PMID- 31335962 OWN - NLM STAT- MEDLINE DCOM- 20200427 LR - 20240313 IS - 1938-2464 (Electronic) IS - 1940-4921 (Print) IS - 1938-2464 (Linking) VI - 12 IP - 4 DP - 2019 Jul 1 TI - A Nurse-Led Cognitive Training Intervention for Individuals With Type 2 Diabetes. PG - 203-212 LID - 10.3928/19404921-20190612-01 [doi] AB - Diabetes increases the risk for cognitive impairment and doubles the rate of cognitive decline after diagnosis. In turn, cognitive dysfunction makes diabetes self-management more difficult. Nurses who help manage these conditions are focused on identifying patients at risk for complications, promoting symptom management, and preventing further decline. The purpose of the current study was to develop and pilot test a nurse-led comprehensive cognitive training intervention for individuals with type 2 diabetes mellitus (T2DM), the Memory Attention and Problem Solving Skills in Persons With Diabetes Mellitus (MAPSS-DM). The 8-week intervention combined in-person classes and online computer training. Development included: (a) adaptation of established, tested interventions; (b) interviews with stakeholders; (c) integration of course content; and (d) pilot testing of the intervention in a one-group, pre-/posttest design (N = 19). Postintervention scores improved in all areas; improvements were statistically significant for diet adherence (t[18] = -2.41, p < 0.005), memory ability (t[18] = 5.54, p < 0.01), and executive function (t[18] = 3.11, p < 0.01). Fifty-eight percent of participants stated the intervention helped their diabetes self-management, and 74% indicated they wanted to continue using cognitive strategies learned in the intervention. Results from this study showed the MAPSS-DM to be a promising cognitive training intervention for individuals with T2DM. TARGETS: Individuals with T2DM. INTERVENTION DESCRIPTION: In-person classes and online computer training of a cognitive training intervention. MECHANISMS OF ACTION: Participants who completed the intervention would show improved cognitive function, which would result in improved self-management adherence followed by better glycemic control. OUTCOMES: Improved diabetes self-management and sustained use of learned cognitive strategies. [Res Gerontol Nurs. 2019; 12(4):203-212.]. CI - Copyright 2019, SLACK Incorporated. FAU - Cuevas, Heather E AU - Cuevas HE FAU - Stuifbergen, Alexa K AU - Stuifbergen AK FAU - Brown, Sharon A AU - Brown SA FAU - Ward, Catherine AU - Ward C LA - eng GR - P30 NR015335/NR/NINR NIH HHS/United States GR - T32 NR019035/NR/NINR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Res Gerontol Nurs JT - Research in gerontological nursing JID - 101392499 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Cognition/*physiology MH - Cognitive Behavioral Therapy/*standards MH - Cognitive Dysfunction/*nursing/*physiopathology MH - Diabetes Mellitus, Type 2/*therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Patient Education as Topic/*standards MH - *Practice Guidelines as Topic PMC - PMC8573732 MID - NIHMS1745697 EDAT- 2019/07/25 06:00 MHDA- 2020/04/28 06:00 PMCR- 2021/11/08 CRDT- 2019/07/24 06:00 PHST- 2018/10/22 00:00 [received] PHST- 2019/03/22 00:00 [accepted] PHST- 2019/07/24 06:00 [entrez] PHST- 2019/07/25 06:00 [pubmed] PHST- 2020/04/28 06:00 [medline] PHST- 2021/11/08 00:00 [pmc-release] AID - 10.3928/19404921-20190612-01 [doi] PST - ppublish SO - Res Gerontol Nurs. 2019 Jul 1;12(4):203-212. doi: 10.3928/19404921-20190612-01.