitive behavioural treatment in patients with type 2 diabetes when added to managed care; a randomised controlled trial.
Effects of a cognitive behavioural treatment (CBT) in type 2 diabetes patients were studied in a randomised controlled trial. Patients were recruited from a diabetes care system (DCS). The intervention group (n = 76) received managed care from the DCS and CBT. The control group (n = 78) received managed care only. Effects on risk of developing coronary heart disease (CHD), clinical characteristics, lifestyle, determinants of behaviour change, quality of life, and depression were assessed after 6 and 12 months. The intervention did not result in a significant reduction of CHD risk (difference between intervention and control group was -0.32 % (95 % CI: -2.27; 1.63). The amount of heavy physical activity increased significantly in the intervention group at 6 months [intervention versus control group was 20.14 min/day (95 % CI: 4.6; 35.70)]. Quality of life and level of depression improved as well. All effects disappeared after 6 months. No effects were found on clinical characteristics.
Department of General Practice, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands, lmcwelschen@hotmail.com.
Laura M C
LM
Welschen
Patricia
P
van Oppen
Sandra D M
SD
Bot
Piet J
PJ
Kostense
Jacqueline M
JM
Dekker
Giel
G
Nijpels
D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy; D003327:Coronary Disease / Q000209:etiology*; D003863:Depression; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008329:Managed Care Programs; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D012306:Risk; D011795:Surveys and Questionnaires; D016896:Treatment Outcome