Life-style modification for weight control to improve diabetes health status

Wierenga, Mary E.

doi:10.1016/0738-3991(94)90058-2

Cited by 16 publications

(13 citation statements)

References 26 publications

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“…To some extent, this is consistent with Wood (21) who noted an increase in physical activity after 4 months of intervention, Glasgow et al (22) that found an increase in the number of minutes of activity three months after intensive education and Wierenga (23) who found an increase in physical activity after 5 sessions at the 4 month.…”

Section: Discussionsupporting

confidence: 79%

Adherence to two methods of education and metabolic control in Type 2 diabetics

Herrera¹,

Zerón²,

Alcántara³

2015

Ethiop J Health Sci

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BACKGROUND: Education in diabetes optimizes metabolic control, prevents acute and chronic complications, and improves quality of life. Our main objective was to evaluate if a better metabolic control is achieved in diabetic patients undergoing a program of intensive interactive care than in those with traditional care and written information. METHODS: Patients with type 2 diabetes mellitus (T2DM), aged 20-60 years, education level at least of primary school, serum creatinine ≤ 2.5 mg/dl, self-sufficient and HbA1c ≥ 7.1% were allocated in two groups of education, 1) minimal education (MEG) and 2) full education (FEG). The MEG patients followed predefined diet; FEG patients chose the diet by selecting foods from each group in a list of matches, teaching them to count nutrients, kilocalories (kcal) and percentage of nutrients. RESULTS: A follow-up of 31 patients in each group was obtained. The proportion of patients who had initial adherence was 13.33% in the MEG group and 9.67% in the FEG group while, at the end of the study, these percentages were of 73.3% and 58.38% respectively. The final HbA1c decreased in both groups, with or without good adherence. The FEG group had a higher decline in the values of cholesterol (p = 0.036) and LDL (p = 0.002) than the MEG group. CONCLUSION: Education programs in T2DM contribute to a decrease in HbA1c within six months, but an intensive program is more effective in reducing cholesterol and LDL.

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Section: Discussionsupporting

confidence: 79%

Adherence to two methods of education and metabolic control in Type 2 diabetics

Herrera¹,

Zerón²,

Alcántara³

2015

Ethiop J Health Sci

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“…Lifestyle interventions were generally more effective in group settings, with positive outcomes noted for weight loss (8,36,47,48,72,74,76,77,94) and glycemic control (31,36,71,76,79), although two studies of lifestyle interventions in individual settings had positive effects on weight (38,80). Both individual (38,39,66 -68) and group (72,75,93) lifestyle interventions had positive effects on diet and self-care behaviors. It is notable that skills teaching was effective in both group (41,62) and individual settings (45,58).…”

Section: Effectiveness Of Interventionsmentioning

confidence: 99%

“…Hanefeld et al (65) demonstrated an increase in activity at 5 years with a didactic intervention. Among studies with shorter follow-up duration, Wood (54) noted an increase in physical activity at 4 months, Glasgow et al (74) found an increase in the number of minutes of activity 3 months after an intensive intervention, and Wierenga (75) found improved physical activity after five intervention sessions at 4 months. Five studies found no changes in physical activity compared with control groups (30,40,69,76,77).…”

Section: Lifestyle Behaviorsmentioning

confidence: 99%

Effectiveness of Self-Management Training in Type 2 Diabetes

2001

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OBJECTIVE -To systematically review the effectiveness of self-management training in type 2 diabetes. RESEARCH DESIGN AND METHODS -MEDLINE, EducationalResources Information Center (ERIC), and Nursing and Allied Health databases were searched for English-language articles published between 1980 and 1999. Studies were original articles reporting the results of randomized controlled trials of the effectiveness of self-management training in people with type 2 diabetes. Relevant data on study design, population demographics, interventions, outcomes, methodological quality, and external validity were tabulated. Interventions were categorized based on educational focus (information, lifestyle behaviors, mechanical skills, and coping skills), and outcomes were classified as knowledge, attitudes, and self-care skills; lifestyle behaviors, psychological outcomes, and quality of life; glycemic control; cardiovascular disease risk factors; and economic measures and health service utilization.RESULTS -A total of 72 studies described in 84 articles were identified for this review. Positive effects of self-management training on knowledge, frequency and accuracy of selfmonitoring of blood glucose, self-reported dietary habits, and glycemic control were demonstrated in studies with short follow-up (Ͻ6 months). Effects of interventions on lipids, physical activity, weight, and blood pressure were variable. With longer follow-up, interventions that used regular reinforcement throughout follow-up were sometimes effective in improving glycemic control. Educational interventions that involved patient collaboration may be more effective than didactic interventions in improving glycemic control, weight, and lipid profiles. No studies demonstrated the effectiveness of self-management training on cardiovascular disease-related events or mortality; no economic analyses included indirect costs; few studies examined healthcare utilization. Performance, selection, attrition, and detection bias were common in studies reviewed, and external generalizability was often limited.CONCLUSIONS -Evidence supports the effectiveness of self-management training in type 2 diabetes, particularly in the short term. Further research is needed to assess the effectiveness of self-management interventions on sustained glycemic control, cardiovascular disease risk factors, and ultimately, microvascular and cardiovascular disease and quality of life. Diabetes Care 24:561-587, 2001D iabetes self-management training, the process of teaching individuals to manage their diabetes (1), has been considered an important part of clinical management since the 1930s (2). The goals of diabetes education are to optimize metabolic control, prevent acute and chronic complications, and optimize quality of life while keeping costs acceptable (3). One of the goals of Healthy People 2010 is to increase to 60% (from the 1998 baseline of 40%) the proportion of individuals with diabetes who receive formal diabetes education (4). There are significant knowledge and skill deficits in ...

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“…Studies have linked social support to higher health status levels (Wierenga, 1994;Wilson & Pratt, 1987), better compliance with treatment regimen (MacLean & Lo, 1998;Whittemore, Melkus, & Grey, 2005), adherence to self-care activities (Wang & Fenske, 1996;Whittemore et al, 2005), increased health related quality of life (Aalto, Uutela, & Aro, 1997), and improved psychosocial adaptation (Fisher, Lagreca, Creco, Arfken, & Schneiderman, 1997;Karlsen, Idsoe, Hanestad, Murberg, & Bru, 2004;White et al, 1992;Whittemore et al, 2005).…”

Section: Self-regulation Behaviormentioning

confidence: 99%

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Hart¹,

Grindel²

2010

J of Nursing and Healthcare

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hart pl & grindel cg (2010) Journal of Nursing and Healthcare of Chronic Illness2, 225–240 Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes Aim. To examine the relationship between illness representations, emotional distress, coping strategies, and coping efficacy as predictors of self‐care behaviour and A1c levels in individuals with type 2 diabetes. Background. Diabetes mellitus affects 23·6 million Americans and is the seventh leading cause of death in the United States. Reduction in complications can be best achieved by individuals’ adhering to appropriate lifestyle changes and maintaining tight glycemic control. Understanding the degree of influence that psychosocial factors have on individuals’ decisions to perform self‐regulation activities will give insight on strategies to encourage better decision‐making to prevent acute and chronic complications. Methods. A descriptive, correlational design examined the psychosocial factors to determine the predictive relationships with self‐care behaviour and A1c levels. Participants were 119 men and women recruited from physician offices, medical clinics, and diabetes education centers. The research was conducted from March–December 2007. Results. Participants perceived their diabetes to be a chronic, moderately cyclical condition with negative consequences and with moderate amounts of symptomatology that greatly influenced their emotional status. Hierarchical multiple linear regression analyses revealed that a) coping efficacy uniquely accounted for 9% of the variance in self‐care behaviour and b) illness representations, particularly timeline‐cyclical, uniquely accounted for 12% of the variance in A1c levels. Conclusions. The findings confirm how illness representations, emotional distress, coping strategies, and coping efficacy influence self‐care behaviour and health outcomes. Psychosocial factors can influence lifestyle behaviour changes and outcomes of individuals with diabetes mellitus. Relevance to clinical practice. Findings from the study have implications for nurses in the areas of assessment, diabetes management, coping skills training, and cognitive behavioural therapy. Nurses should incorporate these strategies into their daily practice to help individuals identify successful coping strategies, enhance coping efficacy, and change misconceptions about diabetes mellitus to improve self‐care behaviour and health outcomes.

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Life-style modification for weight control to improve diabetes health status

Cited by 16 publications

References 26 publications

Adherence to two methods of education and metabolic control in Type 2 diabetics

Adherence to two methods of education and metabolic control in Type 2 diabetics

Effectiveness of Self-Management Training in Type 2 Diabetes

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

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