Comparison of effectiveness Cognitive Behavior Therapy & Education Based on Protection Motivation on Adherence to Treatment in Patients Women with Diabetes Disease

This study aimed to determine the effectiveness of cognitive and behavioral therapy and motivation-based education on medication adherence among people with type II diabetes.

The present study was a quasi-experimental design and pre-test and post-test with a control group and follow-up and applied in terms of objective. The statistical population of the study consisted of all individuals aged 40-65 years, who referred to the Diabetes Association of Tehran for diabetes. The sample consisted of 45 individuals (15 for each group) based on available and purposeful sampling. Research tools were Morisky's Compliance Questionnaire (2010), Cognitive-Behavioral Therapy Protocol, and Protective Motivation-Based Training Protocol. Multivariate analysis of variance was used to analyze the data.

Results showed that two methods of cognitive-behavioral therapy and motivation-based education on medication adherence were significant in the post-test (p<0.01). Also, the effect of the time factor on medication adherence scores in the follow-up area was significant (p<0.01). There was a difference between the medication adherence scores in the three stages of pre-test, post-test, and follow-up regardless of group (p<0.01). The effect of interaction between group and time was also significant (p<0.01).

It can be concluded that the group that received cognitive behavioral therapy and motivation-based training showed a significant increase in medication adherence compared to the group that did not receive medication. The hypotheses were then confirmed. Cognitive-behavioral therapy and motivation-based education can improve medication adherence in patients with type II diabetes.