An interventional study of Psychological Stress Management and Coping Mechanisms for Nurses: Enhancing Glycemic Control in Patients with Type 2 Diabetes in Psychological Stress, Type 2 Diabetes Mellitus (DM) and Occupational Stress or Workplace Stress, sponsored by The New Model of Care, Hail Health Cluster. Not yet recruiting at 1 site in Saudi Arabia. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-12.
Sponsored by The New Model of Care, Hail Health Cluster · Not applicable, Interventional, and Health services research
General Objectives
Specific Objectives
Research Questions
Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance and persistent hyperglycemia, which can lead to severe complications if not effectively managed. Nurses play a crucial role in patient education, self-management support, and promoting adherence to treatment plans; however, psychological stress and inadequate coping mechanisms among nurses can negatively impact the quality of care and patient outcomes. This study aimed to evaluate the effectiveness of a psychological stress and coping mechanism training program for nurses and its impact on glycemic control among patients with T2DM in the Hail Region, Saudi Arabia. A quasi-experimental design was utilized, involving nurses who participated in a structured training program focusing on emotional regulation, stress management, and coping strategies, while patients under their care were monitored for glycemic control using HbA1c and fasting blood glucose levels before and after the intervention. Findings demonstrated that nurses who completed the training program exhibited improved stress management, coping abilities, and patient communication skills, which corresponded with significant improvements in patient glycemic outcomes, including better HbA1c levels and adherence to self-management practices. The study concludes that implementing psychological stress and coping mechanism training for nurses has a positive and substantial effect on both nurse well-being and patient glycemic control, highlighting the importance of integrating such programs into nursing practice to enhance patient-centered care and chronic disease management in the Hail Region.
237 studies on the registry are indexed under Occupational Stress; 64 are open to participants now.
This study's planned enrollment of 204 is above the median of 86 across 169 interventional studies indexed under Occupational Stress.
Browse Occupational Stress studies →The New Model of Care, Hail Health Cluster is the lead sponsor of 5 studies on the registry; 3 are open to participants now.
Compared within Occupational Stress, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Stress, Psychological. The counts are of registry records indexed under each term, refreshed daily. How we classify →
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Nurses will receive the 16-hour Psychological Stress and Coping Mechanism Training Program in four 4-hour sessions plus monthly follow-up, training manual and coping journals.
Behavioral: Psychological Stress Management and Coping Mechanisms for Nurses: Enhancing Glycemic Control in Patients with Type 2 Diabetes
Nurses will continue routine nursing care for patients with Type 2 Diabetes Mellitus without the training program. Patients will receive standard diabetes care and follow-up.
The intervention will be grounded in the Transactional Model of Stress and Coping (Lazarus and Folkman, 1984) and in Self-Efficacy Theory (Bandura, 1977). It will comprise 16 hours of face-to-face training delivered in four 4-hour sessions by the principal investigator, a registered nurse educator with training in stress management, to groups of nurses at the participating facilities. Module 1 will address the nature of psychological stress in nursing, common stressors in diabetes care, and early signs of burnout. Module 2 will cover problem-focused and emotion-focused coping and will introduce mindfulness, relaxation, cognitive restructuring, and time-management techniques. Module 3 will examine how nurse stress may affect patient communication, adherence, self-management, and glycemic control, using case studies of nurse-patient interactions. Module 4 will focus on practical skills through role-play, simulated clinical scenarios, group problem-solving, and the use of stress logs and
Baseline Demographic and Professional Characteristics of Participating Nurses
Demographic and professional characteristics collected using a researcher-designed form, including: gender, age group, marital status, educational level in nursing, years of nursing experience, job position, and nationality.
Time frame: Baseline, pre-intervention [Day 0, first face-to-face interview]
Perceived stress
Nurses' stress will be measure with the 14-item Perceived Stress Scale (PSS- 14; Cohen et al., 1983). Items are rated from 0 (never) to 4 (very often) with reference to the past month. The seven positively worded items (perceived self-efficacy/control) will be reverse score, and all items will be sum to give a total score from 0 to 56, with higher scores indicating greater stress. Subscale scores were computed for helplessness (seven negatively worded items, 0-28) and perceived self-efficacy/control (seven positively worded items, raw scoring, 0-28; higher scores indicating greater perceived control).
Time frame: Pretest, immediate post-test, and follow-up three months
Coping strategies
Coping will be measure with the 29-item revised Ways of Coping Checklist (WCCL; Vitaliano et al., 1985), which comprises five subscales: problem-focused coping (12 items), seeking social support (3 items), self-blame (3 items), wishful thinking (6 items), and avoidance (5 items). Items are rated from 1 (not at all) to 4 (to a great extent).
Time frame: Pretest, immediate post-test, and follow-up three months
Diabetes self-management self-efficacy
Patients will be complete the 20-item Diabetes Management Self-Efficacy Scale (DMSES; van der Bijl et al., 1999), which covers blood glucose monitoring (3 items), dietary control (10 items), physical activity (3 items), foot care (1 item), and medication intake and follow-up (3 items). Items are rated from 0 (cannot do at all) to 10 (certainly can do); total scores range from 0 to 200, with higher scores indicating greater self-efficacy, and were classified as low (\<120), moderate (120-149), or high (≥150).
Time frame: Pretest, immediate post-test, and follow-up three months
Plan to share: No
Start is estimated for Dec 2026; primary completion for Dec 2026, 0 months later.
Of 127 non-industry interventional studies with no phase under Occupational Stress, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 28. This study's planned 0 months is below that.
Counting every sponsor, half of 135 studies reached it within 10 months; a quarter within 5 and three quarters within 27.
How these figures are worked out, and which studies are left out of them.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
The New Model of Care, Hail Health Cluster