Clinical trial NCT01964612: Illness Crisis Adapting in Early or Middle Phase of Patient With Chronic Disease: Study of Meta-cognition Model
Official title: Illness Crisis Adapting in Early or Middle Phase of Patient With Chronic Disease: Study of Meta-cognition Model
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Drug or Chemical Induced Diabetes Mellitus
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2013-10-17
Enrollment: 460
Sex: ALL
Minimum age (years): 20
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: adults with obvious chronic diseases of hypertension or diabetes, or both diseases diagnosed by doctors in Taiwan.

Brief summary: Patient with chronic disease learning of a chronic illness quickly changes the way they encounter in physiological, psychological and social aspects. The investigators research purposes will use the meta-cognitive approach to explore adjustment to life-threatening illness (ex. hypertension and diabetes) of patients may find the important factors in their coping process.

Detailed description: Patient with chronic disease learning of a chronic illness quickly changes the way they encounter in physiological, psychological and social aspects. They need adjust themselves and their crisis lives, and some plan they had made the near or distant future. The investigators research purposes will use the meta-cognitive approach to explore adjustment to life-threatening illness (ex. hypertension and diabetes) of patients may find the important factors in their coping process.Research methods will separate three year project to describe. First year project will use qualitative methods from bio-psychosocial aspects to interview participants who may suffer illness after diagnosis or stable treatment during middle phase of illness. Second year will invite diabetes and hypertension patients from different phase of illness with different levels of health anxiety trait, meta-cognitive and control strategies if derived different coping and emotions outcome. The third year will design motivational psycho-education program for patients to alleviate the emotions and use cold meta-cognition to due good health behavior and self care with their illness. The expected results will like to test the investigators new model in caring chronic disease patients.

Eligibility criteria: Inclusion Criteria:

* adults aged 20 and above, with hypertension or diabetes or both diseases.

Exclusion Criteria:

* adults with other severe physical diseases.
* adults with relevant psychological diseases.

Primary outcomes:
measure: self-monitoring and self-control scale
timeFrame: one year
Secondary outcomes:
measure: meta-thinking awareness scale
timeFrame: one year
measure: negative self thinking scale
timeFrame: one year
measure: depression and anxiety scale
timeFrame: one year
measure: life change scale
timeFrame: one year
measure: health anxiety scale
timeFrame: one year
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: National Taiwan University Hopital
Study officials:
affiliation: National Taiwan University Hospital
name: Bee-Horng Lue, MD
role: STUDY_CHAIR
References: