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مقایسه اثربخشی واقعیت درمانی گروهی و رفتار درمانی گروهی دیالکتیک بر سبک زندگی و پیروی از درمان در زنان مبتلا به دیابت نوع دو

نوع مقاله : علمی- پژوهشی

نویسندگان

1 دانشجوی دکتری روان شناسی، گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

2 استاد، مرکز تحقیقات غدد و متابولیسم، دانشگاه علوم پزشکی شیراز، شیراز، ایران

3 استادیار، گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

چکیده

مقدمه: مطالعات متعددی در زمینه اثربخشی واقعیت درمانی و رفتار درمانی دیالکتیکی انجام شده است. اما مطالعاتی که به مقایسه اثربخشی واقعیت درمانی و رفتار درمانی دیالکتیکی بر سبک زندگی و تبعیت از درمان در زنان مبتلا به دیابت نوع دو مغفول مانده است. پژوهش حاضر با هدف مقایسه اثربخشی واقعیت درمانی و رفتار درمانی دیالکتیکی بر سبک زندگی و تبعیت از درمان در زنان مبتلا به دیابت نوع دو انجام شد.
روش: روش پژوهش نیمه آزمایشی با طرح پیش‌آزمون- پس‌آزمون و پیگیری به مدت دو ماه با گروه کنترل بود. جامعه آماری پژوهش کلیه زنان مبتلا به دیابت نوع دو مراجعه کننده به یک کلینیک تخصصی دیابت در شهر شیراز (1403) بودند. که تعداد 45نفر ( 15 نفر در گروه آموزشی واقعیت درمانی، 15 نفر در گروه آموزشی رفتار درمانی دیالکتیکی و 15 نفر در گروه کنترل) به عنوان نمونه انتخاب و به صورت تصادفی در دو گروه آزمایش و یک گروه کنترل گماشته شدند. برای گردآوری داده ها از پرسشنامه سبک زندگی (لالی و همکاران، 1391)، پرسشنامه تبعیت از درمان (مدانلو، 1392)، استفاده شد. داده­ها با استفاده از شاخص­های آمار توصیفی و روش تحلیل واریانس مختلط تجزیه و تحلیل شد.
یافته‌ها: بین واقعیت درمانی  و رفتار درمانی دیالکتیکی با گروه کنترل در سبک زندگی و تبعیت از درماندر زنان مبتلا به دیابت نوع دو تفاوت معناداری وجود نداشت (05/0<P) اما تفاوت میانگین حاکی از آن است که واقعیت درمانی نسبت به رفتار درمانی دیالکتیکی منجر به بهبود سبک زندگی و تبعیت از درمان شد اما این تفاوت از لحاظ آماری معنادار نشد.
نتیجه‌گیری: با توجه به یافته­های پژوهش حاضر می­توان نتیجه گیری کرد هم واقعیت درمانی و هم رفتار درمانی دیالکتیکی را به عنوان یک روش درمانی کارآمد جهت بهبود سبک زندگی و تبعیت از درمان در زنان مبتلا به دیابت نوع دو پیشنهاد داد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparison of the Effectiveness of Group Reality Therapy and Dialectical Behavior Group Therapy on Lifestyle and Adherence to Treatment in Women with Type 2 Diabetes

نویسندگان [English]

  • Mandana Jamali 1
  • Mohammad Hossein Dabbaghmanesh 2
  • Adis Kraskian Mojmbarii 3
  • Maryam Bahrami Hidaji 3

1 PhD student in psychology, department of psychology, Karaj branch, Islamic Azad University, Karaj, Iran

2 Professor, Endocrinology and Metabolism Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

3 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

چکیده [English]

Objective: Diabetes is one of the common chronic endocrine diseases and is considered a significant and growing public health concern worldwide. The importance of diabetes is mainly due to its high prevalence and the numerous complications that arise as a result. Today, diabetes is regarded as one of the most important health, treatment, and socio-economic issues globally. One aspect that helps identify individuals with diabetes today is assisting patients and medical staff in better assessing the control of the disease. One of the factors related to blood sugar control is the concept of lifestyle and adherence to treatment, which is seen as a multidimensional and multifactorial phenomenon that ensures the individual's health. Various theoretical perspectives with different approaches have been proposed for the prevention and control of diseases. In recent decades, in addition to medication, behavioral and psychological interventions have been used for diabetic patients to reduce cognitive issues alongside other treatments. Among the psychological approaches that have been the focus of various studies regarding their effectiveness on the treatment process of patients with type 2 diabetes, the effectiveness of reality therapy and dialectical behavior therapy has been confirmed. The aim of this research was to compare group reality therapy and dialectical group therapy on lifestyle and treatment adherence in women with type 2 diabetes effectively. Method: The study method was semi-experimental with a pre-test, post-test, and two-month follow-up design with a control group. The statistical population of this research included all women with type 2 diabetes visiting a specialized diabetes clinic in Shiraz in the spring of 1403 (2024). Among women with type 2 diabetes, a sample of 45 individuals (15 in the first experimental group; 15 in the second experimental group; 15 in the control group) was selected using purposive sampling (based on the inclusion criteria of the study) and randomly assigned to the groups (using a random number table). The inclusion criteria for the study included: female gender, age of participants between 40 to 60 years, at least one year since the diagnosis of type 2 diabetes (based on medical records), consent to participate in the educational and therapeutic program, informed consent to participate in the research, at least literacy, no use of other psychological services simultaneously or within the past 6 months, absence of severe neurological diseases such as psychosis based on the physician's diagnosis, and physical ability to participate in the research. The exclusion criteria included: more than 2 absences in therapy sessions and unwillingness to continue therapy sessions. The questionnaires used were the lifestyle questionnaire by Lali et al. (2012) and the treatment adherence questionnaire by Madanlu (2013). Additionally, the first experimental group underwent dialectical group therapy training for 12 weekly sessions of 90 minutes each, while the second experimental group received reality therapy training for 12 weekly sessions of 90 minutes each. The data were analyzed using two-way analysis of variance with repeated measures on one factor (mixed ANOVA). Results: There was no significant difference between reality therapy and dialectical behavior therapy with the control group in lifestyle and treatment compliance in women with type 2 diabetes (P>0.05), but the mean difference indicates that reality therapy is better than dialectical behavior therapy. Analysis method (P>0/005). Conclusion: According to the findings of the present study, both reality therapy and dialectical behavior can be suggested as an efficient method in order to increase lifestyle and adherence to treatment in women with type 2 diabetes.

کلیدواژه‌ها [English]

  • reality therapy
  • dialectical behavior therapy
  • lifestyle
  • adherence to treatment
  • women with type 2 diabetes
مراجع
Alshayban, D., & Joseph, R. (2020). Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: a cross-sectional study. PLoS One,15(1), e0227573. doi: 10.1371/journal.pone.0227573.
American Diabetes Association. (2017). Standards of medical care in diabetes. Diabetes Care, 37, 14- 80. https://doi.org/10.2337/dc24-in01.
Ashouri, A., Pasha, R., Ahadi, H., Hafezi, F., & Makvandi, B. (2018). Comparison the Effectiveness of Logo Therapy and Dialectical Behavior Therapy on General Health and Quality of Life in Patients with Multiple Sclerosis. IJRN, 5 (1) ,27-35. (in Persian) http://ijrn.ir/article-1-373-fa.html.
Baucom, D.H. & Epstein, N. (2013). Cognitive behavioral marital therapy, New York: Brunner/Mazel. https://link.springer.com/chapter/10.1007/978-1-4757-9779-4_25.
Bayat Asghari, A., Gharaei, B., Heidari, H., Javaheri, J., Musanejad, S., & Aramon, A. (2015). Investigating the relationship between personality dimensions and treatment adherence in type 2 diabetic patients. Health Psychology, 4(16), 59-68. (in Persian)
https://hpj.journals.pnu.ac.ir/article.
Bektas, I., Kudubes, A.A., Ayar, D., & Bektas, M. (2021). Predicting the healthy lifestyle behaviors of Turkish adolescents based on their health literacy and self-efficacy levels. Journal of Pediatric Nursing, 59, 20-5.https://doi: 10.1016/j.pedn.2021.01.016.
Baek, R.N., Tanenbaum, M.L., & Gonzalez, J.S. (2014). Diabetes burden and diabetes distress: the buffering effect of social support. Annals of Behavioral Medicine, 48, 145-55. doi: 10.1007/s12160-013-9585-4.
Bani Hashemi, S.,Hatami, M.,  Hasani, J., & Sahebi, A. (2020). Comparison of the effectiveness of Cognitive Behavioral Therapy, Reality Therapy, and Acceptance and Commitment Therapy on coping strategies, quality of life, and general health of caregivers of chronic patients. Clinical Psychology Journal, 12(1), 63-76. [Persian]. doi:10.22075/jcp.2020.18992.1757.
Bell, K.J., Smart, C.E., Steil, G.M., Brand-Miller, J.C., King, B., & Wolpert, H.A. (2015). Impact of fat, protein, and glycemic index on postprandial glucose control in type 1 diabetes: implications for intensive diabetes management in the continuous glucose monitoring era. Diabetes care, 38(6),1008-15.https://doi: 10.2337/dc15-0100.
Ben-Porath, D.D.(2015). Orienting Clients to Telephone Coaching in Dialectical Behavior Therapy. Cognitive and Behavioral Practice,22(4),407-14. https://doi.org/10.1016/j.cbpra.2014.02.004.
Bingham, J.M., Black, M., Anderson, E.J., Li,Y., Toselli, N., Fox, S., Martin, J.R., Axon, D.R., & Silva-Almodóvar, A. (2021). Impact of tele health interventions on medication adherence for patients with type 2 diabetes, hypertension, and/or dyslipidemia: a systematic review. Annals of Pharmacotherapy,55(5),637-49.https://doi.org/10.1177/1060028020950726.
Esmaili, A., Asadnia, S., easazadeh, A., amirsardari, L., Issazadeghan, A., & Ansari, B. (2013). Evaluation of The effectiveness of cognitive behavioral therapy on decreasing depression levels and improving the lifestyle of patients with type 2 diabetes. Studies in Medical Sciences, 24 (10), 812 822. (in Persian)  http://umj.umsu.ac.ir/article-1-1991-fa.html.
Farshchi, N., Kian,i Q., & Chiti, H. (2018). Effectiveness of Group Therapy Reality in Reducing Depression, Anxiety and Increased Compliance to Treatment in Patients with Diabetic Type 1. Zanjan Journal of Medical Sciences, 26 (117), 74-85. (in Persian) http://journal.zums.ac.ir/article-1-5407-fa.html.
Ferrari, M., Dal Cin, M., & Steele, M. (2017). Self-compassion is associated with optimum self-care behavior, medical outcomes and psychological wellbeing in a cross sectional sample of adults with diabetes. Diabetic Medicine, 34(11), 1546-1553. https://doi.org/10.1111/dme.13451.
Ford, C. G., Manegold, E. M., Randall, C. L., Aballay, A. M., & Duncan, C. L. (2018). Assessing the feasibility of implementing low-cost virtual reality therapy during routine burn care. Burns, 44(4), 886-895.https://doi.org/10.1016/j.burns.2017.11.020.
Gallagher, M.W., Long, L.J., Richardson, A., D'Souza, J., Boswell. J.F., Farchione, T.J., & et al. (2020). Examining Hope as a Transtrans diagnostic Mechanism of Change Across Anxiety Disorders and CBT Treatment Protocols. Behavior Therapy, 51,190-202. https:// doi: 10.1016/j.beth.2019.06.001
Glasser, C. (2017). DR. GLASSER’S VISION FOR SURVIVING THE FUTURE. International Journal of Choice Theory® and Reality Therapy, 37(1), 13.https://www.proquest.com/docview/2075503103
Glasser, W. (2000). Choice theory of the new personal freedom psychology. Firouzbakht M. (translator). Tehran: Rasa Cultural Services Institute; 1727.https://www.amazon.com/Choice-Theory-Psychology-Personal-Freedom/dp/0060191090.
Glasser, W. (2001). Counseling with Choice Theory. Ali Sahebi (2018), Tehran: Sayeh Sokhan. https://www.amazon.com/Counseling-Choice-Theory-William-Glasser/dp/0060953667.
Gromala, D., Tong, X., Choo, A., Karamnejad, M., & Shaw, C. D. (2015). The virtual meditative walk:virtual reality therapy for chronic pain management. In Proceedings of the 33rd Annual ACM conference on human factors in computing systems, 521- 524.
 http://dx.doi.org/10.1145/2702123.2702344.
Gu, S., Wang, X., Shi, L., Sun, Q., Hu, X., Gu, Y.,Sun, X., & Dong, H. (2020). Health-related quality of lifeof type 2 diabetes patients hospitalized fora diabetes-related complication. Quality of Life Research,29(10),2695-704.  https://doi: 10.1007/s11136-020-02524-3. 
Hale, J.V. (2011). An Examination of Reading and Mathematics Achievement among Second Grade Students Who Have Received Instruction from Either Teachers Who Have Been Trained in Choice Theory/Reality Therapy Methods or Teachers Who Have Not Been Trained. ProQuest LLC, Ph.D. Dissertation, Duquesne University. https://dsc.duq.edu/etd/616.
Hamidi, A., Hassani, F., Keshavarzi Arshadi, F., &Yousefi, F. (2022). The Effectiveness of Reality Therapy Based on Skill-training on Psychological Capital and Depression in Adolescent Girls with Type 1 Diabetes. IJPN, 10 (2), 37-47. (in Persian)
https://doi.org/10.22034/IJPN.10.2.37.
Harris, R. (2009).Treat acceptance and commitment with love .Friendly translation, covenant .Hedayati Hamedani, Seyedeh Sepideh .Researcher, Hussein . (1398)min Negar Publications .Fourth Edition: Tehran .(2009). [Persian]. https://www.gisoom.com/book/11239644/.
Haynos, A.F., Fruzzetti, A.E., Anderson, C., Briggs, D., & Walenta, J. (2016). Effects of dialectical behavior therapy skills training on outcomes for mental health staff in a child and adolescent residential setting. Journal of Hospital Administration, 5(2), 55-61. https://doi: 10.5430/jha.v5n2p55. 
Hidayat, B.F., Sukartini, T., &Kusumaningrum, T. A. (2020). Systematic review of fatigue in type 2 diabetes. Journal of Nurse, 15(2), 513-517. http://dx.doi.org/10.20473/jn.v15i2(si).20520.
Higgs, C., Skinner, M., & Hale, L. (2016). Outcomes of a communitybased lifestyle programme for adults with diabetes or prediabetes. Journal of Primary Health Care, 8(2), 130-139. https://doi: 10.1071/HC15038.
Howatt, W. (2018). The Evolution of Reality Therapy to Choice Theory. International Journal of Reality Therapy. 435, 1. https://psycnet.apa.org/record/2002-08531-002.
Izzo, A., Massimino, E., Riccardi, G., & Della Pepa, G. A. (2021). Narrative Review on Sarcopenia in Type 2 Diabetes Mellitus: Prevalence and Associated Factors. Nutrients, 9(13)., 183. https://doi: 10.3390/nu13010183.
Karimi, Sh., Moradimanesh, F., Asgari, P., & Bakhtiarpour, S. (2020). Effectiveness of Acceptance and Commitment Therapy on Self-Care Behaviors and Treatment Adherence in Dialysis Patients. Journal of the Faculty of Medicine. Mashhad University of Medical Sciences, 63(3), 2333-2334. (in Persian) https://doi: 10.22038/mjms.2020.16892.
Khashkhor Shandiz, F., Soodagar, Sh., Anabi Sarab, Gh., Malihi Al-Zakerini, S., & Zarban, A.(2020). Comparison of the effects of Dialectical Behavior Therapy and Mindfulness-Based Cognitive Therapy on cognitive components (fusion, avoidance, and cognitive flexibility) and oxidative stress in women with type 2 diabetes. Counseling Research of the Iranian Counseling Association, 19(75), 4-32. (in Persian)  doi:10.29252/jcr.19.75.5.
Kasai, A., Saitou, H., Takano, M., Mikami, K., Kitajima, M., Urushizaka, M., & et al. (2021). Pre-stroke habitual prolonged sleep as a predictor for post-stroke sleep quality, stroke related quality of life, and lifestyle values. Journal of Clinical Neuroscience, 90, 26- 31. https://doi: 10.1016/j.jocn.2021.05.018.
Kazemi, E., Ghazanfari, A., Mashhadizadeh, S., &Ahmadi, R. (2022). Comparison of the effectiveness of integrative transdiagnostic treatment and dialectical behavior therapy on hope and pain perception among cancer patients in Isfahan. Medical sciences, 32 (3),311-319. (in Persian) https://doi:10.52547/iau.32.3.311.
Khayati, Sh., Akrami, N., Arizi, H. R., & Emra, B. (2023). The effectiveness of dialectical behavior therapy on emotion regulation and health anxiety in patients with asthma. Cognitive and Behavioral Sciences Research,13 (1), 95-110. (in Persian)
https://doi: 10.22108/cbs.2024.137114.1746.
Langan, A., Bader, A.,Goedkoop, S., Cummings, S., Tsikitas,M., Nogueira, I., & et al. (2020). A longitudinal study to investigate the effects of weight management program on bodyweight and quality of life. Clinical Nutrition ESPEN, 40,125-132.
https://doi: 10.1016/j.clnesp.2020.10.002.
Mabeus, D., Rowland, K.D. (2016). Reality Therapy in a Middle School Setting: Altering a Student's Perception. Georgia School Counselors Association Journal, 23, 48-52. https://eric.ed.gov/?id=EJ1140867.
Mckay, M., Wood, J.C., & Brantley, J. (2019). The dialectical behavior therapy Skills workbook: practical DBT exercises for learning mindfulness, interpersonal effectiveness. Emotion regulation, and distress tolerance. California: New Harbinger Publications. www.amazon.com/Dialectical-Behavior-Therapy-Skills-Workbook-ebook/dp/B07MMQ95VG.
Mckay, M., Wood, J., & Brantley, J. (2016). The Dialectical Behavior therapy skills workbook united states of America. New Harbinger publications, Inc. https://www.newharbinger.com/9781684034581/the-dialectical-behavior-therapy-skills-workbook/.
Mehrazin, A., Zarrin, H., & Matinfar, M. (2021) Comparison of the effectiveness of cognitive behavioral therapy and dialectical behavior therapy on adherence to drug treatment in renal hemodialysis patients. Recent Advances in Behavioral Sciences, 6 (54), 461-445. (in Persian) http://ijndibs.com/article-۱-۶۱۵-fa.html.
Mohammadi, J., & Azizi, A. (2017). Dialectical Behavior Therapy Group on the Perception of the Disease and Quality of Life of Patients with Irritable Bowel Syndrome. Ilam Journal of Medical Sciences, 25 (2),18-26. (in Persian) https://doi: ‎10.29252/sjimu.25.2.18.
Moradi, M., Salarfard, M., Abedian, Z., Mazloum, S. R., & Mousa Farkhani, E. (2020). The Relationship Between Underlying Factors and Treatment Adherence in Women with Gestational Diabetes. Journal of Arak University Medical Sciences, 23 (6), 828-839. (in Persian) https://Doi: 10.32598/jams.23.6.6192.1.
Nequee, F. (2021). Effectiveness of Stress Inoculation Training on Adherence to Treatment Based on Glycosylated Hemoglobin Index. Journal of Diabetes Nursing, 9 (3),1648-1659. (in Persian) http://jdn.zbmu.ac.ir/article-1-484-fa.html.
Paryad, E., Balasi, L.R. (2018). Smoking cessation: Adherence based on patients’ illness perception after coronary artery bypass grafting surgery. Indian Heart Journal,70, S4-S7. https://doi:10.1016/j.ihj.2018.01.025.
Pielech, M., Vowles, K. E., & Wicksell, R. (2017). Acceptance and commitment therapy for pediatric chronic pain: Theory and application. Children, 4(2), 10.https://doi: 10.3390/children4020010.
Polistico, K., Roll, D., Damiani, F., & Demesmin, D. (2018). Integrative virtual reality therapy produces lasting benefits for a young woman suffering from chronic pain and depression post cancer surgery: A case study. Journal of Alternative Medicine Research, 10(1), 99-109. https://www.researchgate.net/publication/319187046.
Ramezankhani, M., & Golpour, R. (1402). The relationship between metacognitive beliefs and self-compassion with nutritional problems in patients with diabetes. Health Psychology, 12(46), 63-76. (in Persian) https://doi: 10.30473/hpj.2023.62528.5454.
Saito, J., Shoji, W., & Kumano, H. (2018). The reliability and validity for Japanese type 2 diabetes patients of the Japanese version of the acceptance and action diabetes questionnaire. Biopsychosocial medicine,12(1),1-7. https://doi: 10.1186/s13030-018-0129-9
Skodol, A.E., Clark, L.A., Bender, D.S., Krueger, R.F., Morey, L.C., Verheul, R,, & et al.(2019). proposed cganges in personality and oersonality disorder assessment and diagnosis for DSM-5 Part I: Description and rationale. Personal Disorder, 2(1), 4-22 doi: 10.1037/a0021891.
Shahnavazi, A., Sedaghat, M., & Sabet, M. (2022). The effectiveness of reality therapy on healthy lifestyle and self-care indicators of women with type 2 diabetes. Applied Family Therapy, 3(5),101-116.. (in Persian)https://doi: 10.22034/aftj.2022.328326.1384.
Sham Abadi, R., Nasrat Abadi, M., Asghari Negah, M., & Bani Hashem, A. (2021). The impact of group play therapy based on choice theory on anxiety, depression, and pain in children and adolescents with cancer. Journal of Mazandaran University of Medical Sciences, 31(197), 154-161. [Persian]Doi:20.1001.1.17359260.1400.31.197.6.6.
Shomali Ahmadabadi, M., Mohammadi Ahmadabadi, N., & Barkhordari Ahmadabadi, A. (2020). The effectiveness of group reality therapy on depression, anxiety and stress in patients with type 2 diabetes. Health Psychology, 9(35),189-202. . (in Persian) 
https://doi: 10.30473/hpj.2021.51902.4747.
Shovaichi, J. (2020). The Effectiveness of Reality Therapy Training on Self-Care and SelfRegulation of Men with Physical and Mental Disabilities. Journal of Psychological Achievements, 27(1), 247-264.
https://doi.org/10.22055/psy.2020.29231.2321.
Stutey, D. M., & Wubbolding, R. E. (2018). Reality play therapy: A case example. International Journal of Play Therapy, 27(1), 1. https://doi.org/10.1037/pla0000061.
Telo, G.H., Cureau, F.V., Lopes, C.S., & Schaan, B.D. (2018). Common mental disorders in adolescents with and without type 1 diabetes: reported occurrence from a countrywide survey. Diabetes research and clinical practice, 135,192-198. https://doi.org/10.1016/j.diabres.2017.10.027.
Thomas, R.L., Halim, S., Gurudas, S., Sivaprasad, S., & Owens, D.R. (2019). IDF Diabetes Atlas: A review of studies utilizing retinal photography on the global prevalence of diabetes related retinopathy between 2015 and 2018. Diabetes research clinical practices, 157,107840. https://doi:10.1016/j.diabres.2019.107840.
Vluggen, S., Candel, M., Hoving, C., Schaper,N.C., & de Vries, H. (2021). A Web-Based Computer-Tailored Program to Improve Treatment Adherence in Patients with Type 2 Diabetes: Randomized Controlled Trial. Journal of medical Internet research, 23(2), e18524. https://doi: 10.2196/18524.
Watanabe, M., Yokotsuka, M., Yamaoka, K., Adachi, M., Nemoto, A., & Tango, T. (2017). Effects of a lifestyle modification program to reduce the number of risk factors for metabolic syndrome: A Randomized Controlled Trial. Public Health Nutrition, 20(1), 142 53. https://doi: 10.1017/S1368980016001920.
Wobelding, R. E. (2013). Reality Therapy for the 21st Century, translated by Ali Sahebi (2020). Saye Sokhan Publications. (in Persian)  https://www.iranketab.ir/book/33928
روانشناسی سلامت
دوره 14، شماره 53
خرداد 1404
صفحه 149-165
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هم رسانی
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