Document Type: Original Article
Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Background: In view of the effect of self-efficacy on empowerment of patients and the role of resilience
in the psychological adjustment and physical health of patients, the present study was conducted to
examine the effect of resilience training on the self-efficacy of patients with type 2 diabetes.
Methods: This double-blinded controlled clinical trial was carried out on 143 diabetic patients in
the diabetes clinic in Shiraz between June 2016 and January 2017. Patients were selected using a
simple 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 control
group received the routine educational pamphlets. The subjects completed diabetes self-efficacy
questionnaire before, immediately after, and one month after completion of the intervention. Data
were analyzed using SPSS version 16.0. Repeated measure ANOVA, t-test, and Chi-Square tests were
used. PResults: Based on the results of the repeated measures ANOVAs, the overall score of self-efficacy
was 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 the
intervention (P<0.001) and one month later (P<0.001).
Conclusion: Training programs in resilience skills improves the self-efficacy of patients with type
2 diabetes. The results of this study support the use of resilience training in diabetics; it provides
the health professionals and policymakers with an increased understanding of how to recognize the
resilience skills for the improvement of self-efficacy.
Trial Registration Number: IRCT2016022726790N1