Effect of a mindfulness programme for long-term care residents with type 2 diabetes: A cluster randomised controlled trial measuring outcomes of glycaemic control, relocation stress and depression.
Study Goal
The researchers aimed to determine the physical, behavioral, and psychosocial effects of a newly developed mindfulness program for older adults with type 2 diabetes relocating to long-term care facilities.
Results Summary
The mindfulness program significantly improved glycated hemoglobin (HbA1c) levels, reduced relocation stress, and alleviated depression in participants. The results suggest positive effects of mindfulness for older people with diabetes transitioning to long-term care.
Population
Older adults with type 2 diabetes relocating to long-term care facilities in Southern Taiwan.
Effective Dosage
Not specified (program included meditations, education, and exercise techniques over 9 weeks).
Duration
9 weeks
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
a newly developed mindfulness programme | decrease | glycated haemoglobin (HbA1c) | older adults with type 2 diabetes relocating to long-term care facility | - | significant improvements | #1 |
a newly developed mindfulness programme | decrease | relocation stress | older adults with type 2 diabetes relocating to long-term care facility | - | significant improvements | #2 |
a newly developed mindfulness programme | decrease | depression | older adults with type 2 diabetes relocating to long-term care facility | - | significant improvements | #3 |
AIMS: The aim of this study was to determine physical, behavioural and psychosocial effects of a newly developed mindfulness programme for older adults with type 2 diabetes relocating to long-term care facility. BACKGROUND: Taiwan is viewed as an "aged society" with significant proportion of the population living in a long-term care facility. Approximately one third of residents living in long-term care facilities have been diagnosed with type 2 diabetes, and disruption to management of their glycaemic levels is at risk for up to one year after relocating to a long-term care facility. DESIGN: A cluster randomised controlled trial was used to examine the effects of a newly developed mindfulness programme on outcomes of glycaemic levels, relocation stress and depression. METHODS: A total of 140 participants were recruited from six long-term care facilities in Southern Taiwan. A mindfulness programme was delivered over 9 weeks and consisted of meditations, education and exercise techniques that were delivered by a Registered Nurse trained in mindfulness strategies. Participants in the control group received routine care as provided in the facilities, including routine check-ups at diabetes clinics as necessary. Data were analysed by Johnson-Neyman technique and generalised estimating equations. RESULTS: In total, 120 residents completed the study. The majority of patients were female (64.8%), and 83.5% of the sample were financially supported by their children. The results showed significant improvements in glycated haemoglobin (HbA1c), relocation stress (Wald χ CONCLUSION: The results provided positive effects of the mindfulness programme for older people with diabetes moving into long-term care facilities. The programme will assist in future planning for diabetes care in long-term care facilities. IMPLICATIONS FOR PRACTICE: To incorporate the mindfulness program into existing diabetes education programs for older people living in LTCFs. Further investigation on the sustainability of the mindfulness program is warranted.