Implementing a psychological intervention to improve lifestyle self-management in patients with Type 2 diabetes

Implementing a psychological intervention to improve lifestyle self-management in patients with Type 2 diabetes
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DOI:
10.1016/s0738-3991(00)00128-2
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发表时间:
2001-03-01
影响因子:
3.5
通讯作者:
Hampson, SE
Hampson, SE
中科院分区:
医学2区
文献类型:
--
作者:
Clark, M;Hampson, SE

文献摘要

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生活方式和行为因素在2型糖尿病的发展中起着重要作用,这种疾病的治疗包括药物治疗和生活方式的改变。然而,糖尿病生活方式计划被发现是不成功的,除非他们是密集的,并持续很长一段时间。目前的研究是为数不多的在美国以外进行的生活方式干预的随机对照试验之一。目的是评估一种简短的心理干预,可以整合到日常护理中,以帮助人们改变所建议的生活方式。受试者被分配到干预组或常规护理对照组。干预措施包括评估和个性化计划,其中通过简短的动机性访谈来协商改变生活方式和克服障碍的现实可行的目标。维修问题通过后续电话联系解决。本文描述了本研究的实施情况,介绍了初始参与者的基线数据,并讨论了对实践的影响。(C) 2001爱思唯尔科学爱尔兰有限公司版权所有。
Lifestyle and behavioural factors play an important role in the development of Type 2 diabetes and management of this illness involves a combination of medication and lifestyle change. However, diabetes lifestyle programs have been found unsuccessful unless they are intensive and continued over long periods of time. The present study, which is one of the few randomised controlled trials of lifestyle interventions to be conducted outside of the US. aims to evaluate a brief psychological intervention that can be integrated into routine usual care to assist people to make the recommended lifestyle changes. Subjects are allocated to either an intervention or usual care control group. The intervention includes assessment and a personalised programme in which realistic manageable goals for lifestyle change and overcoming barriers are negotiated using brief motivational interviewing. Maintenance issues are addressed by follow-up telephone contact. Implementation of this study is described and baseline data presented on initial participants, and implications for practice are discussed. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.