Association of Exercise Stages of Change with Glycemic Control in Individuals with Type 2 Diabetes

Natarajan, Sundar; Clyburn, E. Benjamin; Brown, Ronald T.

doi:10.4278/0890-1171-17.1.72

Cited by 11 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1). 8,9 Among nonveterans with diabetes, interventions designed to increase self-efficacy have improved quality of life, patient satisfaction, and glycemic control,10,11 and recent studies validate readiness to change as an important predictor of dietary behavior,12,13 physical activity,14–16 and improved glycemic control 17,18. The purpose of this study is to assess current levels of diabetes self-management and their association with self-efficacy, readiness to change, and provider advice among veterans with poorly controlled diabetes.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Disease Self-Management Among Veterans with Diabetes and Poor Glycemic Control

2007

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Factors Influencing Disease Self-Management Among Veterans with Diabetes and Poor Glycemic Control

2007

View full text Add to dashboard Cite

“…A reduction in HbA1c of 0.5 would be clinically meaningful [8]. The choice of 0.3 for the standard deviation of the mean difference was a logical guess, derived from the wide range of initial and follow-up values in the literature on diabetes management [9][10][11][12][13][14][15]. TWC experiences an average drop-out rate of patients who do not complete the entire four courses of 10-20% (K. Wiggins, personal communication, June 14, 2010).…”

Section: Study Design and Analysismentioning

confidence: 99%

“…Likewise, 14% of healthcare spending goes to treating it, amounting to hundreds of billions of dollars a year, and nearly 95% of diabetes cases are type 2 [6,7]. Lowering glycated hemoglobin (HbA1c) through disease management programs improve patient outcomes and with clinically significant benefits from even small reductions [8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…However, little research has focused on methods for daily reinforcement of the material learned in disease management programs. The data have demonstrated that disease management programs can be effective, but there is still room for improvement; patients, providers, and health plans alike need to identify other tools to further improve patient outcomes [9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Visual Reminders and Patient Compliance of Type 2 Diabetics

Clobes¹

2017

J Diabetes Metab

View full text Add to dashboard Cite

Objective: To determine how visual reminders affect patient compliance in Type 2 diabetics following the completion of a disease management program, a pretest-posttest randomized design was used. Methods:Patients were recruited following enrollment in a diabetes management course. Classes were randomized into the visual reminder group (VG) or control group (CG). The VG selected an object of importance and one seen frequently, reminding themselves to choose healthy behaviors. Baseline and follow-up data included HbA1c, BMI, and exercise time.Results: For HbA1c, the decrease in the CG was 5.49% (0.56 ± 1.4) while the VG group was 13.3% (1.2 ± 1.6) with no statistical significance between the two groups (p=0.36). From baseline to follow-up, the change in the CG was not statistically significant (p=0.3) while the change in the VG was (p=0.04). For BMI, the CG reduced 0.53% while the mean reduction with the VG group was 1.5%. The difference between the groups was not statistically significant (p=0.61). For exercise time, the CG was increased 18.4% while the mean increase in the VG group was 82.0%. The difference was not statistically significant (p=0.27). The change from baseline for both the CG and VG (p=0.004 and 0.02, respectively). Conclusion:Though trending positively, this research cannot conclusively confirm the value of a visual reminder in changing patients' health behavior to manage their diabetes. Nonetheless, when considering the clinically significant differences between the CG and VG with greater improvements in all measured variables, implementation of a visual reminder into diabetes management should be considered.

show abstract

“…The theories of behavioral science have been applied to health education designed to affect behavior change [5]- [8]. The concept of "self-efficacy" that was proposed by Bandura (1977) within his social cognitive theory is the patient's expectation of whether they will be able to successfully carry out a behavior [9].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Hyperlipidemia Prevention Intervention Designed to Affect Behavior Change: Focus on Changes in Health Behavior

Hayashi

Mastubara²,

Saeki³

et al. 2014

OJN

View full text Add to dashboard Cite

Hyperlipidemia prevention intervention for behavior change was conducted on subjects in their 30s and 40s to evaluate changes in health behavior and investigate the effectiveness of these changes, with respect to early prevention and improvement of disease. Subjects were middle-aged individuals aged 30 -49, suffering from serum lipid abnormalities. Intervention designed to affect behavior change was implemented for 3 weeks in 11 employees (nine males, two females) at five workplaces. Intervention mainly consisted of improving self-efficacy. The study's purpose was explained and the written consent was obtained from subjects. Subjects filled questionnaires (characteristics, history of present illness, health behavior, self-efficacy scale for prevention of hyperlipidemia, etc.) both before and after intervention. Subjects recorded their physical activity using accelerometers and dietary intake photographically. Each subject created realistic behavior goals and recorded their progress using self-monitoring charts. Data were analyzed using descriptive statistics; therefore, pre-and post-intervention data were compared. Physical activity and achievement rate of goals during the first week and over the next 2 -3 weeks were compared. Health behavior scores showed modification of behavior in a desirable direction after interven-* Corresponding author. H. Izumi et al. 963tion compared with those before intervention. No significant difference in self-efficacy before and after intervention was observed. However, the subscale for diet was significantly higher after intervention compared with that before intervention. Steps, total calories, and activity calories were increased in the second and third weeks compared with those in the first week. Three weeks of intervention resulted in health behavior changing in a desirable direction. We infer that intervention in the form of self-monitoring using accelerometers that make physical activity visible was effective in leading to behavior change.

show abstract

Association of Exercise Stages of Change with Glycemic Control in Individuals with Type 2 Diabetes

Abstract: A study of 74 patients in a clinic serving indigent primarily African American people found that most were in early stages of readiness to start exercising, and that HbA1c levels were lower in the later stages.

Cited by 11 publications

References 10 publications

Factors Influencing Disease Self-Management Among Veterans with Diabetes and Poor Glycemic Control

Factors Influencing Disease Self-Management Among Veterans with Diabetes and Poor Glycemic Control

Visual Reminders and Patient Compliance of Type 2 Diabetics

The Effectiveness of Hyperlipidemia Prevention Intervention Designed to Affect Behavior Change: Focus on Changes in Health Behavior

Contact Info

Product

Resources

About