The Effects of Resilience Training on the Self-Efficacy of Patients with Type 2 Diabetes: A Randomized Controlled Clinical Trial.
Camellia Torabizadeh, Zahra Asadabadi Poor, Maryam Shaygan
PMID 31341920WHAT IT FOUND
Resilience skills training raised diabetes self-efficacy scores more than routine pamphlets, and the higher scores remained one month after training.
The trial did not test whether diabetes control improved.
Key findings
01Immediately and one month after the intervention, self-efficacy scores differed significantly between the resilience training and control groups.
02Repeated measures showed a significant treatment by time interaction, meaning self-efficacy increased more in the intervention group than in the control group.
03Intervention group self-efficacy means were 61.92±10.7 before, 130.8±9.69 immediately after, and 154.59±8.7 one month after; control means were 65.76±13.24 before, 66.62±13.27 immediately after, and 67.04±13.3 one month after.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study followed patients for only one month, so long-term effects are unknown. It did not measure diabetes control outcomes such as blood glucose, so it does not show improved physiological control. The sample came from one diabetes centre in Iran, and the authors noted the need for larger studies. Fewer males than females were included, although the groups were similar by gender. The paper describes the trial as double-blinded, but only the data collector and statistician are said to be blind.
The easy way to misread this
Do not conclude that resilience training improves diabetes control or blood glucose. The trial measured self-efficacy only, and the authors did not investigate disease control outcomes.