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Effects of a cognitive behavioural treatment in patients with type 2 diabetes when added to managed care; a randomised controlled trial

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Abstract

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.

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Acknowledgments

We would like to thank all diabetes nurses, dieticians, and research assistants that were involved in the study. We also would like to thank Tootje Hoovers and Jolanda Bosman for taking care of the organization of the study within the Diabetes Care System West-Friesland. In addition, we would like to thank Wendy Hardeman for her comments on the study design during the development of the intervention. The study was funded by the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands.

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Authors and Affiliations

  1. Department of General Practice, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands

    Laura M. C. Welschen, Patricia van Oppen, Sandra D. M. Bot & Giel Nijpels

  2. Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands

    Sandra D. M. Bot, Piet J. Kostense & Jacqueline M. Dekker

  3. Department of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands

    Patricia van Oppen

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  1. Laura M. C. Welschen
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  2. Patricia van Oppen
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  3. Sandra D. M. Bot
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  4. Piet J. Kostense
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  5. Jacqueline M. Dekker
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  6. Giel Nijpels
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Correspondence to Laura M. C. Welschen.

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Welschen, L.M.C., van Oppen, P., Bot, S.D.M. et al. Effects of a cognitive behavioural treatment in patients with type 2 diabetes when added to managed care; a randomised controlled trial. J Behav Med 36, 556–566 (2013). https://doi.org/10.1007/s10865-012-9451-z

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  • DOI: https://doi.org/10.1007/s10865-012-9451-z

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