Effects of a tailored lifestyle self-management intervention in patients with Type 2 diabetes
Effects of a tailored lifestyle self-management intervention in patients with Type 2 diabetes
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DOI：
10.1348/1359107041557066
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发表时间：
2004-09-01
影响因子：
7.9
通讯作者：
Simpson, R
中科院分区：
文献类型：
--
作者：
Clark, M;Hampson, SE;Simpson, R
目标.本研究的目的是开发，实施和评估一个简短的干预措施，以提高遵守建议的生活方式改变2型糖尿病患者，特别是帮助患者减少脂肪消耗总量和增加生活方式的体力活动水平。设计和方法。在一项随机对照试验中，对2型糖尿病患者进行了一项简短的、量身定制的生活方式自我管理干预。100名参与者（年龄40- 70岁）在三个时间点完成了评估-基线，三个月和一年。参与者被分配到干预组或常规护理对照组，干预组接受简短的定制干预，包括随访电话。结果表明，干预成功地帮助患者减少脂肪摄入，并在较小程度上增加生活方式的体力活动水平。这些自我报告的行为变化反映在客观数据中，与对照组相比，干预组的体重保持不变，腰围显著减少（2 cm）。这些结果为改变生活方式的量身定制干预措施的有效性提供了进一步证据。
Objectives. The aim of the present study was to develop, implement and evaluate a brief intervention to improve adherence to the recommended lifestyle changes for patients with Type 2 diabetes, in particular to help patients to reduce the total amount of fat consumed and to increase lifestyle physical activity levels.Design and method. A brief, tailored lifestyle self-management intervention for patients with Type 2 diabetes was evaluated in a randomized controlled trial. One hundred participants (aged 40-70yrs) completed assessments at three time points-baseline, three months and one year. Participants were allocated to either an intervention group who received the brief tailored intervention including follow-up telephone calls, or a usual care control group.Results. Results indicate that the intervention was successful in helping patients to reduce fat intake and, to a lesser extent, increase lifestyle physical activity levels. These self-reported changes in behaviour were reflected in the objective data with weight maintenance in the intervention group compared to the control group, together with a significant reduction (2 cm) in waist circumference.Conclusions. These results provide further evidence of the effectiveness of tailored interventions for lifestyle change.