Michael L Parchman1, Teshia G Arambula-Solomon2, Polly Hitchcock Noël3, Anne C Larme1, Jacqueline A Pugh3. 1. The Department of Family & Community Medicine, University of Texas Health Sciences Center-San Antonio (Drs Parchman and Larme) 2. The School of Public Health, University of Texas Health Sciences Center-San Antonio (Dr Arambula-Solomon) 3. The VERDICT Center, Audie L. Murphy Division of the South Texas Veterans Health Care System (Drs Noel and Pugh)
Abstract
PURPOSE: This study was conducted to evaluate whether patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-management behaviors and to determine if movement was related to glucose control. METHODS: A cohort of 428 patients with type 2 diabetes participated in a traditional diabetes education program in a large urban center in the Southwest. The sample was predominantly female with less than a high school education, a mean age of 52 years, and a mean duration of diabetes of 7 years. Two interviews were conducted approximately 9 months apart, at 1 to 4 weeks before the educational program and at 6 months after completing it. Blood specimens were collected at each interview to measure hemoglobin A1C (A1C) levels. RESULTS: Most of the patients advanced 1 or more stages of change for at least 1 self-management behavior. Those with diabetes for less than 2 years were significantly more likely to advance at least 1 stage of change for diet and exercise than those with diabetes for more than 2 years. Such advancement was significantly associated with a decline in A1C. CONCLUSIONS:Patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-care behaviors. The intervention was more effective for those with a shorter duration of diabetes.
RCT Entities:
PURPOSE: This study was conducted to evaluate whether patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-management behaviors and to determine if movement was related to glucose control. METHODS: A cohort of 428 patients with type 2 diabetes participated in a traditional diabetes education program in a large urban center in the Southwest. The sample was predominantly female with less than a high school education, a mean age of 52 years, and a mean duration of diabetes of 7 years. Two interviews were conducted approximately 9 months apart, at 1 to 4 weeks before the educational program and at 6 months after completing it. Blood specimens were collected at each interview to measure hemoglobin A1C (A1C) levels. RESULTS: Most of the patients advanced 1 or more stages of change for at least 1 self-management behavior. Those with diabetes for less than 2 years were significantly more likely to advance at least 1 stage of change for diet and exercise than those with diabetes for more than 2 years. Such advancement was significantly associated with a decline in A1C. CONCLUSIONS:Patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-care behaviors. The intervention was more effective for those with a shorter duration of diabetes.
Authors: Edwin B Fisher; Carol A Brownson; Mary L O'Toole; Gowri Shetty; Victoria V Anwuri; Russell E Glasgow Journal: Am J Public Health Date: 2005-07-28 Impact factor: 9.308
Authors: Ana María Salinas Martínez; Ruth Isabel Gómez Campusano; Hid Felizardo Cordero Franco; Karen Abigail Chávez Barrón; Cecilia Janeth Gutiérrez Sauceda; Francisco Javier Guzmán de la Garza; Georgina Mayela Núñez Rocha Journal: Int J Environ Res Public Health Date: 2021-03-31 Impact factor: 3.390