Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes
Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes
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DOI：
10.1007/s10865-009-9209-4
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发表时间：
2009-08-01
影响因子：
3.1
通讯作者：
Wells, Kristen
中科院分区：
文献类型：
--
作者：
Sacco, William P.;Malone, John I.;Wells, Kristen
需要简明、成本效益高的干预措施来促进糖尿病自我管理。这项研究评估了由准专业人员提供的简短、定期、积极的电话“指导”干预对糖尿病依从性、血糖控制、糖尿病相关医学症状和抑郁症状的影响。对干预对主要结果影响的治疗机制也进行了研究。被诊断为2型糖尿病的成年人(N=62)被随机分成两组，一组照常接受“教练式”干预和治疗，另一组仅照常治疗。干预增加了锻炼和足部检查的频率，改善了饮食，减少了糖尿病的医学症状，并降低了抑郁症状。自我效能、强化和自我保健目标意识分别在抑郁、锻炼和足部检查的治疗效果中起中介作用。由准专业人员提供的简短电话干预对2型糖尿病患者有积极作用。
Brief, cost-effective interventions to promote diabetes self-management are needed. This study evaluated the effects of a brief, regular, proactive, telephone "coaching" intervention delivered by paraprofessionals on diabetes adherence, glycemic control, diabetes-related medical symptoms, and depressive symptoms. Therapeutic mechanisms underlying the intervention's effect on the primary outcomes were also examined. Adults diagnosed with type 2 diabetes (N = 62) were randomly assigned to receive the "coaching" intervention and treatment as usual, or only treatment as usual. The intervention increased frequency of exercise and feet inspection, improved diet, reduced diabetes medical symptoms, and lowered depressive symptoms. Self-efficacy, reinforcement, and awareness of self-care goals mediated the treatment effect on depression, exercise, and feet inspection, respectively. A brief telephone intervention delivered by paraprofessionals had positive effects on type 2 diabetes patients.