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AuthorViglino, Francesca
AuthorSellami, Maha
AuthorBroglio, Fabio
AuthorScuntero, Paola
AuthorPadovan, Anna M.
AuthorMaulini, Claudia
AuthorBeccuti, Guglielmo
AuthorBragazzi, Nicola
AuthorBarattucci, Massimiliano
AuthorKuvačić, Goran
AuthorDe Giorgio, Andrea
Available date2024-05-05T08:58:54Z
Publication Date2022
Publication NameJournal of Personalized Medicine
ResourceScopus
Identifierhttp://dx.doi.org/10.3390/jpm12111865
ISSN20754426
URIhttp://hdl.handle.net/10576/54622
AbstractBackground: Lipodystrophy is one of the most frequent complications in people with diabetes following subcutaneous insulin therapy, and poor management can lead to several problems, such as impaired glycemic control and adherence to therapy, anxiety, and depression. Poor injection technique represents the main risk factor for lipodystrophies. In order to enhance the patient's insulin injection technique to heal lipodystrophy, improve psychological indices, and promote involvement in their health and care, the efficacy of emerging person-centered care called the IARA model was tested. Methods: A total of 49 patients were randomly allocated to the IARA group (Experimental; n = 25) or standard education (Control; n = 24). The following questionnaires were used in a mixed-method design: (i) State Anxiety Scale; (ii) Beck Depression Inventory; (iii) Italian Summary of Diabetes Self-Care Activities. An ad hoc open-ended questionnaire was structured for the qualitative analysis. Finally, photos were taken in order to verify if injection sites were changed until the follow-up at 12 months. The number of patients who participated until the completion of the study was 17 in the IARA and 11 in the Control group. Results: State anxiety was significantly reduced in people who followed IARA to follow-up at 3 and 6 months (p < 0.05). The IARA group also demonstrated better compliance in blood glucose monitoring and foot-care compared to Control at follow-up at 12 months. The management of insulin injections dramatically improved in participants who received IARA intervention. Conclusions: IARA could be considered an effective strategy to improve well-being and compliance in people affected with diabetes mellitus and lipodystrophy complications.
Languageen
PublisherMDPI
Subjectanxiety
compliance
emotions
patient-centered
person-centered
psychological indices
TitleThe Role of the Person Focused IARA Model in Reducing Anxiety and Improving Body Awareness and Illness Management in Diabetics with Acquired Lipodystrophy: A Mixed-Method Study
TypeArticle
Issue Number11
Volume Number12
dc.accessType Open Access


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