Journal of
Diabetes Nursing
Research code: IR.IAU.SRB.REC.1404.076
Ethics code: IR.IAU.SRB.REC.1404.076
Mahsa Hajihosseini Mesgar 
, Fariborz Dorjaj , فاطمه Ghaemi , Reza Ghorban Jahromi , Aboutaleb Seadatee Shamir
, Fariborz Dorjaj , فاطمه Ghaemi , Reza Ghorban Jahromi , Aboutaleb Seadatee Shamir
Professor, Department of Educational Psychology, Allameh Tabatabaei University, Tehran, Iran. , dortaj@atu.ac.ir
Abstract: (7 Views)
Background and Aim: The prevalence of type 2 diabetes in students has increased and disrupts their psychological health dimensions; therefore, it is necessary to examine psychological interventions in addition to pharmacological treatments. Accordingly, the aim of the study was to investigate the effectiveness of self-determination skills training on these dimensions in students with type 2 diabetes.
Method: This quasi-experimental study was conducted with a pre-test-post-test design with a control group and a two-month follow-up. Among students with type 2 diabetes in Islamic Azad Universities of Tehran Province in the academic year 1403-1404, 40 people were selected by purposive sampling and randomly assigned to two experimental and control groups (20 people in each group). The experimental group received 12 90-minute sessions of self-determination skills training over six weeks. Data were collected with the Goldberg General Health Questionnaire (GHQ-28) and analyzed with repeated measures analysis of variance in SPSS software.
Results: The results showed that the interactive effect of time and group was significant for all variables. For physical complaints (F=48.65), anxiety and insomnia (F=58.21), social maladjustment (F=54.36), depression (F=42.61), and total psychological health (F=88.47), a significant decrease in scores was observed in the experimental group at the post-test and follow-up stages compared to the pre-test. While the control group did not change significantly (P<0.01). Paired Bonferroni comparisons also confirmed a significant difference in means in favor of the experimental group (P<0.01).
Conclusion: Self-determination skills training was effective in improving the psychological health of students with type 2 diabetes, and its effects were sustained for two months. It is recommended that student counseling centers and university diabetes clinics include this 12-session package in the form of regular group workshops in their support service programs and assign priority to newly diagnosed students.
Method: This quasi-experimental study was conducted with a pre-test-post-test design with a control group and a two-month follow-up. Among students with type 2 diabetes in Islamic Azad Universities of Tehran Province in the academic year 1403-1404, 40 people were selected by purposive sampling and randomly assigned to two experimental and control groups (20 people in each group). The experimental group received 12 90-minute sessions of self-determination skills training over six weeks. Data were collected with the Goldberg General Health Questionnaire (GHQ-28) and analyzed with repeated measures analysis of variance in SPSS software.
Results: The results showed that the interactive effect of time and group was significant for all variables. For physical complaints (F=48.65), anxiety and insomnia (F=58.21), social maladjustment (F=54.36), depression (F=42.61), and total psychological health (F=88.47), a significant decrease in scores was observed in the experimental group at the post-test and follow-up stages compared to the pre-test. While the control group did not change significantly (P<0.01). Paired Bonferroni comparisons also confirmed a significant difference in means in favor of the experimental group (P<0.01).
Conclusion: Self-determination skills training was effective in improving the psychological health of students with type 2 diabetes, and its effects were sustained for two months. It is recommended that student counseling centers and university diabetes clinics include this 12-session package in the form of regular group workshops in their support service programs and assign priority to newly diagnosed students.
Type of Study: Research |
Subject:
Interventions for diabetes
Received: 2026/07/27 | Accepted: 2026/08/29
Received: 2026/07/27 | Accepted: 2026/08/29
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