Group-based behaviour therapy improves self-care, glycaemic control and distress in adults with type 1 diabetes
Authors' conclusion
BT based on a functional-analytic and behavioural self-management model holds promise as an effective means of improving HbA1c and reducing DD in adults with T1D.
Study context
- Population
- Adults with T1D, 2 consecutive HbA1c ≥ 8.5 %(69 mmol/mol) and/or diabetes-related emotional/behavioural difficulties, with specialist multidisciplinary input for ≥2 years; mean age 37.9 years, median T1D duration 14 years54 completed behaviour therapy (BT)
- Participants
- 66 adults
- Comparison
- HbA1c and diabetes distress before vs after group BT
- BTn = 66
- Outcome
- HbA1c
- Follow-up
- Baseline to
Methodological detailsgroup-based behaviour therapy program, Outcomes assessed at baseline, after 5 consecutive weekly sessions (post-) and at session 6, 1 month after (follow-up)
- Group-based behaviour therapy program
- Outcomes assessed at baseline, after 5 consecutive weekly sessions (post-) and at session 6, 1 month after (follow-up)
Main finding
As reported in the abstract
- HbA1c, baseline (mean ± SD)
- 9.7 ± 1.9 %
- HbA1c, follow-up (mean ± SD)
- 8.8 ± 1.3 %
- Change baseline to follow-up
- p < 0.001
Further findings
Diabetes distress (DD) total score · baseline, post-, follow-up
- DD baseline
- 49.2 ± 7.8
- DD post-
- 38.9 ± 14.7
- DD follow-up
- 32.8 ± 11.7
- Change
- P < 0.001
DD subscales (emotional burden, physician, regimen, interpersonal distress)
- All DD subscales improved
- P < 0.001
Results by insulin delivery (MDI and CSII)
- Consistent results for patients on MDI and CSII
Original publication
Group-based behaviour therapy improves self-care, glycaemic control and distress in adults with type 1 diabetes. Diabetes Res Clin Pract. Published 17 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →