Comparison of the Effectiveness of Cognitive-behavioral Model Implementation by Peers and Nurses on Anxiety in Patients with Type 2 Diabetes

Aims: Many emotional problems including anxiety have been reported in diabetic patients. Different training methods have been used to reduce the patients’ anxiety. This study aimed to compare the effectiveness of cognitive-behavioral model implementation by peers and nurses on anxiety in patients with type 2 diabetes. Materials Methods: This randomized clinical trial study was performed on 75 patients with type 2 diabetes referred to Diabetes Clinic in Gachsaran, Iran in 2018. The samples were selected through purposive sampling method and randomly assigned to the three groups (intervention by nurses, intervention by peers and control). The Hazlett-Stevens protocol was implemented for the training groups by nurses and peers in 12 sessions. Data were collected through Hilton Anxiety Rating Scale and analyzed using SPSS 21 software and inferential tests. Findings: The mean anxiety score in the intervention groups by nurses and peers was significantly different compared to the control group after the intervention (p 0.05). Also, a statistically significant difference was observed in the mean anxiety score of the post-test compared to the pre-test in the intervention groups by peers and nurses (p 0.05). However, there was no significant difference between the anxiety scores of the intervention groups by peers and nurses after the intervention (p 0.05). Conclusion: Cognitive-behavioral model training by both peers and nurses is effective on the anxiety of patients with type 2 diabetes.