Jennifer M Kolb1, Nicole R Kitos2, Ambili Ramachandran3, Jenny J Lin4, Devin M Mann. 1. Icahn School of Medicine at Mount Sinai, New York, NY, USA. 2. Section of Preventive Medicine and Epidemiology, Boston University/Boston Medical Center, Boston, MA, USA. 3. Section of General Medicine, Boston University/Boston Medical Center, Boston, MA, USA. 4. Division of General Internal Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY, USA.
Abstract
OBJECTIVE: This study assessed the baseline knowledge, perceptions, attitudes and behaviors of prediabetes patients in order to tailor a new technology-enhanced primary care-based lifestyle modification intervention. METHODS:Patients with a diagnosis of prediabetes were enrolled in a randomized, controlled pilot study, Avoiding Diabetes Thru Action Plan Targeting (ADAPT), a technology-based intervention to promote action plan discussions around patient-selected behavior change goals. RESULTS: A total of 54 adults (82% female) were enrolled in the pilot study. Most (89%) had comorbid conditions and mean BMI was 36. Participants exhibited high risk of diabetes knowledge (knowledge score 20 on a 32 point scale) and high levels of willingness to make changes to decrease diabetes risk. Number of daily steps was inversely correlated with perceived physical activity (r=-0.35082, p<0.001). Poorer scores on diet quality were inversely correlated with BMI. CONCLUSION: Participants in this sample demonstrated requisite levels of knowledge, self-efficacy, motivation and risk perception for effective behavior change. These data suggest that primary care-based prediabetes interventions can move beyond educational goals and focus on enhancing patients' ability to select, plan and enact action plans.
RCT Entities:
OBJECTIVE: This study assessed the baseline knowledge, perceptions, attitudes and behaviors of prediabetespatients in order to tailor a new technology-enhanced primary care-based lifestyle modification intervention. METHODS:Patients with a diagnosis of prediabetes were enrolled in a randomized, controlled pilot study, Avoiding Diabetes Thru Action Plan Targeting (ADAPT), a technology-based intervention to promote action plan discussions around patient-selected behavior change goals. RESULTS: A total of 54 adults (82% female) were enrolled in the pilot study. Most (89%) had comorbid conditions and mean BMI was 36. Participants exhibited high risk of diabetes knowledge (knowledge score 20 on a 32 point scale) and high levels of willingness to make changes to decrease diabetes risk. Number of daily steps was inversely correlated with perceived physical activity (r=-0.35082, p<0.001). Poorer scores on diet quality were inversely correlated with BMI. CONCLUSION:Participants in this sample demonstrated requisite levels of knowledge, self-efficacy, motivation and risk perception for effective behavior change. These data suggest that primary care-based prediabetes interventions can move beyond educational goals and focus on enhancing patients' ability to select, plan and enact action plans.
Entities:
Keywords:
Behavior Modification; Prediabetes; Risk-Perception; Self-Efficacy; Type II Diabetes Mellitus
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