ACCEPTANCE AND COMMITMENT THERAPY AS AN INTERVENTION TO IMPROVE TREATMENT OUTCOMES AND WELL- BEING IN TYPE 2 DIABETES PATIENTS: A SYSTEMATIC REVIEW

Abstract

Acceptance and Commitment Therapy (ACT) has emerged as a valuable psychological intervention for managing Type 2 Diabetes Mellitus (T2DM), addressing both medical and psychosocial challenges. This systematic review, conducted in accordance with PRISMA guidelines, synthesizes findings from seven studies—including randomized controlled trials, observational studies, and systematic reviews—focusing on adult patients receiving standard care. ACT was delivered through individual, group, and digital formats, and targeted outcomes such as HbA1c levels, treatment adherence, psychological distress, flexibility, and quality of life. The analysis revealed a modest reduction in HbA1c (up to 0.6%), alongside greater improvements in psychological domains, including a 25% increase in treatment adherence, a 30% reduction in distress, and a 35–40% gain in psychological flexibility and life satisfaction. ACT’s unique focus on values-based action and emotional acceptance enhances psychological resilience, yet broader adoption is limited by workforce shortages, patient engagement issues, and systemic barriers. Future research should emphasize large-scale, long-term trials, refinement of delivery methods, and integration into comprehensive diabetes care, while addressing cultural and structural obstacles to maximize ACT’s therapeutic impact.