Comparing the effectiveness of mobile social network-based mindfulness intervention with acceptance and commitment therapy and mindfulness therapy on self-management and glycated haemoglobin level among patients with type 2 diabetes
M. M. Azadi, Gholamreza Manshaee, M. Golparvar
Journal of Shahrekord University of Medical Sciences October 30, 2019 DOI: 10.34172/jsums.2019.39 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Quasi-experimental pretest-posttest control group design Peer reviewed |
|---|---|
| Sample size | 80 |
| Population | Patients with type 2 diabetes referred to diabetes treatment centers in Isfahan, Iran |
| Interventions | Mobile social network-based mindfulness training Acceptance and commitment therapy (ACT) Mindfulness training |
| Duration | Eight sessions (45-minute mindfulness sessions; 120-minute ACT sessions), with three-month follow-up |
| Measures | Diabetes Self-care Activities questionnaire, glycated haemoglobin (HbA1c) test |
| Topics | Meditation |
| Key findings | Social-network-based mindfulness and ACT both improved diabetes self-management relative to a control group, and ACT differed significantly from mindfulness therapy on self-management. Only social-network-based mindfulness significantly reduced HbA1c compared with controls (posttest 7.44, follow-up 7.39). The authors conclude both approaches are effective for increasing self-management and reducing HbA1c. |
Abstract
Background and
Aims: The present study aimed to compare mobile social network-based mindfulness training, along with acceptance and commitment therapy (ACT) and mindfulness therapy on self-management and glycated haemoglobin (HbA1c) level in patients with type 2 diabetes.
Materials and Methods: The research employed a pretest-posttest control group quasi-experimental design with a three-month follow-up. Among type 2 diabetic patients who referred to diabetes treatment centers in Isfahan in the spring of 2018, 80 of them were purposefully selected based on inclusion criteria and then randomly assigned to three groups of the social network-based mindfulness intervention, ACT, and mindfulness training, along with a control group. Then, the summaries of Diabetes Self-care Activities questionnaire and glycated haemoglobin test were used to measure the dependent variables. The mindfulness interventions were conducted in the form of attendance in the training sessions. In addition, virtual network-based training and ACT were presented during eight 45-minute and 120-minute sessions, respectively. Finally, the data were analyzed using repeated measures of ANOVA with Bonferroni post-hoc test by SPSS software.
Results: The findings indicated that in the self-management variable, there was a significant difference between social network-based mindfulness (posttest mean=30.59, follow-up mean=30.88, P=0.004) and ACT (posttest mean=32.7, follow-up mean=32.29, P=0.001) with the control group. Further, a significant difference was observed between ACT and mindfulness therapy regarding self-management (P=0.04). In the HbA1c level, there was a significant difference only between social network-based mindfulness (mean in posttest and follow-up=7.44and 7.39, respectively, P=0.02) and the control group.
Conclusion: According to the findings of the present study, mobile social networks-based mindfulness interventions, along with ACT, are considered as effective treatments for diabetic patients to increase self-management while reducingHbA1c.
Comparable studies
Other experimental studies on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) | 2003 | Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study | |
| Loving-kindness meditation increases social connectedness. | 2008 | Controlled laboratory experiment | |
| Mindfulness and mind-wandering: Finding convergence through opposing constructs. | 2012 | Two studies: correlational study and experimental study | |
| Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence | 2009 | Experimental study | |
| Mindfulness meditation and substance use in an incarcerated population. Incarcerated population | 2006 | Quasi-experimental with treatment-as-usual control condition |
Citations in the library
Cites 2
- Home practice in Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction: A systematic review and meta-analysis of participants' mindfulness practice and its association with outcomes Behaviour Research and Therapy May 10, 2017
- Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta-analysis of randomised controlled trials. Clinical Psychology Review April 1, 2016