Implementation, generalization and long-term results of the "choosing well" diabetes self-management intervention
Implementation, generalization and long-term results of the "choosing well" diabetes self-management intervention
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DOI：
10.1016/s0738-3991(02)00025-3
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发表时间：
2002-10-01
影响因子：
3.5
通讯作者：
Strycker, LA
中科院分区：
文献类型：
--
作者：
Glasgow, RE;Toobert, DJ;Strycker, LA
将干预研究成果转化为实践的前提是结果的维持、效果的概括和实施的一致性。本报告提供了一项随机2 x 2析因试验的12个月随访信息，该试验评估了在320例2型糖尿病患者的基本触摸屏计算机辅助饮食目标设定干预中添加（1）电话随访或（2）社区资源利用组成部分的增量效应。从基线到12个月随访，所有状况在行为、生物学和心理社会指标方面都有显著改善。在不同的条件下几乎没有一致的差异，但结果在干预者和诊所之间都是稳健的。电话随访部分似乎加强了某些措施的长期效果。当考虑沿着早期的随机试验结果，包括一个控制条件没有目标设定，它的结论是，这种基本的目标设定干预可以一致地实施各种干预，并产生持久的改善。(C)2002爱思唯尔科学爱尔兰有限公司保留所有权利。
Prerequisites for translating intervention research findings into practice are maintenance of results, generalization of effects and consistency of implementation. This report presents 12 months follow-up information on a randomized 2 x 2 factorial trial evaluating the incremental effects of adding (1) telephone follow-up or (2) a community resources utilization component to a basic touchscreen computer-assisted dietary goal-setting intervention for 320 type 2 diabetes patients. All conditions evidenced significant improvement from baseline to the 12 months follow-up across behavioral, biological and psychosocial measures. There were few consistent differences between conditions, but results were robust across interventionists and clinics. The telephone follow-up component appeared to enhance long-term results on some measures. When considered along with earlier results from a randomized trial that included a control condition without goal setting, it is concluded that this basic goal-setting intervention can be consistently implemented by a variety of interventionists and produce lasting improvements. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.