Targeting cognitive function: Development of a cognitive training intervention for diabetes

Int J Nurs Pract. 2020 Oct;26(5):e12825. doi: 10.1111/ijn.12825. Epub 2020 Feb 6.


Aim: The aim of this project was to develop and demonstrate the feasibility of a comprehensive cognitive training intervention to build self-efficacy for implementation of cognitive strategies in people with diabetes.

Background: People with diabetes are at greater risk than the general population for developing cognitive dysfunction. Some attention has been paid to the effect of cognitive impairments on diabetes self-management, but even when cognitive problems have been identified, few interventions have been tailored for those with diabetes.

Methods: The intervention combines in-person classes and home-based online computer training. Development, in 2017, included (a) adaptation of prior established, tested interventions; (b) interviews with stakeholders; and (c) integration of course content.

Results: Information provided by the stakeholders was used to modify an existing intervention to meet the needs of people with diabetes so that feasibility testing could occur. Despite initial difficulty with recruitment, the intervention was found to be feasible, and nineteen participants found it to be acceptable.

Conclusion: This comprehensive cognitive training intervention targeting type 2 diabetes and cognitive dysfunction demonstrates that existing interventions can be adapted for use with people with diabetes.

Keywords: cognitive training intervention; feasibility study; nurse; self-management; type 2 diabetes.

MeSH terms

  • Adult
  • Aged
  • Cognitive Dysfunction / therapy*
  • Diabetes Mellitus, Type 2 / psychology*
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Self Efficacy