Files and links (2)
Shared Medical Appointments and Mindfulness for Type 2 Diabetes—A Mixed-Methods Feasibility Study1,007.86 kB
Published (Version of record)CC BY V4.0, Open Access
Published (Version of record)CC BY V4.0, Open
Journal article
Shared Medical Appointments and Mindfulness for Type 2 Diabetes—A Mixed-Methods Feasibility Study
Frontiers in Endocrinology, Vol.11, 570777
06/10/2020
PMID: 33123089
Metrics
16 File views/ downloads
21 Record Views
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites
Abstract
Type 2 diabetes (T2DM) is a major health concern with significant personal and healthcare system costs. There is growing interest in using shared medical appointments (SMAs) for management of T2DM. We hypothesize that adding mindfulness to SMAs may be beneficial. This study aimed to assess the feasibility and acceptability of SMAs with mindfulness for T2DM within primary care in Australia.
We conducted a single-blind randomized controlled feasibility study of SMAs within primary care for people with T2DM living in Western Sydney, Australia. People with T2DM, age 21 years and over, with HbA1c > 6.5% or fasting glucose >7.00 mmol/L within the past 3 months were eligible to enroll. The intervention group attended six 2-h programmed SMAs (pSMAs) which were held fortnightly. pSMAs included a structured education program and mindfulness component. The control group received usual care from their healthcare providers. We collected quantitative and qualitative data on acceptability as well as glycemic control (glycated hemoglobin and continuous glucose monitoring), lipids, anthropometric measures, blood pressure, self-reported psychological outcomes, quality of life, diet, and physical activity using an ActiGraph accelerometer.
Over a 2-month period, we enrolled 18 participants (10 females, 8 males) with a mean age of 58 years (standard deviation 9.8). We had 94.4% retention. All participants in the intervention group completed at least four pSMAs. Participants reported that attending pSMAs had been a positive experience that allowed them to accept their diagnosis and empowered them to make changes, which led to beneficial effects including weight loss and better glycemic control. Four pSMA participants found the mindfulness component helpful while two did not. All of the seven participants who contributed to qualitative evaluation reported improved psychosocial wellbeing and found the group setting beneficial. There was a significant difference in total cholesterol levels at 12 weeks between groups (3.86 mmol/L in intervention group vs. 4.15 mmol/L in the control group;
= 0.025) as well as pain intensity levels as measured by the PROMIS-29 (2.11 vs. 2.38;
= 0.034).
pSMAs are feasible and acceptable to people with T2DM and may result in clinical improvement. A follow-up fully-powered randomized controlled trial is warranted.
Australia and New Zealand Clinical Trial Registry, identifier ACTRN12619000892112.
Details
- Title
- Shared Medical Appointments and Mindfulness for Type 2 Diabetes—A Mixed-Methods Feasibility Study
- Creators
- Carolyn Ee (Author) - NICM Health Research Institute, Western Sydney UniversityBarbora de Courten (Author) - Department of Medicine, School of Clinical Sciences, Monash UniversityNicole Avard (Author) - Next Practice Health, ErinaMichael de Manincor (Author) - NICM Health Research Institute, Western Sydney UniversityMahmoud A Al-Dabbas (Author) - NICM Health Research Institute, Western Sydney UniversityJie Hao (Author) - NICM Health Research Institute, Western Sydney UniversityKate McBride (Author) - Translational Health Research Institute, Western Sydney UniversityShamieka Dubois (Author) - Translational Health Research Institute, Western Sydney UniversityRhiannon Lee White (Author) - School of Health Sciences, Western Sydney UniversityCatharine Fleming (Author) - Translational Health Research Institute, Western Sydney UniversityGarry Egger (Author) - School of Health and Human Sciences, Southern Cross UniversityAngela Blair (Author) - Diabetes NSW and ACTJohn Stevens (Author) - School of Health and Human Sciences, Southern Cross UniversityFreya MacMillan (Author) - Translational Health Research Institute, Western Sydney UniversityGary Deed (Author) - Mediwell ClinicSuzanne Grant (Author) - NICM Health Research Institute, Western Sydney UniversityKate Templeman (Author) - NICM Health Research Institute, Western Sydney UniversityDennis Chang (Author) - NICM Health Research Institute, Western Sydney University
- Publication Details
- Frontiers in Endocrinology, Vol.11, 570777
- Publisher
- Frontiers Media S.A; Switzerland
- Identifiers
- 991012925495802368
- Academic Unit
- National Centre for Naturopathic Medicine; Faculty of Health
- Language
- English
- Resource Type
- Journal article