Mindfulness and self-regulation intervention for improved self-neglect and self-regulation in diabetic older adults.
Mohadeseh Motamed-Jahromi, Mohammad Hossein Kaveh, Elsa Vitale
Scientific Reports June 15, 2024 DOI: 10.1038/s41598-024-64314-y (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Three-arm cluster randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 135 |
| Population | Iranian older adults with type 2 diabetes in Shiraz, Iran |
| Interventions | Combined Mindfulness and Self-Regulation Intervention Program (CMSRIP) Self-Regulation-based Intervention Program (SRIP) |
| Duration | 24 weeks of training; outcomes measured at baseline, week 4, and week 16 post-intervention |
| Measures | Elder Self-Neglect Scale, Short-Form Self-Regulation Questionnaire |
| Topics | Meditation |
| Keywords | Humans Middle aged Iran Female Surveys and questionnaires Self-control Covid-19 Diabetes mellitus Self-regulation Self-neglect |
| Key findings | The combined mindfulness and self-regulation intervention led to significantly greater improvement in self-regulation (χ2 = 73.23) and reduction in self-neglect (χ2 = 62.97) at 4 and 16 weeks after education compared with the self-regulation-only intervention. All three groups showed some improvement, but changes in the intervention groups were significantly better than the control group, and improvements were smaller at week 16 than at week 4. |
Abstract
The current study aimed to assess the impact of combined interventions including mindfulness and self-regulation on self-neglect and self-regulation among Iranian older adults with type 2 diabetes. This was a three-arm cluster randomized controlled trial study conducted among 135 older diabetic patients in Shiraz, Iran. Three urban healthcare centers (clusters) were randomly assigned to three study groups. The intervention groups received either a Self-Regulation-based Intervention Program (SRIP) or a Combined Mindfulness and Self-Regulation Intervention Program (CMSRIP), while the control group received routine care and COVID-19 prevention training. These training programs, which consisted of text and video-based content, were conducted over 24 weeks using WhatsApp as a mobile-based communication platform. Outcomes were measured using the Elder Self-Neglect Scale and Short-Form Self-Regulation Questionnaire at baseline, week 4, and week 16 post-intervention, with data analysis conducted using SPSS 20 software. The CMSRIP led to significantly greater improvement in the score of self-regulation (χ2 = 73.23, P-Value = < .001) and a reduction in the score of self-neglect (χ2 = 62.97, P-Value = < .001) at both 4 weeks and 16 weeks after education compared to SRIP. In the control group, there was also a slight improvement. Improvement of self-regulation and reduction of self-neglect in all three groups were less in week 16 than in week 4. Nevertheless, the changes in the intervention groups were significantly better than the control group. This study confirmed a combination of mindfulness-based intervention and self-regulation intervention can effectively improve self-neglect and self-regulation behavior in older patients with type 2 diabetes.Trial registration: This trial (ISRCTN77260130) was retrospectively registered on 28/09/2021.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cites 7
- Self-awareness, self-regulation, and self-transcendence (S-ART): a framework for understanding the neurobiological mechanisms of mindfulness Frontiers in Human Neuroscience 2012
- Effects of a Mindfulness-Based Intervention on Self-Compassion and Psychological Health Among Young Adults With a History of Childhood Maltreatment Frontiers in Psychology October 23, 2019
- Differentiating mindfulness-integrated cognitive behavior therapy and mindfulness-based cognitive therapy clinically: the why, how, and what of evidence-based practice. Frontiers in Psychology 2024
- Mindfulness-based cognitive therapy for depression. Industrial Psychiatry Journal October 29, 2024
- Impact of mindfulness-based and health self-management interventions on mindfulness, self-compassion, and physical activity in older adults with subjective cognitive decline: A secondary analysis of the SCD-Well randomized controlled trial. Alzheimer S and Dementia Diagnosis Assessment and Disease Monitoring 2024
and 2 more in the library