Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses

Radhika Ganesan; Sankar Radhakrishnan; Rajendran Rajamanickam

doi:doi:10.11648/j.pbs.20200905.12

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Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses

Radhika Ganesan, Sankar Radhakrishnan, Rajendran Rajamanickam

Published in Psychology and Behavioral Sciences (Volume 9, Issue 5)

Received: 30 August 2020 Accepted: 15 September 2020 Published: 28 September 2020

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Abstract

The aim of this review was to evaluate the effectiveness of positive psychological interventions (PPIs) to improve well-being and health behaviour adherence among patients with type 2 diabetes mellitus (T2DM). Medline, PsycINFO, the Cochrane register, EMBASE, and Google Scholar were systematically searched to find relevant studies until January 2020. The primary outcome was reduction in risk factors of cardiovascular disease including HbA1c, systolic blood pressure (SBP), and diastolic blood pressure along with improvement in positive affect, optimism, self-efficacy, and health behaviour adherence such as diet, exercise and medication. The secondary outcomes were reduction in depression, anxiety and stress. A random-effect model was used to compare group effect size at post-test. We identified a total of 11 studies (N=1594 participants) with substantial variability in the interventions. Overall, the results provide evidence that multi-component PPIs have a small but significant effect on positive affect, optimism, health behaviour, self-care and BMI. Further, the review demonstrates that PPIs can be effective in the reduction of anxiety and stress symptoms. However, studies included in this review are heterogenous due to methodological variation, therefore, in future more studies across a wide range of PP interventions needs to be included in order to validate the findings and for conclusive evidence.

Published in	Psychology and Behavioral Sciences (Volume 9, Issue 5)
DOI	10.11648/j.pbs.20200905.12
Page(s)	68-86
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Positive Psychology, Well-being, Health Behaviour Adherence, Depression, Interventions, Effectiveness, Randomized Controlled Trials

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Radhika Ganesan, Sankar Radhakrishnan, Rajendran Rajamanickam. (2020). Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses. Psychology and Behavioral Sciences, 9(5), 68-86. https://doi.org/10.11648/j.pbs.20200905.12

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Radhika Ganesan; Sankar Radhakrishnan; Rajendran Rajamanickam. Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses. Psychol. Behav. Sci. 2020, 9(5), 68-86. doi: 10.11648/j.pbs.20200905.12

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AMA Style

Radhika Ganesan, Sankar Radhakrishnan, Rajendran Rajamanickam. Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses. Psychol Behav Sci. 2020;9(5):68-86. doi: 10.11648/j.pbs.20200905.12

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@article{10.11648/j.pbs.20200905.12,
  author = {Radhika Ganesan and Sankar Radhakrishnan and Rajendran Rajamanickam},
  title = {Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses},
  journal = {Psychology and Behavioral Sciences},
  volume = {9},
  number = {5},
  pages = {68-86},
  doi = {10.11648/j.pbs.20200905.12},
  url = {https://doi.org/10.11648/j.pbs.20200905.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20200905.12},
  abstract = {The aim of this review was to evaluate the effectiveness of positive psychological interventions (PPIs) to improve well-being and health behaviour adherence among patients with type 2 diabetes mellitus (T2DM). Medline, PsycINFO, the Cochrane register, EMBASE, and Google Scholar were systematically searched to find relevant studies until January 2020. The primary outcome was reduction in risk factors of cardiovascular disease including HbA1c, systolic blood pressure (SBP), and diastolic blood pressure along with improvement in positive affect, optimism, self-efficacy, and health behaviour adherence such as diet, exercise and medication. The secondary outcomes were reduction in depression, anxiety and stress. A random-effect model was used to compare group effect size at post-test. We identified a total of 11 studies (N=1594 participants) with substantial variability in the interventions. Overall, the results provide evidence that multi-component PPIs have a small but significant effect on positive affect, optimism, health behaviour, self-care and BMI. Further, the review demonstrates that PPIs can be effective in the reduction of anxiety and stress symptoms. However, studies included in this review are heterogenous due to methodological variation, therefore, in future more studies across a wide range of PP interventions needs to be included in order to validate the findings and for conclusive evidence.},
 year = {2020}
}

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TY  - JOUR
T1  - Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses
AU  - Radhika Ganesan
AU  - Sankar Radhakrishnan
AU  - Rajendran Rajamanickam
Y1  - 2020/09/28
PY  - 2020
N1  - https://doi.org/10.11648/j.pbs.20200905.12
DO  - 10.11648/j.pbs.20200905.12
T2  - Psychology and Behavioral Sciences
JF  - Psychology and Behavioral Sciences
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PB  - Science Publishing Group
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UR  - https://doi.org/10.11648/j.pbs.20200905.12
AB  - The aim of this review was to evaluate the effectiveness of positive psychological interventions (PPIs) to improve well-being and health behaviour adherence among patients with type 2 diabetes mellitus (T2DM). Medline, PsycINFO, the Cochrane register, EMBASE, and Google Scholar were systematically searched to find relevant studies until January 2020. The primary outcome was reduction in risk factors of cardiovascular disease including HbA1c, systolic blood pressure (SBP), and diastolic blood pressure along with improvement in positive affect, optimism, self-efficacy, and health behaviour adherence such as diet, exercise and medication. The secondary outcomes were reduction in depression, anxiety and stress. A random-effect model was used to compare group effect size at post-test. We identified a total of 11 studies (N=1594 participants) with substantial variability in the interventions. Overall, the results provide evidence that multi-component PPIs have a small but significant effect on positive affect, optimism, health behaviour, self-care and BMI. Further, the review demonstrates that PPIs can be effective in the reduction of anxiety and stress symptoms. However, studies included in this review are heterogenous due to methodological variation, therefore, in future more studies across a wide range of PP interventions needs to be included in order to validate the findings and for conclusive evidence.
VL  - 9
IS  - 5
ER  -

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Author Information

Radhika Ganesan

Department of Psychology, Annamalai University, Chidambaram, Tamil Nadu, India
Sankar Radhakrishnan

Department of Psychology, Annamalai University, Chidambaram, Tamil Nadu, India
Rajendran Rajamanickam

Department of Educational Management & Applied Psychology, National Institute of Technical Teacher’s Training and Research, Chennai, India

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Radhika Ganesan, Sankar Radhakrishnan, Rajendran Rajamanickam. (2020). Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses. Psychology and Behavioral Sciences, 9(5), 68-86. https://doi.org/10.11648/j.pbs.20200905.12

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ACS Style

Radhika Ganesan; Sankar Radhakrishnan; Rajendran Rajamanickam. Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses. Psychol. Behav. Sci. 2020, 9(5), 68-86. doi: 10.11648/j.pbs.20200905.12

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AMA Style

Radhika Ganesan, Sankar Radhakrishnan, Rajendran Rajamanickam. Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses. Psychol Behav Sci. 2020;9(5):68-86. doi: 10.11648/j.pbs.20200905.12

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@article{10.11648/j.pbs.20200905.12,
  author = {Radhika Ganesan and Sankar Radhakrishnan and Rajendran Rajamanickam},
  title = {Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses},
  journal = {Psychology and Behavioral Sciences},
  volume = {9},
  number = {5},
  pages = {68-86},
  doi = {10.11648/j.pbs.20200905.12},
  url = {https://doi.org/10.11648/j.pbs.20200905.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20200905.12},
  abstract = {The aim of this review was to evaluate the effectiveness of positive psychological interventions (PPIs) to improve well-being and health behaviour adherence among patients with type 2 diabetes mellitus (T2DM). Medline, PsycINFO, the Cochrane register, EMBASE, and Google Scholar were systematically searched to find relevant studies until January 2020. The primary outcome was reduction in risk factors of cardiovascular disease including HbA1c, systolic blood pressure (SBP), and diastolic blood pressure along with improvement in positive affect, optimism, self-efficacy, and health behaviour adherence such as diet, exercise and medication. The secondary outcomes were reduction in depression, anxiety and stress. A random-effect model was used to compare group effect size at post-test. We identified a total of 11 studies (N=1594 participants) with substantial variability in the interventions. Overall, the results provide evidence that multi-component PPIs have a small but significant effect on positive affect, optimism, health behaviour, self-care and BMI. Further, the review demonstrates that PPIs can be effective in the reduction of anxiety and stress symptoms. However, studies included in this review are heterogenous due to methodological variation, therefore, in future more studies across a wide range of PP interventions needs to be included in order to validate the findings and for conclusive evidence.},
 year = {2020}
}

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TY  - JOUR
T1  - Positive Psychology Interventions to Improve Wellbeing and Health Behaviour Adherence in Patients with Type 2 Diabetes Mellitus: A Scoping Review and Meta-analyses
AU  - Radhika Ganesan
AU  - Sankar Radhakrishnan
AU  - Rajendran Rajamanickam
Y1  - 2020/09/28
PY  - 2020
N1  - https://doi.org/10.11648/j.pbs.20200905.12
DO  - 10.11648/j.pbs.20200905.12
T2  - Psychology and Behavioral Sciences
JF  - Psychology and Behavioral Sciences
JO  - Psychology and Behavioral Sciences
SP  - 68
EP  - 86
PB  - Science Publishing Group
SN  - 2328-7845
UR  - https://doi.org/10.11648/j.pbs.20200905.12
AB  - The aim of this review was to evaluate the effectiveness of positive psychological interventions (PPIs) to improve well-being and health behaviour adherence among patients with type 2 diabetes mellitus (T2DM). Medline, PsycINFO, the Cochrane register, EMBASE, and Google Scholar were systematically searched to find relevant studies until January 2020. The primary outcome was reduction in risk factors of cardiovascular disease including HbA1c, systolic blood pressure (SBP), and diastolic blood pressure along with improvement in positive affect, optimism, self-efficacy, and health behaviour adherence such as diet, exercise and medication. The secondary outcomes were reduction in depression, anxiety and stress. A random-effect model was used to compare group effect size at post-test. We identified a total of 11 studies (N=1594 participants) with substantial variability in the interventions. Overall, the results provide evidence that multi-component PPIs have a small but significant effect on positive affect, optimism, health behaviour, self-care and BMI. Further, the review demonstrates that PPIs can be effective in the reduction of anxiety and stress symptoms. However, studies included in this review are heterogenous due to methodological variation, therefore, in future more studies across a wide range of PP interventions needs to be included in order to validate the findings and for conclusive evidence.
VL  - 9
IS  - 5
ER  -

Copy | Download