The Effects of Resilience Training on the Self-Efficacy of Patients with Type 2 Diabetes: A Randomized Controlled Clinical Trial

In view of the effect of self-efficacy on empowerment of patients and the role of resiliencein the psychological adjustment and physical health of patients, the present study was conducted toexamine the effect of resilience training on the self-efficacy of patients with type 2 diabetes. This double-blinded controlled clinical trial was carried out on 143 diabetic patients inthe diabetes clinic in Shiraz between June 2016 and January 2017. Patients were selected using asimple sampling method and randomly divided into control (n=71) and intervention (n=72) groups.The intervention group received 6 sessions of training workshops on resilience skills. The controlgroup received the routine educational pamphlets. The subjects completed diabetes self-efficacyquestionnaire before, immediately after, and one month after completion of the intervention. Datawere analyzed using SPSS version 16.0. Repeated measure ANOVA, t-test, and Chi-Square tests wereused.  Based on the results of the repeated measures ANOVAs, the overall score of self-efficacywas found to be significantly increased in the intervention group. Compared with the control group,the intervention group reported significantly higher levels of self-efficacy immediately after theintervention (P<0.001) and one month later (P<0.001). Training programs in resilience skills improves the self-efficacy of patients with type2 diabetes. The results of this study support the use of resilience training in diabetics; it providesthe health professionals and policymakers with an increased understanding of how to recognize theresilience skills for the improvement of self-efficacy.