Problem Solving Treatment for Diabetes in Individuals With Poor Diabetes Control

Launched by SINGAPORE EYE RESEARCH INSTITUTE · Dec 12, 2022

Keywords

ClinConnect Summary

Assuming the recent rise in obesity prevalence persists, the lifetime risk of diabetes in Singapore will almost double by 2050. Poorly controlled diabetes leads to various diabetes-related complications which may consequently require costly lifelong treatment and have a profound impact on patients' quality of life.

Based on a previous trial on problem solving therapy in people with diabetic retinopathy and significant levels of distress, the investigators have designed a cognitive-behavioural intervention which aims to teach individuals skills to cope with and solve problems related to dia...

Gender

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Eligibility criteria

• Inclusion Criteria:
• • Patients with type 2 diabetes and at least 1 recent reading of suboptimal glycaemic control (HbA1c ≥7.0%)
• • Able to speak English and/or Mandarin
• • Singapore citizens or those with Singapore permanent residency status
• • Aged 21 years and above
• • No cognitive impairment, as assessed using the 6-item Cognitive Impairment Test (6CIT)
• • Adequate hearing with/without hearing aids to respond to normal conversation
• • Consent to participate in the sessions if randomised to the PST-D treatment arm
• Exclusion Criteria:
• • Have hearing or cognitive impairment compromising consent or study procedures
• • All recent HbA1c readings are \<7.0%
• • Uncontactable or unwilling/unable to participate in all the PST-D sessions if randomised to the PST-D group

Trial Officials