Implementing a psychological intervention to improve lifestyle self-management in patients with Type 2 diabetes
Abstract
Lifestyle and behavioural factors play an important role in the development of Type 2 diabetes and management of this illness involves a combination of medication and lifestyle change. However, diabetes lifestyle programs have been found unsuccessful unless they are intensive and continued over long periods of time. The present study, which is one of the few randomised controlled trials of lifestyle interventions to be conducted outside of the US, aims to evaluate a brief psychological intervention that can be integrated into routine usual care to assist people to make the recommended lifestyle changes. Subjects are allocated to either an intervention or usual care control group. The intervention includes assessment and a personalised programme in which realistic manageable goals for lifestyle change and overcoming barriers are negotiated using brief motivational interviewing. Maintenance issues are addressed by follow-up telephone contact. Implementation of this study is described and baseline data presented on initial participants, and implications for practice are discussed.
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Interventions targeting eating disorders were evaluated in four RCTs.
“Interventions targeting eating disorders were evaluated in four RCTs”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [103]
Five studies reported on level of physical activity.
“Five studies reported on level of physical activity”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [103]
No significant between-group differences were reported for physical activity in 4 RCTs.
“No significant between group differences were reported for physical activity in 4 RCTs”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [103]
Self-care activities within 7 days were measured in 4 RCTs using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire.
“Self-care activities within 7 days were measured in 4 RCTs [41, 52, 54, 60, 102, 103] using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [103]
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- Authors
- Clark, M., & Hampson, S. E.
- Affiliations
- University of Surrey (GB)
- ORCID
- Clark, Marie
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2001-03
- Volume
- 42
- Issue
- 3
- Pages
- 247-256
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W1976212667
- Cited by
- 93
- References
- 47
- Citations by year
- 2024: 1 · 2022: 2 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 3 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 3
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- type 2 diabetes, psychological intervention, motivational interviewing, brief intervention, barriers to lifestyle change, telephone follow-up, maintenance of behaviour change, implementation
- MeSH terms
- Adult, Aged, Diabetes Mellitus, Type 2, Feeding Behavior, Female, United Kingdom, Humans, Life Style, Male, Middle Aged, Patient Education as Topic, Self Care, Exercise
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