Purpose: Objective: The aim of this study was to compare the
effectiveness of hope-based therapy and treatment based on
acceptance and commitment on self-care and quality of life in
patients with type 2 diabetes.
Materials and Methods: The present research method is quasiexperimental and for data collection, post-test pre-test design with
two experimental groups and a control and follow-up group has been
used. The statistical population of the study consisted of all patients
with type 2 diabetes who were members of the Tehran Diabetes
Association in 1400. Among them, 45 people were selected by
available sampling method and randomly divided into two
experimental groups (15 people in each group) and one group.
Controls (15 people) were assigned. The experimental group
underwent hopeful treatment and the acceptance and commitment
therapy group underwent 8 60-minute sessions, and the control
group remained on the waiting list. The instruments used in the
present study included the Diabetic Self-Care Behavior
Questionnaire (Tobert and Glasgow, 2000) and the quality of life of
diabetic patients (Bruges et al., 2004), which were used in two
stages: pre-test and post-test. The analysis of the information
obtained from the questionnaire was performed through SPSS 22
software in two descriptive and inferential sections (mixed analysis
of variance). The results showed that both interventions used in this
study could significantly improve self-care behaviors in patients
with type 2 diabetes (p <0.05).
Findings: The results also showed that both treatments improved
the quality of life in patients with type 2 diabetes, with the difference
that the intervention based on acceptance and commitment therapy
had a greater impact on quality of life behaviors in patients with type
2 diabetes. . In addition, no significant difference was observed in
the post-test and follow-up stages (p <0.05), which indicates the
stability of the intervention changes.
Conclusion: Based on the results of this study, acceptance,
commitment and hope therapy had effective interventions in
increasing self-care behaviors and quality of life in patients with
diabetes.