A pilot evaluation of a group acceptance and commitment therapy-informed resilience training program for people with diabetes

Abstract

Objective: Individuals with diabetes can experience adverse mental health, which is associated with poor physical health outcomes. Few studies have examined interventions to increase resilience and related protective factors in people with diabetes. The purpose of this study was to undertake a pilot evaluation of an acceptance and commitment therapy (ACT)-informed group resilience training program for people with diabetes. Methods: We delivered the program in community venues to 20 people with diabetes, with 10 weekly sessions (total 18 hours). Assessment was conducted at pre- and post-intervention using questionnaires and pedometers. Results: There were significant improvements in resilience, psychological flexibility, positive affect, valued living, physical activity and sedentary behaviour, and significant decreases in depression and stress (p <.01). Improvements in mindfulness, diabetes-related distress and anxiety approached significance (p <.05). Feasibility and acceptance data showed high program engagement and satisfaction, and self-reported improvements that supported the statistically significant changes. Conclusions: ACT-informed resilience training is a promising means to strengthen resilience and related protective factors, and improve mental health in this population and warrants further evaluation in randomised controlled trials.