Amineh Jalali - ۱Department of Health Psychology, Faculty of Psychology and Educational Sciences, Kish International Campus, Tehran University, Kish, Iran. ۲Clinical Research Development Unit, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran.
Reza Pourhosein - Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.
Ahmad Alipour - Department of Psychology, Payame Noor University, Tehran, Iran.
Gholam Ali Afrooz - Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.

Objective: Diabetes is a chronic metabolic disorder that can be exacerbated by stress, poor compliance and self-care practices. This study investigated the effects of self-care training combined with stress management on treatment adherence in type ۲ diabetes mellitus (T۲DM) people. Materials and Methods: This is a randomized clinical trial with repeated measures. The study sample included ۳۰ T۲DM who were purposively selected among the eligible members of the Kerman Diabetes Association. The participants were randomized to the experimental group (stress management based on cognitive-behavioral therapy and self-care training) (n=۱۵) and the control group (no intervention) (n=۱۵). Both groups completed the Medanlo Treatment Adherence Questionnaire at the pretest, posttest, and follow-up time points. Data were analyzed statistically using ANOVA. Results: The post-test and follow-up mean scores of treatment adherence significantly increased in the experimental group compared with the control group (P< ۰.۰۰۱). In addition, the results demonstrated that treatment adherence improved in follow-up (P< ۰.۰۰۱). Conclusion: According to the study results, psychological training should be integrated with self-care training to achieve long lasting treatment adherence in T۲DM people.

Treatment adherence, Self-care, Stress, Diabetes mellitus