Dissemination of evidence-base minimal psychological intervention for diabetes management in Taiwan adults with type 2 diabetes

Ching Ju Chiu, Yi Han Hu, Linda A. Wray, Elizabeth A. Beverly, Yi Ching Yang, Jin Shang Wu, Feng Hwa Lu

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7 Scopus citations


This study evaluated the impact of minimal psychological intervention (MPI) on improving psychological well-being and glycemic control in patients with type 2 diabetes in Taiwan. A randomized controlled trial was conducted, comparing the MPI with usual care in 182 primary care type 2 diabetes patients 50 and older in Taiwan. Nurses called patients at home over a period of 6 weeks. Questionnaire data were obtained from 174 participants at baseline, immediately post intervention, and 1-month after intervention. Hemoglobin A1c levels (HbA1c) from baseline to eight months after the interventions were assessed from medical charts. The telephone-delivered MPI significantly reduced patients’ diabetes-specific distress (βMPI*time= -3.24, P = 0.03), but not depressive symptoms, in those who have more than one complications. We also observed there is a trend suggesting those who diagnosed with diabetes within the last 10 years had greater reduction in diabetes-specific distress (βMPI*time= -1.58, P = 0.05). In patients whose baseline HbA1c were less than 8%, an improvement on the blood glucose level was observed 3 months after the intervention (βMPI*period 3= -0.18, P = 0.02). A telephone-delivered MPI might be a feasible and effective method for decreasing diabetes-specific distress and achieving better glycemic control in non-Western populations, especially in those who were at the early stage of diagnosis but had poor glycemic control.

Original languageEnglish (US)
Pages (from-to)14489-14498
Number of pages10
JournalInternational Journal of Clinical and Experimental Medicine
Issue number7
StatePublished - Jul 30 2016

All Science Journal Classification (ASJC) codes

  • General Biochemistry, Genetics and Molecular Biology


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