A web-based cognitive behaviour therapy for chronic fatigue in type 1 diabetes (Dia-Fit)

Juliane Menting, Stephanie Nikolaus, Jan-Frederic Wiborg, Ellen Bazelmans, Martine M. Goedendorp, Arianne C. van Bon, Joop P. van den Bergh, Marc J. T. M. Mol, Cees J. Tack, Hans Knoop

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: Fatigue is frequently reported by patients with type 1 diabetes mellitus. A recent study showed that 40 % of patients experienced severe fatigue that lasted for more than six months and was accompanied by substantial impairments in daily functioning. Currently, there is no effective treatment available for chronic fatigue in patients with type 1 diabetes. Cognitive behaviour therapy aimed at cognitions and behaviours that perpetuate fatigue is effective in reducing fatigue in other chronic diseases. Recent research showed that these cognitions and behaviours are also potential determinants of fatigue in type 1 diabetes. We designed Dia-Fit, a web-based cognitive behaviour therapy for severe and chronic fatigue in patients with type 1 diabetes. This patient-tailored intervention is aimed at reducing fatigue by changing cognitions and behaviours assumed to maintain fatigue. The efficacy of Dia-Fit will be investigated in this study.Methods/design: A randomised controlled trial will be conducted in 120 patients with type 1 diabetes who are chronically and severely fatigued. Patients will be randomised to a treatment or waiting list group. The treatment group will receive Dia-Fit, a blended care therapy consisting of up to eight internet modules and face-to-face sessions with a therapist during a five-month period. The treatment will be tailored to the fatigue-maintaining cognitions and behaviours that are relevant for the patient and are determined at baseline. The waiting list group will receive Dia-Fit after a waiting period of five months. The primary outcome measure is fatigue severity. Secondary outcome measures are functional impairment and glucose control determined by haemoglobin A(1c) and blood glucose variability.Discussion: To our knowledge, this is the first study investigating the efficacy of a cognitive behavioural intervention for chronic fatigue in patients with type 1 diabetes.
Original languageEnglish
JournalTrials
Volume16
DOIs
Publication statusPublished - 6 Jun 2015
Externally publishedYes

Bibliographical note

M1 - 262

Keywords

  • Chronic fatigue
  • Type 1 diabetes
  • Cognitive behaviour therapy
  • Blended-care
  • Internet
  • Study protocol
  • Randomised controlled trial
  • RHEUMATOID-ARTHRITIS
  • MULTIPLE-SCLEROSIS
  • GLUCOSE VARIABILITY
  • CANCER-PATIENTS
  • BREAST-CANCER
  • SYMPTOMS
  • SCALE
  • DUTCH
  • CARE
  • QUESTIONNAIRE

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