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Cited by 127Diabetes Management and EducationBehavioral Health and InterventionsHealth and Wellbeing Research

The DOI matches its Crossref record; 44 of the 45 references it cites were found in a registry or an index.

Beyond good intentions: The role of proactive coping in achieving sustained behavioural change in the context of diabetes management

Open access
Thoolen, Bart Johan, Ridder, Denise de, Bensing, Jozien, Gorter, Kees, Rutten, Guy·2009·Psychology & Health
DOI 10.1080/08870440701864504
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Abstract

This study examines the effectiveness of a brief self-management intervention to support patients recently diagnosed with type-2 diabetes to achieve sustained improvements in their self-care behaviours. Based on proactive coping, the intervention emphasizes the crucial role of anticipation and planning in maintaining self-care behaviours. In a randomised controlled trial among recent screen-detected patients, participants who received the intervention were compared with usual-care controls, examining changes in proximal outcomes (intentions, self-efficacy and proactive coping), self-care behaviour (diet, physical activity and medication) and weight over time (0, 3 and 12 months). Subsequently, the contribution of proactive coping in predicting maintenance of behavioural change was analysed using stepwise hierarchical regression analyses, controlling for baseline self-care behaviour, patient characteristics, and intentions and self-efficacy as measured after the course. The intervention was effective in improving proximal outcomes and behaviour with regard to diet and physical activity, resulting in significant weight loss at 12 months. Furthermore, proactive coping was a better predictor of long-term self-management than either intentions or self-efficacy. Proactive coping thus offers new insights into behavioural maintenance theory and can be used to develop effective self-management interventions.

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Research works printed but not linked: 4

  1. Glasgow RE, 1998, The handbook of health behaviour change, 435
  2. Marlatt GA, 1985, Relapse prevention
  3. Thoolen BJ, 2004, Werkboek
  4. Thoolen BJ, 2004, Handleiding voor Verpleegkundigen

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Metadata

Authors
Thoolen, B. J., Ridder, D. D., Bensing, J., Gorter, K., & Rutten, G.
Affiliations
  • Utrecht University (NL)
  • Netherlands Institute for Health Services Research (NL)
Corresponding author
Thoolen, Bart Johan
ORCID
Rutten, Guy
Venue
Psychology & Health
Publisher
Informa UK Limited
Published
2009-03
Volume
24
Issue
3
Pages
237-254
ISSN
  • 0887-0446 (ISSN-L)
  • 1476-8321
DOI
10.1080/08870440701864504
OpenAlex
W1973255064
Cited by
127
References
45
Citations by year
2026: 3 · 2025: 4 · 2024: 5 · 2023: 2 · 2022: 7 · 2021: 6 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 7 · 2016: 11 · 2015: 12 · 2014: 13 · 2013: 22 · 2012: 14
FWCI
1.69
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Psychology and Health (publishedVersion)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
Keywords
proactive coping, type 2 diabetes, diabetes self-management, self-care behavior, self-efficacy, behavioral intention, screen-detected diabetes, diet, physical activity, medication adherence, weight loss, anticipatory planning
MeSH terms
Adaptation, Psychological, Aged, Behavioral Medicine, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Netherlands, Prospective Studies, Surveys and Questionnaires, Self Care, Intention, Risk Reduction Behavior

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