The Effectiveness of an Occupation-Based Lifestyle Program in Individuals With Type 2 Diabetes

Condition(s) studied

Investigational drug(s) / intervention(s)

Occupation-Based Lifestyle Program: An online, 5-module (8 sessions, 60 minutes each, twice weekly via Zoom) intervention led by occupational therapy staff. The program incorporates diabetes awareness, structured problem-solving, stress management (mindfulness), energy conservation, safe physical activity integration, and goal setting using the Canadian Occupational Performance Measure (COPM)

Study summary

This study aims to investigate the effect of an occupation-focused lifestyle program on occupational performance, self-management, occupational balance, diabetes symptoms, and quality of life in individuals with Type 2 diabetes.

Type 2 diabetes requires continuous daily management, yet conventional interventions often show limited long-term behavioral sustainability. Occupation-focused lifestyle interventions offer a holistic approach by addressing daily routines, self-management skills, and personal goals.

In this non-invasive, quasi-experimental study, participants aged 18-74 with Type 2 diabetes will be invited via social media announcements. Participants will be divided into an intervention group and a control group. The intervention group will receive an online, 5-module (8 sessions) Occupation-Focused Lifestyle Program via Zoom, covering diabetes awareness, problem-solving, stress management (mindfulness), energy conservation/physical activity, and goal review. The control group will receive an informative brochure after the intervention group completes the program. Outcomes will be measured online before and after the program using structured scales to evaluate changes in daily functioning, self-care, and overall well-being

Eligibility

Primary outcome measure(s)

• Canadian Occupational Performance Measure (COPM) — Baseline (Week 0) and Post-intervention (Week 4)
  Assesses individual occupational performance and satisfaction in self-care, productivity, and leisure domains. Scores range from 1 to 10 for both subscales, with higher scores indicating higher self-perceived performance and satisfaction.
• Diabetes Self-Management Questionnaire (DSMQ) — Baseline (Week 0) and Post-intervention (Week 4)
  Evaluates self-care behaviors related to glycemic control, where higher scores indicate better self-management practices.
• Occupational Balance Questionnaire (OBQ11) — Baseline (Week 0) and Post-intervention (Week 4)
  Measures satisfaction with the balance of daily activities and roles, with higher scores reflecting greater occupational balance.
• Diabetes Symptom Checklist-Revised (DSC-R) — Baseline (Week 0) and Post-intervention (Week 4)
  Evaluates the presence and perceived burden of diabetes-related physical and psychological symptoms.
• Short Form-36 Health Survey (SF-36) — Baseline (Week 0) and Post-intervention (Week 4)
  Measures health-related quality of life across physical and mental health domains, with higher scores reflecting better health status.

Trial sites (2)

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