The Effects of Resilience Training on the Self-Efficacy of Patients with Type 2 Diabetes: A Randomized Controlled Clinical Trial

Abstract

<span><strong>Background: </strong><span>In view of the effect of self-efficacy on empowerment of patients and the role of resilience<br /><span>in the psychological adjustment and physical health of patients, the present study was conducted to<br /><span>examine the effect of resilience training on the self-efficacy of patients with type 2 diabetes.<br /><span><strong>Methods: </strong><span>This double-blinded controlled clinical trial was carried out on 143 diabetic patients in<br /><span>the diabetes clinic in Shiraz between June 2016 and January 2017. Patients were selected using a<br /><span>simple sampling method and randomly divided into control (n=71) and intervention (n=72) groups.<br /><span>The intervention group received 6 sessions of training workshops on resilience skills. The control<br /><span>group received the routine educational pamphlets. The subjects completed diabetes self-efficacy<br /><span>questionnaire before, immediately after, and one month after completion of the intervention. Data<br /><span>were analyzed using SPSS version 16.0. Repeated measure ANOVA, t-test, and Chi-Square tests were<br /><span>used. P<span><strong>Results: </strong><span>Based on the results of the repeated measures ANOVAs, the overall score of self-efficacy<br /><span>was found to be significantly increased in the intervention group. Compared with the control group,<br /><span>the intervention group reported significantly higher levels of self-efficacy immediately after the<br /><span>intervention (P<0.001) and one month later (P<0.001).<br /><span><strong>Conclusion: </strong><span>Training programs in resilience skills improves the self-efficacy of patients with type<br /><span>2 diabetes. The results of this study support the use of resilience training in diabetics; it provides<br /><span>the health professionals and policymakers with an increased understanding of how to recognize the<br /><span>resilience skills for the improvement of self-efficacy.<br /><span><strong>Trial Registration Number: </strong><span>IRCT2016022726790N1</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br /></span></span></span></span></span></span>