The frequency and behavioral outcomes of goal choices in the self-management of diabetes
The frequency and behavioral outcomes of goal choices in the self-management of diabetes
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DOI：
10.1177/0145721705276578
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发表时间：
2005-05-01
影响因子：
3.9
通讯作者：
Glasgow, RE
中科院分区：
文献类型：
--
作者：
Estabrooks, PA;Nelson, CC;Glasgow, RE
目的本研究的目的是确定糖尿病自我管理中行为目标选择的频率和有效性，并测试目标设定理论假设，即自我选择和目标的行为特异性是增强持久性的关键。方法在一项随机对照试验中，2型糖尿病患者（n = 422）使用基于临床的交互式，自我管理光盘，允许他们选择一个行为目标，并在试验的前6个月接受邮件和电话支持，然后进行额外的行为评估。频率的行为目标选择和6个月的行为datasecollowed.Results约49%，27%，和24%的参与者，设定的目标，以增加体力活动（PA），分别减少脂肪的摄入量，或增加水果和蔬菜（F&V）消耗。在基线时，选择PA，减少脂肪消耗或F&V的参与者分别显著减少活动，消耗更多的膳食脂肪，吃更少的F&V，无论人口统计学特征如何。选择减脂目标的参与者比选择PA或F&V目标的参与者表现出更大的下降。选择F&V目标的参与者在F&V消费方面表现出显着变化。选择PA目标的参与者表现出显着的变化，在几天的中度和剧烈的体力activity.Conclusions当参与者提供信息的健康行为状态和选择的行为目标管理2型糖尿病，他们将选择个人适当的目标，导致显着的行为变化超过6个月的时间。
Purpose The purpose of this study was to determine the frequency and effectiveness of behavioral goal choices in the self-management of diabetes and to test goal-setting theory hypotheses that self-selection and behavioral specificity of goals are key to enhancing persistence.Methods Participants with type 2 diabetes in a randomized controlled trial (n = 422) completed baseline behavioral assessments using a clinic-based, interactive, self-management CD-ROM that allowed them to select a behavioral goal and receive mail and telephone support for the initial 6 months of the trial followed by additional behavioral assessments. Frequency of behavioral goal selection and 6-month behavioral data were collected.Results Approximately 49%, 27%, and 24% of the participants, set goals to increase physical activity (PA), respectively, reduce fat intake, or increase fruits and vegetables (F&V) consumed. At baseline, participants who selected PA, reduced fat consumption, or F&V were significantly, and respectively, less active, consumed more dietary fat, and ate fewer F&V regardless of demographic characteristics. Participants who selected a reduced-fat goal showed a significantly larger decrease than did those that selected PA or F&V goals. Participants who selected an F&V goal showed significant changes in F&V consumption. Participants who selected a PA goal demonstrated significant changes in days of moderate and vigorous physical activity.Conclusions When participants are provided with information on health behavior status and an option of behavioral Goals for managing type 2 diabetes, they will select personally appropriate goals, resulting in significant behavioral changes over a 6-month period.