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Gepubliceerd in: Journal of Behavioral Medicine 4/2009

01-08-2009

Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes

Auteurs: William P. Sacco, John I. Malone, Anthony D. Morrison, Andrea Friedman, Kristen Wells

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2009

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Abstract

Brief, cost-effective interventions to promote diabetes self-management are needed. This study evaluated the effects of a brief, regular, proactive, telephone “coaching” intervention delivered by paraprofessionals on diabetes adherence, glycemic control, diabetes-related medical symptoms, and depressive symptoms. Therapeutic mechanisms underlying the intervention’s effect on the primary outcomes were also examined. Adults diagnosed with type 2 diabetes (N = 62) were randomly assigned to receive the “coaching” intervention and treatment as usual, or only treatment as usual. The intervention increased frequency of exercise and feet inspection, improved diet, reduced diabetes medical symptoms, and lowered depressive symptoms. Self-efficacy, reinforcement, and awareness of self-care goals mediated the treatment effect on depression, exercise, and feet inspection, respectively. A brief telephone intervention delivered by paraprofessionals had positive effects on type 2 diabetes patients.
Voetnoten
1
The lipid requirements for the present study represent relatively low thresholds. For example, approximately half of all adults have cholesterol levels above 200.
 
2
The number of participants completing the social support (n = 31) and reinforcement received (n = 28) was lower than the study N because initial versions of these measures did not adequately direct participants to reflect on support and reinforcement received from their healthcare team. Only responses to the corrected versions were included in analyses of these variables.
 
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Metagegevens
Titel
Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes
Auteurs
William P. Sacco
John I. Malone
Anthony D. Morrison
Andrea Friedman
Kristen Wells
Publicatiedatum
01-08-2009
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 4/2009
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-009-9209-4

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