Effects of a brief office-based intervention to facilitate diabetes dietary self-management
Effects of a brief office-based intervention to facilitate diabetes dietary self-management
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DOI：
10.2337/diacare.19.8.835
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发表时间：
1996-08-01
期刊：
影响因子：
16.2
通讯作者：
Hampson, SE
中科院分区：
文献类型：
--
作者：
Glasgow, RE;Toobert, DJ;Hampson, SE
目的-有一个迫切需要的简短的实用干预措施，解决糖尿病的管理。使用随机设计，我们评估了医疗办公室为基础的干预集中在行为问题相关的饮食自我management.RESEARCH设计和方法-有206例成年糖尿病患者随机常规护理或简短的干预，其中包括触摸屏计算机辅助评估提供即时反馈的关键障碍饮食自我管理，目标设定和解决问题的咨询患者。后续组成部分的单一会话干预包括电话和互动视频或录像带指令按需。结果-多变量分析的协方差显示，简短的干预产生更大的改善比通常的护理对一些措施的饮食行为（例如，在3个月随访时，来自饱和脂肪的卡路里更少，高脂肪饮食习惯和行为更少。在血清胆固醇水平和患者满意度的变化方面也存在显著差异，但在糖化血红蛋白方面没有显著差异。干预效果是相对强大的各种患者的特点，两个参与的医生，和干预工作人员members.CONCLUSIONS -如果长期的结果是同样积极的，并推广到其他设置，这种干预可以提供一个原型，一个可行的成本效益的方式来整合患者的意见和行为管理到办公室为基础的糖尿病护理。
OBJECTIVE - There is a pressing need for brief practical interventions that address diabetes management. Using a randomized design, we evaluated a medical office-based intervention focused on behavioral issues relevant to dietary self-management.RESEARCH DESIGN AND METHODS - There were 206 adult diabetes patients randomized to usual care or brief intervention, which consisted Of touchscreen computer-assisted assessment to provide immediate feedback on key barriers to dietary self-management, and goal setting and problem-solving counseling for patients. Follow-up components to the single session intervention included phone calls and interactive video or videotape instruction as needed.RESULTS - Multivariate analyses of covariance revealed that the brief intervention produced greater improvements than usual care on a number of measures of dietary behavior (e.g., fewer calories from saturated fat, fewer high-fat eating habits and behaviors) at the 3-month follow-up. There were also significant differences favoring intervention on changes in serum cholesterol levels and patient satisfaction but not on glycosylated hemoglobin. The intervention effects were relatively robust across a variety of patient characteristics, the two participating physicians, and intervention staff members.CONCLUSIONS - If the long-term results are equally positive and generalize to other settings, this intervention could provide a prototype for a feasible cost-effective way to integrate patient views and behavioral management into office-based care for diabetes.