An Intervention for Lifestyle Change in Type 2 Diabetes

改变 2 型糖尿病生活方式的干预措施

基本信息

批准号：
6529337
负责人：
ROBIN G WHITTEMORE
金额：
$ 5.44万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-09-01 至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/6529337
关键词：
behavioral /social science research tag clinical trials diabetes education diabetes mellitus therapy education evaluation /planning female health behavior human subject human therapy evaluation lifestyle noninsulin dependent diabetes mellitus nursing intervention patient care management patient oriented research postdoctoral investigator

项目摘要

This study will pilot test the implementation of a nurse-coaching intervention provided after diabetes education for individuals with type 2 diabetes. The specific aims are to: 1) Conduct a pilot test of a nurse- coaching intervention that targets lifestyle change and is delivered after diabetes education to participants with type 2 diabetes in an outpatient clinic setting; 2) Evaluate protocol implementation and participant satisfaction with the intervention; 3) Compare physiologic adaptation (glycosylated hemoglobin (HgbAlc), body mass index (BMI), blood pressure (BP), dietary and exercise behavior) and psychosocial adjustment (integration, diabetesrelated distress, functional health status) between participants receiving the nurse-coaching intervention to those receiving standard type 2 diabetes follow-up care; and 4) Examine the relationship between physiologic and psychosocial outcomes in living with type 2 diabetes. The modified Adaptation to Chronic Illness Model will guide this pilot study that uses a prospective randomized clinical trial design. A convenience sample of 50 participants with type 2 diabetes will be recruited from a regional diabetes center and randomized to either the experimental (n=25) or control group (n=25). The findings will be used to design further intervention studies focused on lifestyle change and type 2 diabetes.

这项研究将试行测试针对2型糖尿病患者糖尿病教育后提供的护士指导干预措施的实施。具体目的是：1）对护士教练干预的试点测试，该干预措施针对生活方式的改变，并在糖尿病教育后向门诊诊所环境中的2型糖尿病的参与者进行糖尿病； 2）评估协议实施和参与者对干预措施的满意； 3）比较生理适应性（糖基化血红蛋白（HGBALC），体重指数（BMI），血压（BP），饮食和运动行为）和心理社会调整（融合，糖尿病相关的痛苦，功能健康状况）在接受护士培训的参与者之间接受培训2型糖尿病; 4）检查患有2型糖尿病的生理和社会心理结局之间的关系。对慢性病模型的改良适应将指导这项使用前瞻性随机临床试验设计的试点研究。将从区域糖尿病中心募集50名患有2型糖尿病的参与者的便利样本，并随机分为实验（n = 25）或对照组（n = 25）。这些发现将用于设计针对生活方式改变和2型糖尿病的进一步干预研究。