Cognitive behavioural group training (CBGT) for patients with type 1 diabetes in persistent poor glycaemic control: Who do we reach?

Nicole C.W. Van Der Ven, Caroline H.C. Lubach, Marloes H.E. Hogenelst, Ada Van Iperen, Anita M.E. Tromp-Wever, Annelies Vriend, Henk M. Van Der Ploeg, Robert J. Heine, Frank J. Snoek

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32 Citations (Scopus)


Approximately a quarter of adults with type 1 diabetes do not succeed in achieving satisfactory glycaemic control, partly due to problems with the demanding self-management regimen. To improve glycaemic control, interventions with a cognitive behavioural approach, aimed at modifying dysfunctional beliefs, reducing negative emotions and enhancing self-care practices are a potentially successful tool. Little is known about the reach of such an approach. This article describes characteristics of participants in a randomized, controlled trial of cognitive behavioural group training for patients with type 1 diabetes in poor glycaemic control. Results show that outpatients from seven hospitals in the area of Amsterdam, selected on long-standing high HbA1c and volunteering to participate, report high levels of psychological distress and depressive symptoms. Furthermore, self-care behaviours were perceived as important, but burdensome. Diabetes-specific self-efficacy was relatively low. It is concluded that this selected group of adults with type 1 diabetes would potentially benefit from a cognitive-behavioural intervention in order to reduce negative emotions, enhance diabetes self-efficacy, self-care behaviour and glycaemic outcomes.

Original languageEnglish
Pages (from-to)313-322
Number of pages10
JournalPatient Education and Counseling
Issue number3
Publication statusPublished - 1 Jan 2005


  • Behavioural intervention
  • Diabetes
  • Reach

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