Therapy Education Research Articles

Improving Diabetes Outcomes with a Multimodal Intervention for Less Advantaged Adults with Type 2 Diabetes

If proper self-management behaviors are not maintained, diabetes may lead to reduced quality of life (QoL), decreased engagement in everyday activities, disabling health complications, and even death. Less advantaged adults with limited income, lower education, and fewer resources find diabetes self-management (DSM) particularly challenging due to healthcare and social inequalities. DSM education is important to understanding diabetes-related behaviors and improving QoL. There are few evidence informed DSM education programs directed specifically at less advantaged adults. The purpose of this study was to develop and test feasibility and preliminary efficacy of a novel virtual intervention that merged prior evidence-informed yoga, occupational therapy, and nutrition education (MY-OT-ED) practices. Five participants were recruited throughout communities near the research university for a nine-week DSM education program that was held twice a week. DSM-related health and QoL measures were tested at baseline, immediately after MY-OT-ED, and six to eight weeks following the intervention. Primary outcomes studied included QoL, DSM, diabetes distress, and diabetes self-efficacy. Percent change was calculated to assess if any significant DSM-related changes occurred. Positive changes were found in all outcomes following the nine-week intervention and were maintained at follow-up. While limitations of the study were noted, results provide preliminary evidence that MY-OT-ED was feasible, acceptable, and has the potential to improve diabetic outcomes for less advantaged adults.

Gait parameters and functional performance following multi-factorial treatment among degenerative joint disease patients

Introduction and Aim: Degenerative Joint Disease (DJD) poses a challenge to manage and restore functional capabilities among patients. Incorporation of structured exercises, manual therapy and patient education had a significant impact on clinical and functional status of patients. Past research hasexplored benefits of therapy on functions and gait. Although, such studies did not address the functional restoration. Hence, present study was aimedto address the lacunae.
 
 Materials and Methods: 100 patients with mean age and SD; 51.61(5.4) were included. Participants had knee Degenerative Joint Disease (DJD); grade 2 or 3 on Kellgren and Lawrence scale, were allocated to Experimental Group (EG) and Comparative Group (CG). EG received joint mobilization and Muscle Energy Technique (MET). CG received Interferential therapy (carrier frequency 4 kHz; beat frequency 100 Hz; and sweep frequency 150 Hz). Strengthening exercises and patient education were common for both groups. Intervention lasted two weeks, the post-intervention metrics included; stride length, step length, and cadence for gait and knee injury and osteoarthritis outcome score.
 
 Results: Data obtained was subjected to statistical analysis. Frequency and percentage were used for categorical variables; mean andstandard deviation (SD) were used for continuous variables. Post-intervention, there was a significant improvement of gait parameters and Knee Injury and Osteoarthritis Outcome Score (KOOS) in both groups. CG had a better improvement in STL, SL, CAD with mean of 39.84(5.68), 20.22(2.84), 97.16(3.75) and EG with mean of 44.36(4.48), 22.30(3.75), 92.82(3.75) and p < .0005. However, it was evident that the proportion of functional improvement among CG was lesser.
 
 Conclusion: Inclusion of structured exercises, manual therapy and patient education in intervention would be effective and improve the functional status of DJD patients.

Exercise therapy and patient education versus intra-articular saline injections in the treatment of knee osteoarthritis: an evidence-based protocol for an open-label randomised controlled trial (the DISCO trial)

BackgroundKnee osteoarthritis (OA) is a highly prevalent musculoskeletal condition causing pain, physical disability, and reduced quality of life. Exercise and patient education are non-pharmacological interventions for knee OA unanimously recommended as first-line treatments based on extensive research evidence. However, none of the numerous randomised controlled trials of exercise and education for knee OA has used adequate sham/placebo comparison groups because the ‘active’ ingredients are unknown. Designing and executing an adequate and ‘blindable placebo’ version of an exercise and education intervention is impossible. Therefore, using an open-label study design, this trial compares the efficacy of a widely used ‘state-of-art’ exercise and education intervention (Good Life with osteoarthritis in Denmark; GLAD) with presumably inert intra-articular saline injections on improvement in knee pain in patients with knee OA.MethodsIn this open-label randomised trial, we will include 200 patients with radiographically verified OA of the knee and randomly allocate them to one of two interventions: (i) 8 weeks of exercise and education (GLAD) or (ii) Intra-articular injections of 5 ml isotonic saline every second week for a total of 4 injections. Outcomes are taken at baseline, after 8 weeks of treatment (week 9; primary endpoint) and after an additional 4 weeks of follow-up (week 12). The primary outcome is change from baseline in the Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS) pain subscale score. Secondary outcomes include the Physical function in Activities of Daily Living, Symptoms, and Knee-related Quality of Life subscales of the KOOS, the patients’ global assessment of disease impact, physical performance tests, and presence of knee joint swelling.DiscussionThis current trial compares a presumably active treatment (GLAD) with a presumably inert treatment (IA saline injections). Both study interventions have well-established and anticipated similar effects on knee OA symptoms, but the underlying mechanisms are unknown. The interpretation of the results of this trial will likely be difficult and controversial but will contribute to a better understanding of the bias introduced in the effect estimation of classically unblindable exercise and education interventions for knee OA.Trial registrationwww.ClinicalTrials.govNCT03843931. Prospectively registered on 18 February 2019.

Student music stimuli composition in a scaffolded course-based undergraduate research experience

Course-based undergraduate research experiences (CURE) allow students opportunities to develop research skills. In a scaffolded CURE, music therapy and music education students composed, evaluated, and selected the music stimuli used in a music and mindfulness study with non-musicians at Site 1 and musicians at Site 2. The purposes of this paper are to (a) describe the process of student music stimuli composition and evaluation for use in a course-based undergraduate research experience and (b) identify benefits, challenges, and lessons learned from the viewpoints of students, graduate assistants, and faculty who participated in the multi-site study. Eight students, two graduate assistants, and two faculty provide an overview of the CURE teaching model and assignments, and share first-person accounts of their experiences participating in this CURE.

Improving adherence to guideline recommendations in dementia care through establishing a quality improvement collaborative of agents of change: an interrupted time series study

BackgroundNon-pharmacological interventions including physical activity programmes, occupational therapy and caregiver education programmes have been shown to lead to better outcomes for people with dementia and their care partners. Yet, there are gaps between what is recommended in guidelines and what happens in practice. The aim of this study was to bring together clinicians working in dementia care and establish a quality improvement collaborative. The aim of the quality improvement collaborative was to increase self-reported guideline adherence to three guideline recommendations.MethodsInterrupted time series. We recruited health professionals from community, hospital and aged care settings across Australia to join the collaborative. Members of the collaborative participated in a start-up meeting, completed an online learning course with clinical and quality improvement content, formed a quality improvement plan which was reviewed by a team of experts, received feedback following an audit of their current practice and were able to share experiences with their peers. The primary outcome was self-reported adherence to their guideline recommendation of interest which was measured using checklists. Data were collected monthly over a period of 18 months, and the study used an interrupted time series design and multilevel Poisson regression analysis to evaluate changes in self-reported adherence.ResultsA total of 45 health professionals (78% therapists) from different sites joined the collaborative and 28 completed all requirements. Data from 1717 checklists were included in the analyses. Over the duration of the project, there was a significant increase in clinician self-reported adherence to guideline recommendations with a 42.1% immediate increase in adherence (incidence rate ratio = 1.42; 95% confidence interval = 1.08–1.87; p = 0.012).ConclusionHealth professionals working with people with dementia are interested in and willing to join a quality improvement collaborative with the goal of improving non-pharmacological aspects of care. Participation in the collaborative improved the quality of care for people with dementia as measured through self-reported adherence to guideline recommendations. Although there are challenges in implementation of guideline recommendations within dementia care, the quality improvement collaborative method was considered successful. A strength was that it equipped and empowered clinicians to lead improvement activities and allowed for heterogeneity in terms of service and setting.Trial registrationACTRN12618000268246

East Asian dance/movement therapy educators’ experiences of teaching dance/movement therapy in East Asia after training in the US

This qualitative study aimed to explore the lived teaching experiences of native East Asian dance/movement therapy (DMT) educators who completed their DMT education in the US, and then returned to their home countries to teach. The researcher intended to learn how participants adapted what they had learned to teach DMT to students in East Asia, including their challenges and successes. Six participants were recruited from Korea, Japan, Hong Kong, and Taiwan. Data were gathered via a researcher-designed demographic questionnaire and individual interviews. Nvivo10 software was used to ensure efficient data organization. Member checking and peer debriefing were used in different stages of data analysis to heighten the internal validity. Finally, five themes were revealed: (1) challenges as a DMT educator in one’s home country, (2) unfamiliar and different learning styles, (3) problems and needs, (4) efforts to develop the field of DMT as a DMT educator, and (5) giving advice and sharing meaningful moments. These findings support previous research on culturally competent teaching. This study hopes to contribute to creating a communicative and educational DMT bridge between East and West, and to enhance the indigenization of the field of DMT in East Asia.

Control of Diarrhoeal Diseases in Children in Kericho West Sub-County, Kenya

Acute diarrheal disease among children aged less than five years remains a significant cause of morbidity and mortality worldwide. Severe infectious diarrhoea in children occurs most frequently under circumstances of poor environmental sanitation and hygiene, inadequate water supplies and poverty. In Kenya, the control of diarrhoea disease including the promotion of breastfeeding, oral rehydration therapy and specific health education is a part of national strategies aimed to improve the quality of life and reduce the burdens caused by diseases. In Kericho West Sub-County, diseases associated with contaminated water, sanitation and poor hygiene tend to affect more in rural households. Nearly half of the children under five years suffer from related diarrhoeal diseases, thereby causing major concern to the entire local population. Therefore, this study aimed to determine the factors that lead to diarrhoeal diseases, to investigate the hygienic condition and source of water supply in the area, to examine the practices of the breastfeeding mothers and to determine the measures the county government has put in place to improve the health situation of the children. The study was grounded on two theories proposed by self-efficacy theory by Bandura. The study was carried out using a structured questionnaire as a quantitative tool while the interview guide was the qualitative tool for data collection. The location of the study was in Kericho West sub-county. The study concluded that there was a relationship between childhood diarrhoea, water, sanitation and hygiene in the study area. The study also found that there was a substantial positive association between breastfeeding and diarrhoea in children aged less than five years. From the findings, 83% used water with soap, while 41.3% obtained food from street vendors. The study recommends that the government facilities and private facilities should start sensitizing the Kericho West sub-county residents on the importance of maintaining hygiene through the use of clean and treated water as well as washing their utensils with hot water and soap. The government health care workers at the government facilities should counsel all the mothers and educate them on all the waterborne diseases as this would be the best option to control the communicable diseases in the County.

Building a Bridge Between the Deaf Community and Art Therapy

Art therapy has the unique potential to serve the mental health needs of the Deaf community. Art therapy practitioners and educators from the dominant (hearing) culture can become allies by de-centering verbal and audiological communication. The unique visual storytelling practice within Deaf culture makes art therapy a fitting modality for serving this minority group.

Developing an occupational science curriculum for undergraduate students

ABSTRACT Developing an occupational science curriculum that is responsive to the specific needs of a student population manifests Dr. Elizabeth Yerxa’s (1990) vision of leveraging the ideas of occupational science to meet the complex social challenges of our time. Through a case example of the Occupational Science Minor Program at the University of Southern California (USC), we demonstrate that the translation of occupational science as a basic science can be interpreted in a meaningful way to undergraduate students in light of the current mental health needs of this population. Dr. Ruth Zemke (2016) traced the creation of the USC Occupational Science Minor Program as a way to extend occupational science education and advance the field to the next generation of researchers, clinicians, and stakeholders. In this paper, the authors expand upon Zemke’s introduction of the program and explore the guiding principles for developing an occupational science curriculum for undergraduate students. We draw from current research in occupational therapy and occupational science education as well as evidenced-based curricula design strategies from education in order to identify program strengths and opportunities for improvement.

Occupational therapy and the local context: Exploring opportunities for occupational therapy practice and education with stakeholders in Metropolitan Cebu

ABSTRACT Occupational therapy is seen as a versatile profession able to deliver occupational therapy services for a variety of practice settings in promoting health. Currently, the majority of Filipino occupational therapy practice is concentrated in private paediatric practice. Recognising the significance of stakeholders as partners and recipients of occupational therapy services, thirty individuals from stakeholder groups representing the different sectors in Metropolitan Cebu were engaged in focus group discussions. Issues and opportunities for occupational therapy were identified in four sectors: (1) Health and Advocacy, (2) School, (3) Work and Industry, and the (4) Clinic Settings. Fostering collaborative efforts in tackling the prevailing needs of the local context is seen as opportunities wherein occupational therapists can provide services to a wider clientele and can increase the profession’s visibility. In order to push the profession forward, occupational therapists should emphasise the value of the local context in shaping the education and practice of the profession.

Effects of functional training and 2 interdisciplinary interventions on maximal oxygen uptake and weight loss of women with obesity: a randomized clinical trial

Our aim was to analyze and compare functional training, interdisciplinary therapy, and interdisciplinary education on cardiorespiratory fitness (CF) and anthropometric characteristics of women with obesity. Forty-four women (age = 39.7 ± 5.9 years, body mass index (BMI) = 35.5 ± 2.8 kg/m2) completed 30 weeks of intervention randomly assigned to 3 groups: functional training (FT) (n = 14), interdisciplinary therapy (IT) (n = 19), and interdisciplinary education (IE) (n = 11). The FT group participated in the training program (3/week), the IT group received the same training intervention plus nutrition (1/week) and psychology advice (1/week) and physical therapy (1/week). The IE group participated in interdisciplinary lectures on topics related to health promotion (1/month). CF (ergospirometry), anthropometry, and body composition (electrical bioimpedance) were measured pre-intervention (Pre) and post-intervention (Post). CF increased (p ≤ 0.05) significantly (Pre vs. Post) in the FT (7.5%) and IT (10.8%) groups, but not in the IE group (1.8%). Body mass (BM), BMI, relative fat mass, and waist circumference significantly (p ≤ 0.05) decreased (Pre vs. Post) in IT (-4.4%, -4.4%, -2.3%, and -5.1%, respectively). The IE group showed a significant decrease in BM (-3.7%), BMI (-3.7%), and waist circumference (-3.5%), whereas the FT group promoted significant decrease in waist circumference (-3.4%). In conclusion, functional training increased CF but only interdisciplinary interventions improved the anthropometric profile of women with obesity. Novelty Interdisciplinary therapy provided more comprehensive adaptations in women with obesity, including morphological variables and CF. Functional training increased CF but reduced only abdominal obesity. Interdisciplinary education provided benefits on morphological variables, but it does not increase CF.

A clinico-epidemiological study of diabetes mellitus among urban and rural population of Lucknow

Introduction: The prevalence of Diabetes Mellitus is growing rapidly worldwide and is reaching epidemic proportions. Globally around 366 million people have Diabetes in 2011 and by 2030 this will have risen to 552 million. Objectives: To estimate prevalence of Diabetes Mellitus and to detect undiagnosed Diabetes in urban and rural areas of Lucknow. Material and Methods: It was a community based cross-sectional study done in the urban and rural areas of Lucknow, under Department of Community Medicine, Era’s Lucknow Medical College and Hospital in subjects aged 20 years and above from August 2017-July 2018. Results and Observations: The overall prevalence of Diabetes Mellitus was 13.8% which was more in urban (15.8%) as compared to rural (11.7%) areas. Out of total 113 diabetic subjects, 87 (76.9%) knew their diabetic status before the study where as 26 cases (23.1%) were diagnosed Diabetes Mellitus at the time of study. Newly diagnosed cases were more (24.6%) in urban areas as compared to the rural areas (20.9%). Conclusion: Health policy must be made that include measures to promote Diabetes prevention and control through lifestyle changes, effective but inexpensive drug therapy and comprehensive community health education. Keywords: Diabetes Mellitus, Cross sectional study, Lifestyle changes.

Organization of animal-assisted therapy: From voluntary activities to work of professionals

Humankind has always known about the usefulness in integration of animals for the achievement of such routine goals as hunting, household and territory protection, transportation, scouting foreign territories and materials, and overcoming physical limitations. Animals are also highly valued as agents of socialisation resulting in the integration of various species in the work of various professions. Social work also increasingly makes use of professional activities involving animals while working with clients. Terms such as therapy animals, animal-assisted therapy, animal-assisted activities, and animal-assisted education are becoming more relevant in the daily work of social workers, physiotherapists, occupational therapists, psychotherapists and other professionals. Animals are more and more often found in hospitals, schools, care facilities, prisons and other settings. Animal-assisted therapy is a general term including various activities, causing difficulty to understand and differentiate between the types of therapy performed with various animal species, which creates the need to study the experience in ensuring work with therapy animals in various settings. The results obtained in this study reflect the experiences working with therapy animals of various professionals including the goal of integrating therapy animals in professional activity, the goal of the activity and the steps thereof, target groups and the expected results.

The 2019 Therapeutic Recreation Education Survey: A 50-Year Comparison

Fifty years ago, Stein (1970) conducted a therapeutic recreation (TR) education survey. Ten years later, Anderson and Stewart (1980) conducted a follow-up study that began the longitudinal studies in therapeutic recreation/ recreational therapy (TR/RT) education in the U.S. and Canada for the next four decades, and the results of each survey were published in the Therapeutic Recreation Journal (Anderson et al., 2000; Autry et al., 2010; Stewart & Anderson, 1990). The decennial TR/RT education surveys have included the same items and used the same core instrument since its first implementation in 1969 (Stein, 1970). Although survey content has expanded to include additional questions, this consistency of content was designed to allow the researchers to compare results across each decade and to identify and discuss trends and issues in TR/RT education. The overall findings and discussion were divided among TR/RT curricula, faculty and students and were compared to these same categories over the past 50 years.

THE IMPORTANCE OF ART, ART THERAPY AND ART EDUCATION IN SOCIAL WORK EDUCATION

THE IMPORTANCE OF ART, ART THERAPY AND ART EDUCATION IN SOCIAL WORK EDUCATION

"Dibujar la mirada": Reflexiones sobre la supervisión de alumnado en prácticas del M´áster de Arteterapia de la UCM

El dispositivo de supervisión grupal durante la formación como arteterapeutas se establece como un espacio de seguridad y confianza en el que escuchar, analizar y dar forma a la mirada arteterapéutica que se configura durante la fase de prácticas en los diferentes contextos, en la que la teoría y la praxis se conjugan para dar sentido a la dispciplina arteterapéutica. A partir de la experiencia de las supervisoras, en colaboración con el Máster Universitario en Arteterapia y Educación Artística para la inclusión social, se extraen algunas líneas metodológicas y conclusiones, que permiten establecer fases diferenciadas como etapas por las que el/la supervisando/a atraviesa en la búsqueda y desarrollo de un posicionamiento propio en su hacer y con ello, el fortalecimiento de la identidad profesional del/la arteterapeuta.

International Athletic Training and Therapy: Comparing Partners in the Mutual Recognition Agreement

Context The globalization of athletic training and therapy is advancing and professionals have more opportunities to transition to international working environments. Objective To compare the American, Canadian, and Irish athletic training and therapy education, accreditation, and certification processes. Background The Mutual Recognition Arrangement recognized the equivalency of athletic training and therapy in the United States, Canada, and Ireland, and thereby provides an avenue for nationally credentialed professionals to obtain equivalent credentials in one of the aforementioned countries. Synthesis As a comparison, this article demonstrated that there was a commonality among countries, but also highlighted the unique jurisdictional differences that our members should be aware of should they want to transition to partner countries. Results We performed a comparative analysis of the education, accreditation, and certification processes among the United States, Canada, and Ireland. Specific differences were noted among supervision methods, clinical education methods, and certification exams. All of these are grounded in the Mutual Recognition Agreement. Recommendation(s) We recommend that the Mutual Recognition Agreement be held as a basis for future partnerships with other countries. Conclusion(s) This article provided an overview and highlighted the similarities among academic education, domains, and content areas covered under the Mutual Recognition Agreement among athletic training and therapy programs in the United States, Canada, and Ireland. The education programs, accreditation procedures, and certification systems, although differing in structure, were consistent in delivering content that aligns with the Mutual Recognition Agreement.

Effect of Wenrun-Xinjin-Peiben paste on nutritional status, quality of life of chronic obstructive pulmonary disease

Objective To explore the effect of Wenrun-Xinjin-Peiben paste on the nutrition status, quality of life and pulmonary function in the stable COPD patients. Methods A total of 94 malnutrition patients with stable COPD were randomly divided into treatment group (47 cases) and control group (47 cases). The patients in the control group took Symbicort 1 suction/time, bid, and the patients were given oxygen therapy, health and diet nutrition education. The patients in the treatment group were given Wenrun-Xinjin-Peiben paste 6 months as well as the control group treatment. The nutritional status (body mass index, triceps skinfold thickness, upper arm circumference, hemoglobin, albumin, prealbumin), quality of life and pulmonary function in the two groups were compared. Results The curative effect of TCM syndromes was 90.48% in the treatment group, which is significantly higher than 61.90 % in the control group (Z=3.173, P=0.002). The hemoglobin in the treatment group was superior to the control group (135.69 ± 16.42 g/L vs. 122.75 ± 14.99 g/L; t=12.346, P<0.001). The Albumin in the treatment group was superior to the control group (35.89 ± 6.14 g/L vs. 33.01 ± 6.20 g/L; t=2.139, P=0.035). The disease impacts domain of ST George's respiratory questionnaire in the treatment group was superior to the control group (24.9 ± 16.1 vs. 36.6 ± 16.9; t=3.252, P=0.002). Total score of ST George's respiratory questionnaire in the treatment group was superior to the control group (41.4 ± 14.9 vs. 48.0 ± 14.9; t=2.006, P=0.048). The FEV1 predicted value in the treatment group was superior to the control group (65.22% ± 4.01% vs. 60.17% ± 4.34%; t=5.538, P=0.000). Conclusions The Wenrun-Xinjin-Peiben paste combined with western medicine could help to improve the nutritional status and quality of life of patients in stable COPD. Key words: Pulmonary disease, chronic obstructive; Wenrun-Xinjin-Peiben paste; Nutrition assessment; Nutrition disorders; Quality of life

Every person is an individual: physical therapist clinical reasoning used in inpatient rehabilitation for walking assistive device prescription in patients with stroke and brain injury

Purpose A complete description of the process of physical therapy clinical reasoning for walking assistive devices in patients with stroke and brain injury has never been undertaken. Describing the clinical reasoning process used in post-acute inpatient rehabilitation is important to shed light on the clinical activities and factors used in practice, prevent device abandonment, and, inform entry-level clinical training. The two purposes were first, to describe the clinical reasoning process used during inpatient rehabilitation for walking assistive devices in patients with stroke and brain injury, and second, to determine whether clinical reasoning differed by two facility types and by diagnosis. Methods A mixed methods study of 67 participants in either an online survey or focus groups. Results A consistent and comprehensive method to determine the need and justification for a walking assistive device regardless of diagnosis or facility type was found. The clinical reasoning process included five primary factors, considered throughout the rehabilitation stay (safety, balance, cognition, strength, and function). The three therapist-related factors (experience/preference, training parameters, and use of objective tools), and seven patient-related factors (experience/preference, fluctuations, fear, age, diagnosis/comorbidities, discharge environment, and payer) individualized care. Definitions of the five primary factors were derived from participants’ responses. Conclusions Results from this study revealed complexity in the clinical reasoning process used in physical therapy practice to determine the best walking assistive device for patients with stroke and brain injury during inpatient rehabilitation. Information from this study can inform post-acute physical therapy practice and education, and may reduce device abandonment. Implications for rehabilitation Clinical reasoning (CR) is a complex process in which a clinician must consider multiple factors, which requires non-linear and iterative thinking, and involves many people, making it shared among the patient, caregivers, and the healthcare team. Describing the actual CR process used by physiotherapists when prescribing a walking assistive device (WAD) will identify the factors considered, thus more accurately explain the process of care. Such a description could lead to better justification of rehabilitation for patients with stroke and brain injury, and furthermore, determine whether treatments are rendered consistently and when, if ever, divergent approaches occur. Better understanding of the CR process of WAD prescription may also reduce the possibility of device abandonment.

Retrospective analysis of pregnancies resulted from assisted reproductive technology in women with type 2 diabetes mellitus

Hypothesis/aims of study. Type 2 diabetes mellitus (T2D) is one of the most widespread diseases in the world. The etiology of this disease is associated with genetic, age and ethnic factors. It is generally accepted that a sedentary lifestyle and obesity can cause T2D. This illness has serious complications that affect the women’s health and quality of life. It is well known that obesity and T2D are a common cause of anovulatory infertility in women of reproductive age. The number of T2D patients who are planning pregnancy by assisted reproductive technology (ART) has increased over the past 10 years. This study was aimed at investigating the effect of carbohydrate metabolism compensation in the preconception period on the outcomes of pregnancies resulted from in vitro fertilization (IVF) in T2DM women.&#x0D; Study design, materials, and methods. 51 T2D pregnancies after ART and their outcomes were analyzed retrospectively.&#x0D; Results. The age of the patients who applied to ART departments ranged from 27 to 46 years. The mean body mass index was 33.9 ± 6.5 kg/m2. The duration of infertility varied from 3 to 18 years. Infertility was caused by tubal occlusion in 17 cases, by anovulation in 16 cases, by male factor in 9 cases, by genital endometriosis in 7 cases, and by hypergonadotropic hypogonadism in 2 cases. One of the patients underwent IVF procedure twice in 4 years. All T2D patients received prepregnancy care including weight loss, diabetes compensation, diabetes complications treatment, and, if necessary, a transfer to insulin therapy and insulin treatment education for 1–2 months before entering into the IVF protocol. Angiotensin-converting enzyme inhibitors and statins should be stopped if they were prescribed in case of hypertension or dyslipidemia and other medications allowed during pregnancy should be started. 26 women (51%) did not take periconceptional multivitamin supplementation before IVF procedure. The level of glycated hemoglobin (HbA1c) in this group was 6.4 ± 0.5%. 25 patients (49%) underwent incomplete preparation for pregnancy before entering into the IVF protocol but not in full. An important stage of prepregnancy care was weight loss in women with overweight and obesity. The duration of a prepregnancy care program varied from 2 to 6 months and on average was 3.8 ± 1.7 months. The mean HbA1c level in this group was 5.8 ± 0.4%. All cases of IVF pregnancies in women with T2D resulted with live birth. The incidence of preeclampsia, cesarean section delivery, and preterm labor was lower in the group of women who had been given prepregnancy care.&#x0D; Conclusion. Proper prepregnancy care including weight loss, diabetes compensation, early start of insulin therapy, and diabetes complications treatment before conception is an effective method of preventing perinatal complications in women with T2D.