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[{"key": "dc.contributor.advisor", "value": "Lappalainen, Raimo", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Lehikoinen, Anni", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Honkanen, Ida", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2018-08-31T10:48:55Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2018-08-31T10:48:55Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2018", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/59405", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "T\u00e4m\u00e4n Pro gradu -tutkielman tarkoituksena oli kartoittaa ryhm\u00e4muotoisen hyv\u00e4ksymis- ja omistautumisterapian (HOT) vaikuttavuutta hoitotasapainoon, psykologiseen joustavuuteen ja psykologiseen hyvinvointiin tyypin 1 diabetesta sairastavilla nuorilla, joiden hoitotasapaino on heikko. Tutkimuksen tarkoituksena oli my\u00f6s selvitt\u00e4\u00e4 hoitotasapainon, psykologisen joustavuuden ja psykologisen hyvinvoinnin v\u00e4lisi\u00e4 yhteyksi\u00e4 1 tyypin diabetesta sairastavilla nuorilla. Lis\u00e4ksi tutkielmassa tarkasteltiin kahden intervention osallistujan yksil\u00f6llisi\u00e4 polkuja, joista toinen hy\u00f6tyi interventiosta hoitotasapainon osalta ja toinen ei. Tutkimus toteutettiin alku- ja loppumittausten avulla. Tutkimuksen kohderyhm\u00e4n\u00e4 olivat Keski-Suomen keskussairaalan lastentautien poliklinikalla hoitosuhteessa olleet 12\u201316-vuotiaat nuoret, joiden tyypin 1 diabeteksen hoitotasapaino oli yli hoitosuosituksen. Osallistujat jaettiin satunnaisesti koe- ja kontrolliryhm\u00e4\u00e4n. Koeryhm\u00e4n (n=12) tavanomaiseen hoitoon lis\u00e4ttiin 5 1,5 h mittaista ryhm\u00e4tapaamista, jotka koostuivat keskustelusta ja HOT-harjoitteista. Kontrolliryhm\u00e4 (n=13) sai tavanomaista hoitoa. Kaikki 25 osallistujaa t\u00e4yttiv\u00e4t Lasten ja nuorten tietoisuustaito -kyselyn (CAMM), lasten ja nuorten Diabeteksen hyv\u00e4ksymis- ja toimintakykymittarin (DAAS) sek\u00e4 mielialakyselyn (RBDI) ennen ja j\u00e4lkeen intervention. Hoitotasapainon mittarina k\u00e4ytettiin pitk\u00e4aikaisverensokeritasapainon arvoa (HbA1c), joka mitattiin osana tavanomaista hoitoa. Tutkimuksessa havaittiin, ett\u00e4 HOT-ryhm\u00e4interventio vaikutti merkitsev\u00e4sti nuorten diabeteksen hyv\u00e4ksynt\u00e4\u00e4n ja kykyyn toimia sairauden kanssa. Tutkimus my\u00f6s osoitti, ett\u00e4 psykologisen joustavuuden taidot olivat yhteydess\u00e4 parempaan hoitotasapainoon sek\u00e4 parempaan psykologiseen hyvinvointiin. Ahdistusoireiden puolestaan havaittiin olevan yhteydess\u00e4 huonompaan hoitotasapainoon. Lis\u00e4ksi diabetekseen liittyv\u00e4 psykologinen joustavuus ja kyky toimia sairauden kanssa oli yhteydess\u00e4 v\u00e4h\u00e4isemp\u00e4\u00e4n masentuneisuuteen. Yksil\u00f6llisten polkujen tarkastelu interventioryhm\u00e4ss\u00e4 puolestaan osoitti, ett\u00e4 osallistuja, jonka hoitotasapaino oli parantunut, kehittyi eniten my\u00f6s psykologisen joustavuuden taidoissa. Tulosten perusteella psykologisen joustavuuden taidot ovat keskeisi\u00e4 hoitotasapainon ja psykologisen hyvinvoinnin kannalta. Ahdistusoireisiin ja niiden hoitoon suositellaan kiinnitett\u00e4v\u00e4n erityist\u00e4 huomiota diabetesta sairastavilla nuorilla. HOT-ryhm\u00e4interventiota voidaan suosittaa k\u00e4ytett\u00e4v\u00e4ksi nuorilla diabeetikoilla sairauden hyv\u00e4ksynn\u00e4n ja siihen liittyv\u00e4n toimintakyvyn lis\u00e4\u00e4misess\u00e4 sek\u00e4 mahdollisesti my\u00f6s masentuneisuuden v\u00e4hent\u00e4misess\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "This Master's Thesis investigated the effectiveness of Acceptance and Commitment Therapy (ACT) based group-intervention on glycemic control, psychological flexibility and psychological well-being of adolescents with type 1 diabetes whose glycemic control was above the recommendations. It also examined the connections between glycemic control, psychological flexibility, and psychological well-being. Finally, we explored the individual paths of two participants from which the other seemed to benefit from the intervention and the other seemed not to benefit from the intervention. The study was conducted by a pretest-posttest design with a control group. 12-16- year-old adolescents with type 1 diabetes whose blood glucose was above recommendations and who were treated at the pediatric outpatient clinic of Central Finland Health District were invited to participate in the study. Enrolled individuals were randomly assigned to the intervention and the control group. The ACT group (n=12) took part in 5 1,5 hour lasting sessions that were composed of discussion and exercises, while the control group (n=13) received the treatment as usual. Participants (n=25) completed Children and Adolescents Mindfulness Measure (CAMM), Diabetes Acceptance and Action Scale for Children and Adolescents (DAAS) and Revised Beck Depression Inventory (RBDI) questionnaire before and after the intervention. Blood glucose (HbA1c) levels were gathered from the medical records. This study found that ACT based short intervention significantly increased diabetes-related psychological flexibility and ability to manage one\u2019s diabetes. We also found that psychological flexibility skills were correlated with better glycemic control and well-being, while anxiety symptoms were correlated with inferior glycemic control. Further, diabetes-related psychological flexibility was connected to fewer depression symptoms. On the question of individual paths, this study found that the most remarkable difference between the participants was, that the psychological flexibility of benefited participant improved significantly more than the non-benefited participant. Although the current study is based on a small sample of participants, the findings persuasively suggest, that psychological flexibility skills are pivotal for glycemic control and psychological well-being. Anxiety symptoms and their treatment are recommended to be given special attention in the treatment of type 1 adolescents. Taken together, these findings support the idea of using acceptance and commitment therapy-based interventions as a part of type 1 diabetic adolescents\u2019 treatment. This type of treatment could be beneficial to increase the acceptance of the disease, improve functional ability and potentially decrease depressive symptoms in this population.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2018-08-31T10:48:55Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2018-08-31T10:48:55Z (GMT). No. of bitstreams: 0\n Previous issue date: 2018", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "64", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "eng", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "group intervention", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "glycemic control", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "HbA1c", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "psychological flexibility", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "psychological well-being", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Acceptance and commitment therapy group intervention effectiveness on glycemic control, psychological flexibility and psychological well-being of adolescents with type 1 diabetes", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201808313992", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Kasvatustieteiden ja psykologian tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Education and Psychology", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Psykologian laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Psychology", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Psykologia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Psychology", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": 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