Effects of a brief tailored intervention on the process and predictors of lifestyle behaviour change in patients with type 2 diabetes

Clark, Marie; Hampson, Sarah E.; Avery, Lorraine; Simpson, Robert

doi:10.1080/13548500412331292250

Cited by 28 publications

(24 citation statements)

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“…36 Furthermore, future research should report process outcomes, and interactions between different outcomes, to obtain a better understanding of the underlying processes of change. 5,20,37,38 The present review had several limitations. In almost all studies reviewed, the intervention was offered on top of usual care.…”

Section: Discussionmentioning

confidence: 75%

Self-management interventions for type 2 diabetes: a systematic review

Heinrich

Schaper

Vries

2010

European Diabetes Nursing

122

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FTIR spectroscopy and thermal analysis were applied to study the nylon 6–lithium salt systems. The DTA results show that lithium ions cause a significant reduction of the melting point of nylon–lithium salt samples. In addition, lithium salts can also prevent the crystallization of molten nylon in the cooling process. Temperature‐variable FTIR spectroscopy demonstrates that stronger hydrogen bonds form when nylon–lithium halide is molten. Such stronger hydrogen bonds in molten nylon lithium systems may account for the reduction of the melting point and delaying the crystallization of the amorphous nylon. © 2000 John Wiley & Sons, Inc. J Appl Polym Sci 77: 2685–2690, 2000

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Section: Discussionmentioning

confidence: 75%

Self-management interventions for type 2 diabetes: a systematic review

Heinrich

Schaper

Vries

2010

European Diabetes Nursing

122

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“…In addition, when barriers to exercise decrease, the level of exercise increases (Marcus et al. 1996, Clarke & Hampson 2001, Clarke et al. 2004, Wen et al.…”

Section: Discussionmentioning

confidence: 99%

Motivation to physical activity among adults with high risk of type 2 diabetes who participated in the Oulu substudy of the Finnish Diabetes Prevention Study

Korkiakangas

Taanila

Keinänen‐Kiukaanniemi

2010

Health & Social Care in the Community

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Type 2 diabetes can be prevented by lifestyle changes such as sufficient level of physical activity. The number of persons at high risk of or diagnosed with type 2 diabetes is increasing all over the world. In order to prevent type 2 diabetes and develop exercise counselling, more studies on motivators and barriers to physical activity are needed. Thus, the aim of this qualitative study was to describe the motivators and barriers to physical activity among individuals with high risk of type 2 diabetes who participated in a substudy of the Finnish Diabetes Prevention Study in Oulu and to consider whether the motivators or barriers changed during the follow‐up from 2003 to 2008. Questionnaires with open‐ended questions were conducted twice: in the first follow‐up in 2003 altogether 63 participants answered the questionnaire (n = 93), and in the second follow‐up in 2008 altogether 71 participants answered the questionnaire (n = 82). Thus, response rate was 68% in 2003 and 87% in 2008. The study was conducted in the city of Oulu in Finland. Qualitative data were analysed by inductive content analysis using the QSR NVivo 8 software. The results of this study showed that motivators to physical activity included weight management, feelings of physical and mental well being. In addition, social relationships associated with exercise were also motivators. In conclusion, we present that regular counselling is important in order to promote exercise among older people, and that motivators to exercise are strengthened by positive experiences of exercise as one grows older.

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“…Two studies used the Patient-Centered Assessment and Counseling for Exercise plus Nutrition 40,52 . Auslander et al 38 clearly referenced the Eat Well, Live Well programme, Clark et al 41 clearly cited the sources of the assessments used in patient counselling and Steptoe et al 58 provided references for the Changes of Heart Program. In each of these studies, the authors specified the name of the intervention and referred to another source in which the intervention was described in detail.…”

Section: Discussionmentioning

confidence: 99%

The transtheoretical model as applied to dietary behaviour and outcomes

et al. 2007

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The transtheoretical model (TTM) is a behavioural theory that describes behaviour change as occurring in five stages, ranging from precontemplation to maintenance. The purpose of the present paper is to review and synthesise the literature published since 1999 on applications of the TTM to dietary behaviour so that the evidence for the use of assessment tools and interventions based on this model might be evaluated. Six databases were identified and searched using combinations of key words. Sixty-five original, peer-reviewed studies were identified and summarised in one of three tables using the following categories: population (n 21), intervention (n 25) and validation (n 19). Internal validity ratings were given to each intervention, and the body of intervention studies as a whole was rated. The evidence for using stage-based interventions is rated as suggestive in the areas of fruit and vegetable consumption and dietary fat reduction. Valid and reliable staging algorithms are available for fruit and vegetable consumption and dietary fat intake, and are being developed for other dietary behaviours. Few assessment tools have been developed for other TTM constructs. Given the popularity of TTM-based assessments and interventions, more research is warranted to identify valid and reliable assessment tools and effective interventions. While the evidence supports the validity of the TTM to describe populations and to form interventions, evidence of the effectiveness of TTM-based interventions is not conclusive. Transtheoretical model: Dietary behaviour: Nutrition behaviour: Weight management Introduced in 1981 1 , the transtheoretical model (TTM) has become one of the most popular and enduring theories in the field of health promotion and health education. The central concept within the theory is that behaviour change is most likely to happen when individuals engage in the right activities, or processes of change, at the right time, or stage. According to the theory, individuals are most likely to experience success in changing behaviour when they engage in strategies that are appropriate to their stage of readiness to make the change. It has been applied to diverse health behaviours, including the cessation of addictions, participation in cancer screening, and the adoption of positive lifestyle behaviours 2. Overview of the transtheoretical model Many published papers provide a detailed description of the TTM, therefore only a brief overview of the model is offered here. The TTM is comprised of the following constructs: stages of change, processes of change, decisional balance, self-efficacy, and temptation. Stage of change refers to the degree of readiness an individual exhibits toward adopting healthful dietary behaviours. A generalised version of the five stages has been identified and used to classify behaviour 3. The stages are: (1) precontemplation, in which an individual may or may not be aware that a behaviour change is warranted and has no intention of changing within the next 6 months; (2) contemplation, ...

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Effects of a brief tailored intervention on the process and predictors of lifestyle behaviour change in patients with type 2 diabetes

Cited by 28 publications

References 0 publications

Self-management interventions for type 2 diabetes: a systematic review

Self-management interventions for type 2 diabetes: a systematic review

Motivation to physical activity among adults with high risk of type 2 diabetes who participated in the Oulu substudy of the Finnish Diabetes Prevention Study

The transtheoretical model as applied to dietary behaviour and outcomes

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