Efficacy of mindfulness-based stress reduction in emerging adults with poorly controlled, type 1 diabetes: A pilot randomized controlled trial.
Study Goal
The researchers aimed to evaluate the efficacy of mindfulness-based stress reduction (MBSR) in reducing stress and improving diabetes health outcomes in emerging adults with poorly controlled type 1 diabetes.
Results Summary
MBSR reduced self-reported stress at the end of treatment and 3-month follow-up but did not affect diabetes management or glycemic control. The diabetes support group showed improved glycemic control and reduced depressive symptoms.
Population
Emerging adults (aged 16-20 years) with poorly controlled type 1 diabetes (mean duration = 8 years).
Effective Dosage
Not specified
Duration
Duration of intervention not explicitly stated, but data were collected at baseline, end of treatment, and 3 months post-treatment.
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindfulness-based stress reduction (MBSR) | decrease | self-reported stress | high-risk, urban emerging adults with poorly controlled diabetes | P=0.03, d=-0.49 | was found to reduce | #1 |
mindfulness-based stress reduction (MBSR) | decrease | self-reported stress | high-risk, urban emerging adults with poorly controlled diabetes | P=0.01, d=-0.67 | was found to reduce | #2 |
mindfulness-based stress reduction (MBSR) | no change | diabetes management | high-risk, urban emerging adults with poorly controlled diabetes | - | no effects on | #3 |
mindfulness-based stress reduction (MBSR) | no change | glycemic control | high-risk, urban emerging adults with poorly controlled diabetes | - | no effects on | #4 |
diabetes support group | increase | glycemic control | high-risk, urban emerging adults with poorly controlled diabetes | P=0.01, d=-0.62 | had improved | #5 |
diabetes support group | decrease | depressive symptoms | high-risk, urban emerging adults with poorly controlled diabetes | P=0.01, d=-0.71 | reduced | #6 |
BACKGROUND/OBJECTIVE: The negative effects of stress on persons with type 1 diabetes (T1D) are well-established, but effective interventions to reduce stress among emerging adults with T1D are limited. The study objective was to conduct a pilot randomized controlled trial (RCT) to obtain preliminary data on the efficacy of mindfulness-based stress reduction (MBSR) to reduce stress and improve diabetes health outcomes in a population of high-risk, urban emerging adults with poorly controlled diabetes. METHODS: Forty-eight participants aged 16 to 20 years of age with T1D (mean duration = 8 years) were randomly assigned to one of three conditions: MSBR, cognitive-behavioral stress management (CBSM), or a diabetes support group. Data were collected at baseline, end of treatment, and 3 months after treatment completion. Measures of self-reported stress and depressive symptoms, diabetes management, and glycemic control were obtained. RESULTS: MBSR was found to reduce self-reported stress at end of treatment (P = 0.03, d = -0.49) and 3-month follow-up (P = 0.01, d = -0.67), but no effects on diabetes management or glycemic control were found. Diabetes support group participants had improved glycemic control at the end of treatment (P = 0.01, d = -0.62) as well as reduced depressive symptoms at 3-month follow-up (P = 0.01, d = -0.71). CONCLUSIONS: Results provide preliminary support for the efficacy of MBSR to improve psychosocial adjustment in emerging adults with poorly controlled T1D but require replication in adequately powered studies. Findings also support the value of peer support in improving health outcomes in this age group.