Short-Term Impact of Digital Mental Health Interventions on Psychological Well-Being and Blood Sugar Control in Type 2 Diabetes Patients in Riyadh

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2024 Nov 27

PMID 39595455

Authors

Abdulaziz M Alodhialah

Ashwaq A Almutairi

Mohammed Almutairi

Affiliations

Soon will be listed here.

Abstract

Background: Type 2 diabetes (T2D) management is complicated by psychological factors, yet mental health interventions are not routinely integrated into diabetes care. This study investigated the impact of a digital mental health intervention on psychological well-being and glycemic control in T2D patients.

Methods: A quasi-experimental study was conducted with 120 T2D patients divided into intervention ( = 60) and control ( = 60) groups. The intervention group received a one-month digital mental health intervention alongside standard care. Psychological well-being (PHQ-9, GAD-7, and DDS) and glycemic control (HbA1c) were assessed at baseline and post-intervention.

Results: The intervention group showed significant improvements in HbA1c levels (-0.5%, = 0.032), PHQ-9 (-3.1, = 0.001), GAD-7 (-2.8, = 0.006), and DDS (-7.7, = 0.012) scores compared to the control group. Strong correlations were observed between psychological improvements and HbA1c reductions. Higher engagement with the digital platform was associated with greater improvements in both psychological and glycemic outcomes.

Conclusions: Integrating digital mental health interventions into T2D care can significantly improve both psychological well-being and glycemic control. These findings support a more holistic approach to diabetes management that addresses both mental and physical health aspects.

References

Andrews B, Klein B, Van Nguyen H, Corboy D, McLaren S, Watson S . Efficacy of a Digital Mental Health Biopsychosocial Transdiagnostic Intervention With or Without Therapist Assistance for Adults With Anxiety and Depression: Adaptive Randomized Controlled Trial. J Med Internet Res. 2023; 25:e45135. PMC: 10337336. DOI: 10.2196/45135. View

Wojujutari A, Idemudia E, Ugwu L . Psychological resilience mediates the relationship between diabetes distress and depression among persons with diabetes in a multi-group analysis. Sci Rep. 2024; 14(1):6510. PMC: 10948786. DOI: 10.1038/s41598-024-57212-w. View

Hessler D, Fisher L, Glasgow R, Strycker L, Dickinson L, Arean P . Reductions in regimen distress are associated with improved management and glycemic control over time. Diabetes Care. 2013; 37(3):617-24. PMC: 3931383. DOI: 10.2337/dc13-0762. View

Racey M, Whitmore C, Alliston P, Cafazzo J, Crawford A, Castle D . Technology-Supported Integrated Care Innovations to Support Diabetes and Mental Health Care: Scoping Review. JMIR Diabetes. 2023; 8:e44652. PMC: 10206630. DOI: 10.2196/44652. View

Alavi N, Moghimi E, Stephenson C, Gutierrez G, Jagayat J, Kumar A . Comparison of online and in-person cognitive behavioral therapy in individuals diagnosed with major depressive disorder: a non-randomized controlled trial. Front Psychiatry. 2023; 14:1113956. PMC: 10175610. DOI: 10.3389/fpsyt.2023.1113956. View

Kim H . Attraction and achievement as 2 attributes of gamification in healthcare: an evolutionary concept analysis. J Educ Eval Health Prof. 2024; 21:10. PMC: 11130557. DOI: 10.3352/jeehp.2024.21.10. View

Yang X, Li Z, Sun J . Effects of Cognitive Behavioral Therapy-Based Intervention on Improving Glycaemic, Psychological, and Physiological Outcomes in Adult Patients With Diabetes Mellitus: A Meta-Analysis of Randomized Controlled Trials. Front Psychiatry. 2020; 11:711. PMC: 7399630. DOI: 10.3389/fpsyt.2020.00711. View

Moghimi E, Knyahnytska Y, Omrani M, Nikjoo N, Stephenson C, Layzell G . Benefits of Digital Mental Health Care Interventions for Correctional Workers and Other Public Safety Personnel: A Narrative Review. Front Psychiatry. 2022; 13:921527. PMC: 9304966. DOI: 10.3389/fpsyt.2022.921527. View

Eberle C, Lohnert M, Stichling S . Effectiveness of Disease-Specific mHealth Apps in Patients With Diabetes Mellitus: Scoping Review. JMIR Mhealth Uhealth. 2021; 9(2):e23477. PMC: 7920757. DOI: 10.2196/23477. View

10.

Nelson L, Spieker A, Mayberry L, McNaughton C, Greevy R . Estimating the impact of engagement with digital health interventions on patient outcomes in randomized trials. J Am Med Inform Assoc. 2021; 29(1):128-136. PMC: 8714267. DOI: 10.1093/jamia/ocab254. View

11.

Garrett C, Doherty A . Diabetes and mental health. Clin Med (Lond). 2014; 14(6):669-72. PMC: 4954143. DOI: 10.7861/clinmedicine.14-6-669. View

12.

Sugandh F, Chandio M, Raveena F, Kumar L, Karishma F, Khuwaja S . Advances in the Management of Diabetes Mellitus: A Focus on Personalized Medicine. Cureus. 2023; 15(8):e43697. PMC: 10505357. DOI: 10.7759/cureus.43697. View

13.

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

14.

Varela-Moreno E, Carreira Soler M, Guzman-Parra J, Jodar-Sanchez F, Mayoral-Cleries F, Anarte-Ortiz M . Effectiveness of eHealth-Based Psychological Interventions for Depression Treatment in Patients With Type 1 or Type 2 Diabetes Mellitus: A Systematic Review. Front Psychol. 2022; 12:746217. PMC: 8842796. DOI: 10.3389/fpsyg.2021.746217. View

15.

Saleem M, Kuhne L, De Santis K, Christianson L, Brand T, Busse H . Understanding Engagement Strategies in Digital Interventions for Mental Health Promotion: Scoping Review. JMIR Ment Health. 2021; 8(12):e30000. PMC: 8726056. DOI: 10.2196/30000. View

16.

Philippe T, Sikder N, Jackson A, Koblanski M, Liow E, Pilarinos A . Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review. JMIR Ment Health. 2022; 9(5):e35159. PMC: 9109782. DOI: 10.2196/35159. View

17.

AlHaqwi A, Amin M, AlTulaihi B, Abolfotouh M . Impact of Patient-Centered and Self-Care Education on Diabetes Control in a Family Practice Setting in Saudi Arabia. Int J Environ Res Public Health. 2023; 20(2). PMC: 9859274. DOI: 10.3390/ijerph20021109. View

18.

Lattie E, Stiles-Shields C, Graham A . An overview of and recommendations for more accessible digital mental health services. Nat Rev Psychol. 2024; 1(2):87-100. PMC: 10956902. DOI: 10.1038/s44159-021-00003-1. View

19.

Jenkinson E, Knoop I, Hudson J, Moss-Morris R, Hackett R . The effectiveness of cognitive behavioural therapy and third-wave cognitive behavioural interventions on diabetes-related distress: A systematic review and meta-analysis. Diabet Med. 2022; 39(11):e14948. PMC: 9826380. DOI: 10.1111/dme.14948. View

20.

ElSayed N, Aleppo G, Aroda V, Bannuru R, Brown F, Bruemmer D . 1. Improving Care and Promoting Health in Populations: Standards of Care in Diabetes-2023. Diabetes Care. 2022; 46(Supple 1):S10-S18. PMC: 9810463. DOI: 10.2337/dc23-S001. View