Factors associated with non-adoption of healthy behavior among individuals with diabetes: a population-based study in Brazil

Dionato, Franciele A. V.; Nucci, Luciana Bertoldi; Enes, Carla Cristina

doi:10.1093/pubmed/fdab344

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…A recent study has shown that not making regular doctor visits increases the chance of Brazilians with diabetes not engaging in healthy behaviors independently of sex, age, schooling, and economic status 48 . Similar results were also observed among hypertensive individuals 49 .…”

Section: Discussionmentioning

confidence: 99%

Lifestyle behaviors and associated factors among individuals with diabetes in Brazil: a latent class analysis approach

Peres

Nucci

Andrade

et al. 2023

Ciênc. saúde coletiva

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The purpose of the cross-sectional study was to identify patterns of modifiable lifestyle behaviors and examine the relationship between sociodemographic characteristics and distinct lifestyle behaviors. The data were gathered from the National Health Survey 2019, a study that included adults with diabetes. Four domains of lifestyle behaviors were used to define these behaviors: smoking, alcohol consumption, physical activity, and diet. The association between patterns of lifestyle behaviors and variables of interest was assessed using multinomial regression analysis. The three lifestyle patterns identified were: Class 1, referred to as “unhealthy diet,” comprised 17.0% of the sample and was characterized by unhealthy eating habits; Class 2 (less active and insufficient fruit and vegetable intake) represented 71.2% of the sample; Class 3 referred to as “low risk” (11.8%) is characterized by a lower probability of engaging in most risky behaviors. A person over 45 years of age with little or no education and no health care coverage was less likely to be a member of Class 1. Male individuals who do not attend a doctor regularly exhibited more chances of belonging to Class 2. Mixed-race individuals aged 45 years or more with a low level of education have a lower chance of belonging to this class.

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Section: Discussionmentioning

confidence: 99%

Lifestyle behaviors and associated factors among individuals with diabetes in Brazil: a latent class analysis approach

Peres

Nucci

Andrade

et al. 2023

Ciênc. saúde coletiva

Self Cite

View full text Add to dashboard Cite

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Phone call for diabetic people: protocol for a pragmatic, type 1 effectiveness-implementation hybrid clinical trial

Sala,

Costa,

Baumann

et al. 2024

Rev. Gaúcha Enferm.

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Objective: To describe an implementation study protocol for an intervention based on educational guidelines focused on seven self-care behaviors, through phone calls to individuals with type 2 diabetes. Method: We will conduct a hybrid type 1 effectiveness-implementation pragmatic randomized clinical trial, with 198 individuals with type 2 diabetes on insulin therapy, from the Glycemic Self-Monitoring Program of two Primary Health Care in the city of São Paulo and three in Campinas, located in the state of Sao Paulo. Patients will be allocated in a 1:1 ratio to either the intervention or control group. Both groups will receive standard care, with the intervention group also receiving a phone call. During the call, nurses will provide guidance based on seven self-care behaviors, known as The ADCES7 Self-Care Behaviors™. Evaluations will happen at the baseline, and after 3- and 6-months post initiation of the trial. Glycemic levels and adherence to self-care behaviors will be compared before and after the intervention using multiple linear regression models. Through interviews with participants from the intervention group, implementation determinants based on the Capability, Opportunity, Motivation-Behavior (COM-B) model, and implementation outcomes feasibility, acceptability, and appropriateness will be evaluated. Expected outcomes: We will evaluate the effectiveness of an intervention while exploring contextual conditions for its implementation in clinical practice of Primary Health Care. This study will provide preliminary evidence on the effectiveness of educational guidance through nurse-led telephone calls, as well as implementation determinants and outcomes in the clinical practice of Primary Health Care. Its results are important for expanding this assistance in locations where nursing consultation for people with diabetes is absent, hindered, or restricted. Study is registered on the ReBEC platform.

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Chamada telefônica para pessoas diabéticas: protocolo de um ensaio clínico randomizado pragmático híbrido tipo 1 de efetividade-implementação

Sala,

Costa,

Baumann

et al. 2024

Rev. Gaúcha Enferm.

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RESUMO Objetivo: Descrever um protocolo de estudo de implementação de uma intervenção baseada em orientações educativas focadas em sete comportamentos para o autocuidado, por meio de chamadas telefônicas para pessoas com diabetes tipo 2. Método: Será conduzido um ensaio clínico randomizado pragmático híbrido tipo 1 de efetividade-implementação, com 198 pessoas com diabetes mellitus tipo 2, em insulinoterapia, do Programa de Automonitoramento Glicêmico de duas Unidades Básicas de Saúde da cidade de São Paulo e três de Campinas, situadas no estado de São Paulo. Os pacientes serão alocados na proporção 1:1 para o grupo intervenção ou controle. Ambos os grupos receberão cuidados habituais, sendo que o grupo intervenção também receberá uma chamada telefônica. Durante a chamada, os(as) enfermeiros(as) fornecerão orientações baseadas em sete comportamentos para o autocuidado, conhecidos como The ADCES7 Self-Care Behaviors™. As avaliações ocorrerão no início e após 3 e 6 meses do início do ensaio. Níveis glicêmicos e adesão aos comportamentos de autocuidado serão comparados antes e depois da intervenção por modelos de regressão linear múltiplos. Por meio de entrevistas com os participantes do grupo intervenção, serão avaliados determinantes da implementação baseados no modelo Capacidade, Oportunidade, Motivação para mudança do Comportamento (COM-B), e os desfechos de implementação viabilidade, aceitabilidade e adequação. Resultados esperados: Este estudo fornecerá evidências preliminares sobre a efetividade da orientação educativa por chamada telefônica feita pelo(a) enfermeiro(a), bem como de determinantes e desfechos de implementação na prática clínica da Atenção Primária à Saúde. Seus resultados são importantes para expandir essa assistência em locais onde a consulta de enfermagem para pessoas com diabetes é ausente, dificultada ou restrita. Estudo registrado na plataforma ReBEC.

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Factors associated with non-adoption of healthy behavior among individuals with diabetes: a population-based study in Brazil

Cited by 3 publications

References 28 publications

Lifestyle behaviors and associated factors among individuals with diabetes in Brazil: a latent class analysis approach

Lifestyle behaviors and associated factors among individuals with diabetes in Brazil: a latent class analysis approach

Phone call for diabetic people: protocol for a pragmatic, type 1 effectiveness-implementation hybrid clinical trial

Chamada telefônica para pessoas diabéticas: protocolo de um ensaio clínico randomizado pragmático híbrido tipo 1 de efetividade-implementação

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