Process Evaluation of the Type 2 Diabetes Mellitus PULSE Program Randomized Controlled Trial: Recruitment, Engagement, and Overall Satisfaction.
Process Evaluation of the Type 2 Diabetes Mellitus PULSE Program Randomized Controlled Trial: Recruitment, Engagement, and Overall Satisfaction.
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DOI：
10.1177/1557988317701783
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发表时间：
2017-07
期刊：
影响因子：
--
通讯作者：
Callister R
中科院分区：
文献类型：
--
作者：
Aguiar EJ;Morgan PJ;Collins CE;Plotnikoff RC;Young MD;Callister R
背景：男性在减肥和2型糖尿病（T2 DM）预防研究中的代表性不足。目的：确定招募的有效性以及T2 DM预防使用生活方式教育（PULSE）计划的可接受性--一种针对男性的性别目标、自我管理干预措施。方法：男性（18-65岁，T2 DM高危人群）随机分为干预组（n = 53）和等待名单对照组（n = 48）。为期6个月的PULSE计划干预措施侧重于减肥、饮食和运动，以预防T2 DM。在6个月时进行过程评估问卷调查，以检查招募和选择过程，以及干预措施的交付和内容的可接受性。自我监控和选定的结果之间的关联进行了评估，使用斯皮尔曼的等级相关。结果：一个务实的招聘和在线筛选过程是有效的识别男性在高风险的T2 DM（前驱糖尿病患病率70%）。男性报告说，这项试验很有吸引力，因为它的目标是减肥，T2 DM预防和健身，因为它被认为是“可行的”，为男性量身定制。干预被认为是可以接受的，男性报告总体满意度高（83%），并与各个组成部分的参与。自我监测的依从性较差，只有13%符合必要的标准。然而，每周自我监测体重与体重变化（rs =-0.47，p = 0.004）和腰围变化（rs =-0.38，p = 0.026）之间存在显著关联。男性报告说，他们更喜欢更多的干预联系，例如通过电话或电子邮件。结论：性别为目标的，自我管理的生活方式干预是可行的，有吸引力的，令人满意的男性。未来的研究应探讨额外的非面对面接触的动机，责任，自我监控的坚持，和程序的有效性的影响。
Background: Men are underrepresented in weight loss and type 2 diabetes mellitus (T2DM) prevention studies. Purpose: To determine the effectiveness of recruitment, and acceptability of the T2DM Prevention Using LifeStyle Education (PULSE) Program—a gender-targeted, self-administered intervention for men. Methods: Men (18–65 years, high risk for T2DM) were randomized to intervention (n = 53) or wait-list control groups (n = 48). The 6-month PULSE Program intervention focused on weight loss, diet, and exercise for T2DM prevention. A process evaluation questionnaire was administered at 6 months to examine recruitment and selection processes, and acceptability of the intervention’s delivery and content. Associations between self-monitoring and selected outcomes were assessed using Spearman’s rank correlation. Results: A pragmatic recruitment and online screening process was effective in identifying men at high risk of T2DM (prediabetes prevalence 70%). Men reported the trial was appealing because it targeted weight loss, T2DM prevention, and getting fit, and because it was perceived as “doable” and tailored for men. The intervention was considered acceptable, with men reporting high overall satisfaction (83%) and engagement with the various components. Adherence to self-monitoring was poor, with only 13% meeting requisite criteria. However, significant associations were observed between weekly self-monitoring of weight and change in weight (rs = −.47, p = .004) and waist circumference (rs = −.38, p = .026). Men reported they would have preferred more intervention contact, for example, by phone or email. Conclusions: Gender-targeted, self-administered lifestyle interventions are feasible, appealing, and satisfying for men. Future studies should explore the effects of additional non-face-to-face contact on motivation, accountability, self-monitoring adherence, and program efficacy.
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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
影响因子：
5.1
作者：
Guariguata, L.;Whiting, D. R.;Shaw, J. E.
通讯作者：
Shaw, J. E.
影响因子：
4.9
作者：
Hwang KO;Ottenbacher AJ;Green AP;Cannon-Diehl MR;Richardson O;Bernstam EV;Thomas EJ
通讯作者：
Thomas EJ
DOI：
10.1186/1479-5868-6-76
发表时间：
2009-11-18
影响因子：
8.7
作者：
Lubans, David R.;Morgan, Philip J.;Callister, Robin
通讯作者：
Callister, Robin
DOI：
10.1186/1479-5868-11-2
发表时间：
2014-01-15
期刊：
The international journal of behavioral nutrition and physical activity
影响因子：
--
作者：
Aguiar EJ;Morgan PJ;Collins CE;Plotnikoff RC;Callister R
通讯作者：
Callister R