Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development

Most patients with type 2 diabetes (T2D) have suboptimal adherence to recommended diet, physical activity, and/or medication. Current approaches to improve health behaviors in T2D have been variably effective, and successful interventions are often complex and intensive. It is therefore vital to dev...

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Main Authors: Jeff C. Huffman, Christina M. DuBois, Rachel A. Millstein, Christopher M. Celano, Deborah Wexler
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2015/428349
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author Jeff C. Huffman
Christina M. DuBois
Rachel A. Millstein
Christopher M. Celano
Deborah Wexler
author_facet Jeff C. Huffman
Christina M. DuBois
Rachel A. Millstein
Christopher M. Celano
Deborah Wexler
author_sort Jeff C. Huffman
collection DOAJ
description Most patients with type 2 diabetes (T2D) have suboptimal adherence to recommended diet, physical activity, and/or medication. Current approaches to improve health behaviors in T2D have been variably effective, and successful interventions are often complex and intensive. It is therefore vital to develop interventions that are simple, well-accepted, and applicable to a wide range of patients who suffer from T2D. One approach may be to boost positive psychological states, such as positive affect or optimism, as these constructs have been prospectively and independently linked to improvements in health behaviors. Positive psychology (PP) interventions, which utilize systematic exercises to increase optimism, well-being, and positive affect, consistently increase positive states and are easily delivered to patients with chronic illnesses. However, to our knowledge, PP interventions have not been formally tested in T2D. In this paper, we review a theoretical model for the use of PP interventions to target health behaviors in T2D, describe the structure and content of a PP intervention for T2D patients, and describe baseline data from a single-arm proof-of-concept (N=15) intervention study in T2D patients with or without depression. We also discuss how PP interventions could be combined with motivational interviewing (MI) interventions to provide a blended psychological-behavioral approach.
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spelling doaj-art-75b3fdba36e847e7a5892cc7d867c8cb2025-02-03T05:51:27ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/428349428349Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention DevelopmentJeff C. Huffman0Christina M. DuBois1Rachel A. Millstein2Christopher M. Celano3Deborah Wexler4Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USAMost patients with type 2 diabetes (T2D) have suboptimal adherence to recommended diet, physical activity, and/or medication. Current approaches to improve health behaviors in T2D have been variably effective, and successful interventions are often complex and intensive. It is therefore vital to develop interventions that are simple, well-accepted, and applicable to a wide range of patients who suffer from T2D. One approach may be to boost positive psychological states, such as positive affect or optimism, as these constructs have been prospectively and independently linked to improvements in health behaviors. Positive psychology (PP) interventions, which utilize systematic exercises to increase optimism, well-being, and positive affect, consistently increase positive states and are easily delivered to patients with chronic illnesses. However, to our knowledge, PP interventions have not been formally tested in T2D. In this paper, we review a theoretical model for the use of PP interventions to target health behaviors in T2D, describe the structure and content of a PP intervention for T2D patients, and describe baseline data from a single-arm proof-of-concept (N=15) intervention study in T2D patients with or without depression. We also discuss how PP interventions could be combined with motivational interviewing (MI) interventions to provide a blended psychological-behavioral approach.http://dx.doi.org/10.1155/2015/428349
spellingShingle Jeff C. Huffman
Christina M. DuBois
Rachel A. Millstein
Christopher M. Celano
Deborah Wexler
Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development
Journal of Diabetes Research
title Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development
title_full Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development
title_fullStr Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development
title_full_unstemmed Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development
title_short Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development
title_sort positive psychological interventions for patients with type 2 diabetes rationale theoretical model and intervention development
url http://dx.doi.org/10.1155/2015/428349
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