Brief, computer-assisted diabetes dietary self-management counseling - Effects on behavior, physiologic outcomes, and quality of life

Citation
Re. Glasgow et Dj. Toobert, Brief, computer-assisted diabetes dietary self-management counseling - Effects on behavior, physiologic outcomes, and quality of life, MED CARE, 38(11), 2000, pp. 1062-1073
Citations number
49
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Public Health & Health Care Science","Health Care Sciences & Services
Journal title
MEDICAL CARE
ISSN journal
0025-7079 → ACNP
Volume
38
Issue
11
Year of publication
2000
Pages
1062 - 1073
Database
ISI
SICI code
0025-7079(200011)38:11<1062:BCDDSC>2.0.ZU;2-4
Abstract
OBJECTIVES. The objective of this work was to evaluate the reach, effective ness, adoption, and implementation of a brief behavioral dietary interventi on and 2 supplemental components of diabetes self-management support: telep hone follow-up calls and community resources enhancement. DESIGN AND SUBJECTS. This was a 2 x 2 randomized, controlled trial investig ating the incremental effects of telephone follow-up and community resource s enhancement with 320 adult type 2 diabetes outpatients. METHODS. Key outcomes included behavioral (dietary patterns, fat intake), p hysiologic (HbA(1C), lipids), and quality-of-life/patient satisfaction meas ures and were collected at baseline and 3- and 6-month follow-up. RESULTS. Despite high reach (76% patient participation), excellent adoption (all 12 primary care practices approached participated), and good implemen tation, there were few outcome differences among treatment conditions. Ther e was significant improvement across conditions in most outcomes in each ca tegory at both follow-ups. CONCLUSIONS. A brief, computer-assisted, dietary goal-setting intervention basic treatment condition was moderately successful in producing dietary im provements but less so in producing biologic or quality-of-life outcomes. A dditions of follow-up phone calls or a community resources enhancement comp onent did not produce incremental improvements over this basic intervention .