Diabetes Care, Vol 19, Issue 8 835-842, Copyright © 1996 by American Diabetes Association

ARTICLES

Effects of a brief office-based intervention to facilitate diabetes dietary self-management

RE Glasgow, DJ Toobert and SE Hampson
Diabetes Self-Management Research Group, Oregon Research Institute, Eugene 97403-1983, USA. russ@ori.org

OBJECTIVE: There is a pressing need for brief practical interventions that address diabetes management. Using a randomized design, we evaluated a medical office-based intervention focused on behavioral issues relevant to dietary self-management. RESEARCH DESIGN AND METHODS: There were 206 adult diabetes patients randomized to usual care or brief intervention, which consisted of touchscreen computer-assisted assessment to provide immediate feedback on key barriers to dietary self-management, and goal setting and problem-solving counseling for patients. Follow-up components to the single session intervention included phone calls and interactive video or videotape instruction as needed. RESULTS: Multivariate analyses of covariance revealed that the brief intervention produced greater improvements than usual care on a number of measures of dietary behavior (e.g., fewer calories from saturated fat, fewer high-fat eating habits and behaviors) at the 3-month follow-up. There were also significant differences favoring intervention on changes in serum cholesterol levels and patient satisfaction but not on glycosylated hemoglobin. The intervention effects were relatively robust across a variety of patient characteristics, the two participating physicians, and intervention staff members. CONCLUSIONS: If the long-term results are equally positive and generalize to other setting, this intervention could provide a prototype for a feasible cost-effective way to integrate patient views and behavioral management into office-based care for diabetes.
CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				R. Gold, K. Yu, L.-J. Liang, F. Adler, P. Balingit, P. Luc, J. Hernandez, Y. Toro, and T. Modilevsky Synchronous Provider Visit and Self-management Education Improves Glycemic Control in Hispanic Patients With Long-Standing Type 2 Diabetes The Diabetes Educator, November 1, 2008; 34(6): 990 - 995. [Abstract] [Full Text] [PDF]

				W. J. Borges and S. K. Ostwald Improving Foot Self-Care Behaviors With Pies Sanos West J Nurs Res, April 1, 2008; 30(3): 325 - 341. [Abstract] [PDF]

				C. S. Sixta and S. Ostwald Texas-Mexico Border Intervention by Promotores for Patients With Type 2 Diabetes The Diabetes Educator, March 1, 2008; 34(2): 299 - 309. [Abstract] [Full Text] [PDF]

				R. C. Povey and D. Clark-Carter Diabetes and Healthy Eating: A Systematic Review of the Literature The Diabetes Educator, November 1, 2007; 33(6): 931 - 959. [Abstract] [Full Text] [PDF]

				F. Hill-Briggs and L. Gemmell Problem Solving in Diabetes Self-management and Control: A Systematic Review of the Literature The Diabetes Educator, November 1, 2007; 33(6): 1032 - 1050. [Abstract] [Full Text] [PDF]

				E. G. Eakin, S. S. Bull, K. Riley, M. M. Reeves, S. Gutierrez, and P. McLaughlin Recruitment and retention of Latinos in a primary care-based physical activity and diet trial: The Resources for Health study Health Educ. Res., June 1, 2007; 22(3): 361 - 371. [Abstract] [Full Text] [PDF]

				W. M. Levack, K. Taylor, R. J Siegert, S. G Dean, K. M McPherson, and M. Weatherall Is goal planning in rehabilitation effective? A systematic review Clinical Rehabilitation, September 1, 2006; 20(9): 739 - 755. [Abstract] [PDF]

				K. G. Shojania, S. R. Ranji, K. M. McDonald, J. M. Grimshaw, V. Sundaram, R. J. Rushakoff, and D. K. Owens Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis. JAMA, July 26, 2006; 296(4): 427 - 440. [Abstract] [Full Text] [PDF]

				J. Leeman Interventions to Improve Diabetes Self-management: Utility and Relevance for Practice. The Diabetes Educator, July 1, 2006; 32(4): 571 - 583. [Abstract] [Full Text] [PDF]

				E. B. Fisher, C. A. Brownson, M. L. O'Toole, G. Shetty, V. V. Anwuri, and R. E. Glasgow Ecological Approaches to Self-Management: The Case of Diabetes Am J Public Health, September 1, 2005; 95(9): 1523 - 1535. [Abstract] [Full Text] [PDF]

				W. Anderson-Loftin, S. Barnett, P. Bunn, P. Sullivan, J. Hussey, and A. Tavakoli Soul Food Light: Culturally Competent Diabetes Education The Diabetes Educator, July 1, 2005; 31(4): 555 - 563. [Abstract] [Full Text] [PDF]

				R. M. Anderson Is It Ethical to Assign Medically Underserved African Americans to a Usual-Care Control Group in Community-Based Intervention Research? Diabetes Care, July 1, 2005; 28(7): 1817 - 1820. [Full Text] [PDF]

				P. A. Estabrooks, C. C. Nelson, S. Xu, D. King, E. A. Bayliss, B. Gaglio, P. A. Nutting, and R. E. Glasgow The Frequency and Behavioral Outcomes of Goal Choices in the Self-management of Diabetes The Diabetes Educator, May 1, 2005; 31(3): 391 - 400. [Abstract] [Full Text] [PDF]

				M. K. Rhee, W. Slocum, D. C. Ziemer, S. D. Culler, C. B. Cook, I. M. El-Kebbi, D. L. Gallina, C. Barnes, and L. S. Phillips Patient Adherence Improves Glycemic Control The Diabetes Educator, March 1, 2005; 31(2): 240 - 250. [Abstract] [Full Text] [PDF]

				K. I. Taylor, K. M. Oberle, R. A. Crutcher, and P. G. Norton Promoting Health in Type 2 Diabetes: Nurse-Physician Collaboration in Primary Care Biol Res Nurs, January 1, 2005; 6(3): 207 - 215. [Abstract] [PDF]

				D. Radvan, J. Wiggers, and T. Hazell HEALTH C.H.I.P.s: opportunistic community use of computerized health information programs Health Educ. Res., October 1, 2004; 19(5): 581 - 590. [Abstract] [Full Text] [PDF]

				A. F. Brown, S. L. Ettner, J. Piette, M. Weinberger, E. Gregg, M. F. Shapiro, A. J. Karter, M. Safford, B. Waitzfelder, P. A. Prata, et al. Socioeconomic Position and Health among Persons with Diabetes Mellitus: A Conceptual Framework and Review of the Literature Epidemiol. Rev., July 1, 2004; 26(1): 63 - 77. [Full Text] [PDF]

				I. S. Ockene, L. L. Hayman, R. C. Pasternak, E. Schron, and J. Dunbar-Jacob Task Force #4--adherence issues and behavior changes: achieving a long-term solution J. Am. Coll. Cardiol., August 21, 2002; 40(4): 630 - 640. [Full Text] [PDF]

				A. Raji, H. Gomes, J. O. Beard, P. MacDonald, and P. R. Conlin A Randomized Trial Comparing Intensive and Passive Education in Patients With Diabetes Mellitus Arch Intern Med, June 10, 2002; 162(11): 1301 - 1304. [Abstract] [Full Text] [PDF]

				W. Anderson-Loftin, S. Barnett, P. Sullivan, P. S. Bunn, and A. Tavakoli Culturally Competent Dietary Education for Southern Rural African Americans With Diabetes The Diabetes Educator, March 1, 2002; 28(2): 245 - 257. [Abstract] [PDF]

				E. B. Fisher, E. A. Walker, A. Bostrom, B. Fischhoff, D. Haire-Joshu, and S. B. Johnson Behavioral Science Research in the Prevention of Diabetes : Status and opportunities Diabetes Care, March 1, 2002; 25(3): 599 - 606. [Abstract] [Full Text] [PDF]

				S. L. Norris, M. M. Engelgau, and K.M. Venkat Narayan Effectiveness of Self-Management Training in Type 2 Diabetes: A systematic review of randomized controlled trials Diabetes Care, March 1, 2001; 24(3): 561 - 587. [Abstract] [Full Text]

				A Melville, R Richardson, D Lister-Sharp, and A McIntosh Complications of diabetes: renal disease and promotion of self-management Qual. Saf. Health Care, December 1, 2000; 9(4): 257 - 263. [Full Text]

				J. D. Plette Satisfaction With Automated Telephone Disease Management Calls and Its Relationship to Their Use The Diabetes Educator, November 1, 2000; 26(6): 1003 - 1010. [Abstract] [PDF]

				K. O. Lacey, D. A. Chyun, and M. Grey An Integrative Literature Review of Cardiac Risk Factor Management in Diabetes Education Interventions The Diabetes Educator, September 1, 2000; 26(5): 812 - 820. [Abstract] [PDF]

				A. R. Williamson, A. E. Hunt, J. F. Pope, and N. M. Tolman Recommendations of Dietitians for Overcoming Barriers to Dietary Adherence in Individuals With Diabetes The Diabetes Educator, March 1, 2000; 26(2): 272 - 279. [Abstract] [PDF]

				D. Young-Hyman Provider Impact in Diabetes Education: What We Know, What We Would Like to Know, Paradigms for Asking The Diabetes Educator, November 1, 1999; 25(6_suppl): 34 - 42. [Abstract] [PDF]

				S. A. Brown Interventions to Promote Diabetes Self-Management: State of the Science The Diabetes Educator, November 1, 1999; 25(6_suppl): 52 - 61. [Abstract] [PDF]

				D. T Wade Evidence relating to goal planning in rehabilitation Clinical Rehabilitation, April 1, 1998; 12(4): 273 - 275. [PDF]

				H. G. MrKay, E. G. Feil, R. E. Glasgow, and J. E. Brown Feasibility and Use of an Internet Support Service for Diabetes Self-Management The Diabetes Educator, January 1, 1998; 24(2): 174 - 179. [PDF]

				E. G. Eakin and R. E. Glasgow The Patients' Perspective on the Self-management of Chronic Obstructive Pulmonary Disease J Health Psychol, April 1, 1997; 2(2): 245 - 253. [Abstract]

				R. E. Glasgow, E. G. Eakin, and D. J. Toobert How Generalizable are the Results of Diabetes Self-Management Research? The Impact of Participation and Attrition The Diabetes Educator, January 1, 1996; 22(6): 573 - 585. [PDF]