Effectiveness of a 6-Month Nutrition Intervention in People Living with HIV and Prediabetes Progressing through Stages of Change towards Positive Health Behavior.
Effectiveness of a 6-Month Nutrition Intervention in People Living with HIV and Prediabetes Progressing through Stages of Change towards Positive Health Behavior.
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DOI：
10.3390/ijerph192214675
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发表时间：
2022-11-08
影响因子：
--
通讯作者：
Baum, Marianna
中科院分区：
文献类型：
--
作者：
Sneij, Alicia;Campa, Adriana;Huffman, Fatma;George, Florence;Trepka, Mary Jo;Martinez, Sabrina Sales;Baum, Marianna
人类免疫缺陷病毒 (HIV) 感染者的前驱糖尿病患病率是普通人群的两到三倍。本研究的目的是评估干预措施在引导低收入艾滋病毒感染者 (PLWH) 和糖尿病前期患者经历改变阶段并促进积极健康行为的自我效能方面的有效性。方法：进行为期 6 个月的随机对照干预，参与者 (N = 38) 被随机分为干预组 (n = 20) 或对照组 (n = 18)。通过问卷评估参与者的变化阶段、营养知识和自我效能。参与者于 2017 年 8 月至 2018 年 12 月招募，HIV 血清呈阳性，病毒载量不可检测，处于糖尿病前期，且目前未接受改变血糖的药物。随机分为干预组的参与者接受医学营养治疗/咨询和营养教育；随机分配到对照组的参与者在基线时接受了与营养、艾滋病毒和糖尿病前期相关的教育材料。主要结果指标是通过跨理论（“变化阶段”）模型衡量的变化阶段的进展、营养知识的提高以及参与者的自我效能。结果：干预组在体力活动、水果/蔬菜摄入量、纤维摄入量以及营养知识和自我效能方面的行为改变阶段有显着改善；然而，对照组没有观察到显着变化。结论：营养干预措施可以帮助参与者经历艾滋病毒感染者和糖尿病前期的低收入人群的行为改变阶段，从而有效促进积极的健康行为。
The prevalence of prediabetes in people living with human immunodeficiency virus (HIV) is two to three times higher than that of the general population. The aim of this study was to assess the effectiveness of an intervention in guiding low-income people living with HIV (PLWH) and prediabetes through the stages of change and promote self-efficacy of positive health behavior. Methods: A 6- month randomized, controlled intervention was conducted where participants (N = 38) were randomized into the intervention group (n = 20) or the control group (n = 18). The participants’ stages of change, nutrition knowledge, and self-efficacy were assessed using questionnaires. Participants were recruited in August 2017–December 2018, were HIV seropositive, had undetectable viral load, were prediabetic, and not currently receiving glucose-altering medications. Participants randomized into the intervention group received medical nutrition therapy/counseling and nutrition education; participants randomized into the control group received educational material related to nutrition, HIV, and prediabetes at baseline. Primary outcome measures were progression through the stages of change as measured by the transtheoretical (“stages of change”) model, improvements in nutrition knowledge, and self-efficacy of the participants. Results: Significant improvement in stage of behavioral change was observed in the intervention group for physical activity, fruit/vegetable intake, fiber intake as well as nutrition knowledge and self-efficacy; however, no significant changes were observed in the control group. Conclusions: A nutrition intervention was effective in promoting positive health behavior by progressing participants through the stages of behavioral change in low-income people living with HIV and prediabetes.
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影响因子：
4.1
作者：
Hernandez-Romieu AC;Garg S;Rosenberg ES;Thompson-Paul AM;Skarbinski J
通讯作者：
Skarbinski J
影响因子：
3.5
作者：
Duncan, A. D.;Peters, B. S.;Goff, L. M.
通讯作者：
Goff, L. M.
影响因子：
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作者：
Brown, TT;Cole, SR;Dobs, AS
通讯作者：
Dobs, AS
DOI：
10.2337/ds17-0009
发表时间：
2018-05-01
期刊：
Diabetes spectrum : a publication of the American Diabetes Association
影响因子：
--
作者：
Arafath, Syed;Campbell, Tavajay;Sharma, Roopali
通讯作者：
Sharma, Roopali
影响因子：
--
作者：
Fields-Gardner, Cade;Campa, Adriana
通讯作者：
Campa, Adriana