Journal of
Diabetes Nursing
Volume 13, Issue 3 (9-2025)
J Diabetes Nurs 2025, 13(3): 50-62 |
Back to browse issues page
Research code: IR.UM.REC.1403.261
Ethics code: IR.UM.REC.1403.261
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hamedi A, Yousefinejad R, ghavi S, Daroudi H, Hadi Toroghi H. Effectiveness of Acceptance and Commitment Therapy on Improving Sleep Quality and Increasing Physical Activity in Elderly People with Type II Diabetes. J Diabetes Nurs 2025; 13 (3) :50-62
URL: http://jdn.zbmu.ac.ir/article-1-695-en.html
URL: http://jdn.zbmu.ac.ir/article-1-695-en.html
School of Public Health, Birjand University of Medical Sciences, Birjand, Iran , power20saeed@yahoo.com
Abstract: (213 Views)
Introduction: Sleep disturbances and reduced physical activity are common among elderly individuals with type II diabetes. Acceptance and Commitment Therapy (ACT) is considered a potential intervention to enhance sleep quality and promote adherence to physical activity. This study aimed to evaluate the effectiveness of ACT in improving sleep quality and increasing physical activity in elderly individuals with type II diabetes.
Materials and Methods: This quasi-experimental study employed a pre-test–post-test design with a control group. The study population comprised elderly patients with type II diabetes attending the Vali Asr Diabetes Clinic in Mashhad. Thirty participants were selected through purposive sampling and randomly assigned to an intervention group (n=15) or a control group (n=15). The intervention group participated in eight 120-minute ACT sessions, while the control group was placed on a waiting list. Data were collected using the Revised Diabetes Self-Management Questionnaire and the Pittsburgh Sleep Quality Index. Data analysis was performed using univariate analysis of covariance (ANCOVA) with SPSS 22.
Results: ANCOVA results showed that ACT significantly improved sleep quality and increased physical activity in the intervention group compared to the control group at post-test. These improvements were maintained at the six-month follow-up. Effect sizes indicated substantial and durable effects for both outcomes (p < 0.001).
Conclusion: ACT effectively enhanced sleep quality and promoted physical activity among elderly individuals with type II diabetes. The intervention can be considered a viable approach to improving self-care behaviors, sleep, and overall quality of life in this population.
Materials and Methods: This quasi-experimental study employed a pre-test–post-test design with a control group. The study population comprised elderly patients with type II diabetes attending the Vali Asr Diabetes Clinic in Mashhad. Thirty participants were selected through purposive sampling and randomly assigned to an intervention group (n=15) or a control group (n=15). The intervention group participated in eight 120-minute ACT sessions, while the control group was placed on a waiting list. Data were collected using the Revised Diabetes Self-Management Questionnaire and the Pittsburgh Sleep Quality Index. Data analysis was performed using univariate analysis of covariance (ANCOVA) with SPSS 22.
Results: ANCOVA results showed that ACT significantly improved sleep quality and increased physical activity in the intervention group compared to the control group at post-test. These improvements were maintained at the six-month follow-up. Effect sizes indicated substantial and durable effects for both outcomes (p < 0.001).
Conclusion: ACT effectively enhanced sleep quality and promoted physical activity among elderly individuals with type II diabetes. The intervention can be considered a viable approach to improving self-care behaviors, sleep, and overall quality of life in this population.
Keywords: Acceptance and Commitment Therapy, sleep quality, physical activity, elderly, and type II diabetes.
Type of Study: Research |
Subject:
Diabetic nursing teaching
Received: 2025/12/2 | Accepted: 2025/09/1 | Published: 2026/02/2
Received: 2025/12/2 | Accepted: 2025/09/1 | Published: 2026/02/2
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |