Transtheoretical Model-based Nursing Intervention on Lifestyle Change: A Review Focused on Intervention Delivery Methods

Lee, RN Joo Yun; Park, RN Hyeoun-Ae; Min, RN Yul Ha

doi:10.1016/j.anr.2015.05.001

Cited by 17 publications

(14 citation statements)

References 57 publications

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“…The evidence is particularly strong in patients with T2DM who received intensive intervention of at least 6 months, and the strong evidence substantiates the effectiveness of self-monitoring among others [ 20 ]. Despite the potential, Lee and colleagues (2015) found lack of exploration on the concurrent use of information technology with TTM [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Randomised-controlled trial of a web-based dietary intervention for patients with type 2 diabetes: changes in health cognitions and glycemic control

et al. 2018

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BackgroundIncreasing prevalence and disease burden has led to an increasing demand of programs and studies focused on dietary and lifestyle habits, and chronic diseases such as type 2 diabetes mellitus (T2DM). We evaluated the effects of a 6-month web-based dietary intervention on Dietary Knowledge, Attitude and Behaviour (DKAB), Dietary Stages of Change (DSOC), fasting blood glucose (FBG) and glycosylated haemoglobin (HbA1c) in patients with uncontrolled HbA1c (> 7.0%) in a randomised-controlled trial (myDIDeA) in Malaysia.MethodsThe e-intervention group (n = 62) received a 6-month web-delivered intensive dietary intervention while the control group (n = 66) continued with their standard hospital care. Outcomes (DKAB and DSOC scores, FBG and HbA1c) were compared at baseline, post-intervention and follow-up.ResultsWhile both study groups showed improvement in total DKAB score, the margin of improvement in mean DKAB score in e-intervention group was larger than the control group at post-intervention (11.1 ± 0.9 vs. 6.5 ± 9.4,p < 0.001) and follow-up (19.8 ± 1.1 vs. 7.6 ± 0.7,p < 0.001), as compared to the baseline. Although there was no significant difference between intervention and control arms with respect to DSOC score and glycaemic control, the e-intervention group showed improved DSOC score (199.7 ± 18.2 vs193.3 ± 14.6,p = 0.046), FBG (7.9 ± 2.5 mmol/L vs. 8.9 ± 3.9 mmol/L,p = 0.015) and HbA1c (8.5 ± 1.8% vs. 9.1 ± 2.0%,p = 0.004) at follow-up compared to the baseline, whereas such improvement was not seen in the control group.ConclusionsMost important impact of myDIDeA was on the overall DKAB score. This study is one of the first to demonstrate that an e-intervention can be a feasible method for implementing chronic disease management in developing countries. Concerns such as self-monitoring, length of intervention, intense and individualized intervention, adoption of other domains of Transtheoretical Model and health components, and barriers to change have to be taken into consideration in the development of future intervention programs.Trial registrationClinicalTrials.gov NCT01246687.

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Section: Introductionmentioning

confidence: 99%

Randomised-controlled trial of a web-based dietary intervention for patients with type 2 diabetes: changes in health cognitions and glycemic control

et al. 2018

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“…The transtheoretical model (TTM) is an empirically validated model of individual behavioural change, which involves progress through a series of stages to make a particular behavioural change (Leer, Hapner, & Connor, 2008). TTM-based interventions have been applied to facilitate health behavioural changes, such as physical exercise (Pinto, Dunsiger, Farrell, Marcus, & Todaro, 2013), smoking cessation (Fanshawe et al, 2017;Spencer, Adams, Malone, Roy, & Yost, 2006) and weight management (Lee, Park, & Min, 2015), studies of which continue to demonstrate positive effects. As far as we know, there have been few studies of patients with an ostomy using TTM as an interventional tool to provide continuous and dynamic education.…”

Section: Introductionmentioning

confidence: 99%

Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial

Shen

Wang

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To determine the effect of a transtheoretical model (TTM)‐based intervention on patients with an ostomy and provide patient‐centred, accessible assistance and dynamic education to improve patient self‐management. Background Proper self‐management may promote the rehabilitation of patients with an ostomy. TTM‐based interventions have resulted in positive health behavioural changes. Design Randomised controlled trial performed according to the CONSORT guidelines. Subject and setting The sample comprised 55 men and 37 women (24–77 years old, mean ± SD = 52.8 ± 11.13 years). The study settings included three tertiary hospitals in Changsha, Hunan, China. Methods The 92 patients, recruited from August 2012 to March 2013, were randomised into a control group and an intervention group. Randomisation was done by using a block randomisation list with a block size of 4. Self‐management behaviours were assessed at the baseline, 2 days before discharge and after 1, 3 and 6 months of follow‐up. The chi‐squared test, independent sample t test and repeated measures analysis of variance were used to analyse the data. Results Patients in the intervention group were more likely to be at the action and maintenance stages compared with those in the control group. We also observed significant improvements in the self‐management ability in the process of change, the decisional balance and self‐efficacy in the intervention group compared with those in the control group after four intervention sessions and up to 6 months of follow‐up. No serious intervention‐related adverse events were observed. Conclusions The TTM‐based intervention had positive effects on self‐management behaviours of patients with an ostomy. Relevance to clinical practice The TTM‐based intervention had positive effects on self‐management behaviours of patients with an ostomy and may provide a reference for health providers to develop behaviour promotion programmes to improve the self‐management of patients with an ostomy.

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“…Behavior change programs based on the transtheoretical model (TTM) incorporate nursing practices for lifestyle changes, such as smoking cessation, diet, and physical activity (Farrell & Keeping-Burke, 2014; J. Y. Lee, Park, & Min, 2015). The behavior modifications in the TTM involve a progression through five stages and processes of change (Prochaska, DiClemente, & Norcross, 1992).…”

Section: Introductionmentioning

confidence: 99%

Effects of a Nurse-Led, Stage-Matched, Tailored Program for Smoking Cessation in Health Education Centers: A Prospective, Randomized, Controlled Trial

Hsiao

Huang

et al. 2018

Clin Nurs Res

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The purpose of this study was to examine the effectiveness of a stage-matched intervention performed at outpatient clinics. Participants were randomly assigned to an intervention group (IG) or usual care group (UCG). The trial was targeted on smoking patients with coronary heart disease or diabetes. After completing the 3-month intervention, both groups received a telephone follow-up at 6 months. This analysis showed that the outcomes of the IG for the 7-day point prevalence (PP) of abstinence (odds ratio [OR] = 2.00; p = .001) and 30-day PP (OR = 2.27; p = .004) at 6 months were significantly better than the UCG. Stage of change (OR = 4.06; p < .001) and decreased daily cigarette consumption by 50% at 6 months (OR = 2.26; p = .019) outcomes also improved significantly. The preliminary results showed that a nurse-led cessation intervention in clinics may be an effective approach to help outpatients quit smoking.

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Transtheoretical Model-based Nursing Intervention on Lifestyle Change: A Review Focused on Intervention Delivery Methods

Cited by 17 publications

References 57 publications

Randomised-controlled trial of a web-based dietary intervention for patients with type 2 diabetes: changes in health cognitions and glycemic control

Randomised-controlled trial of a web-based dietary intervention for patients with type 2 diabetes: changes in health cognitions and glycemic control

Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial

Effects of a Nurse-Led, Stage-Matched, Tailored Program for Smoking Cessation in Health Education Centers: A Prospective, Randomized, Controlled Trial

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