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Psychological therapy combination helped adults lower HbA1c levels

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Motivational enhancement therapy and cognitive behavior therapy were feasible for adults with poorly controlled type 1 diabetes, according to recent study findings.

Researchers from the United Kingdom investigated whether motivational enhancement therapy (brief counseling focused on self-motivation) with or without cognitive behavior therapy (focuses on identifying and changing negative behaviors) improved glycemic control.

They randomly assigned adults with type 1 diabetes (n=344) to four sessions of nurse-delivered motivational enhancement therapy for two months, 12 sessions of motivational enhancement therapy plus cognitive behavior therapy for during six months, or usual care.

The 12-month change in HbA1c levels was –0.46% (95% CI, –0.81% to –0.11%) in the motivational enhancement therapy plus cognitive behavior therapy group and –0.19% (95% CI, –0.53% to 0.16%) in the motivational enhancement therapy alone group.

According to a press release, the changes in HbA1c were small and in this particular study, the researchers could not determine whether the changes would persist beyond 12 months.

Ann Intern Med. 2008;149:708-719.