Evaluating the Effectiveness of Telehealth-Delivered Cognitive Behavioral Therapy on Glycemic Control in Adults with Type 2 Diabetes

Wambui Kibibi J.

School of Natural and Applied Sciences Kampala International University Uganda

ABSTRACT

This review evaluated the effectiveness of telehealth-delivered cognitive behavioral therapy (tele-CBT) in improving glycemic control among adults with type 2 diabetes (T2D). Through a systematic synthesis of randomized controlled trials, observational studies, and meta-analyses, we demonstrate that tele-CBT significantly reduces HbA1c levels while concurrently improving psychological well-being and diabetes self-management behaviors. The intervention’s mechanisms of action include cognitive restructuring of maladaptive thoughts, behavioral activation for better self-care, and reduction of diabetes-related distress. Tele-CBT overcomes traditional barriers to mental healthcare access through flexible delivery modalities including videoconferencing, telephone sessions, and digital self-help programs. However, implementation challenges persist, particularly regarding digital inequities in low-resource settings and the need for personalized treatment adaptations. This review employed a systematic analysis of clinical trials, observational studies, and meta-analyses to evaluate tele-CBT’s impact on glycemic control in T2D patients. Policy recommendations emphasized infrastructure development for equitable telehealth access, reimbursement reform, and provider training to integrate tele-CBT into standard diabetes care. While current evidence supports tele-CBT as an effective adjunctive therapy, further research is needed to establish long-term outcomes and optimize delivery models across diverse populations. This review highlights tele-CBT’s dual benefit in addressing both physiological and psychological aspects of T2D management, positioning it as a scalable solution in modern diabetes care paradigms. 

Keywords: Telehealth-delivered CBT, Glycemic control, Type 2 diabetes management, Psychological interventions, Diabetes-related distress.

CITE AS: Wambui Kibibi J. (2025). Evaluating the Effectiveness of Telehealth-Delivered Cognitive Behavioral Therapy on Glycemic Control in Adults with Type 2 Diabetes. Research Output Journal of Public Health and Medicine 5(3):62-66. https://doi.org/10.59298/ROJPHM/2025/536266