Comparison of the effectiveness of acceptance and commitment based therapy (ACT) and cognitive-behavioral therapy (CBT) on health control, irrational health beliefs and adherence to treatment in men and women with type II diabetes

The aim of this study was to compare the effectiveness of acceptance and commitment based therapy and cognitive-behavioral therapy on the place of health control, irrational health beliefs and adherence to treatment in people with type II diabetes.

This quasi-experimental study was a pre-test, post-test and follow-up design with experimental and control groups. The statistical population in this study was men and women with a diagnosis of type II diabetes referred to Imam Hossein Clinic in Sari. During a public call (Imam Hossein Clinic located in Sari), men and women eligible to participate in the study were available to 45 people. They were selected and then randomly assigned to three groups of cognitive-behavioral therapy (n = 15), acceptance and commitment therapy (n = 15) and control group (n = 15). The cognitive-behavioral therapy group received the Free (2005) treatment protocol in twelve sessions and the Hayes (2004) protocol commitment acceptance therapy group received eight sessions. All three groups were evaluated in three stages of pre-test, post-test and follow-up with the Healthy Rational Beliefs Questionnaire by Christensen et al. (1999), the Multistage Center of the Walton and Walton Health Control Center (1982) and the Madanloo Treatment Adherence Questionnaire (2013). The collected data were analyzed using repeated measures variance.

The results showed that cognitive-behavioral therapy and group acceptance and commitment therapy on irrational health beliefs (P = 0.043 and F = 3.497), external control (P = 0.022 and F = 4.342). ), Internal control (P = 0.023 and F = 5.236) and treatment adherence (P = 0.001 and F = 12.606) have an effect in the post-test phase and this effect was reported in the stable follow-up phase.