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.

这项研究将试点测试在对 2 型糖尿病患者进行糖尿病教育后提供的护士指导干预措施的实施情况。具体目标是： 1) 对护士指导干预进行试点测试，该干预旨在改变生活方式，并在门诊诊所对 2 型糖尿病参与者进行糖尿病教育后实施； 2）评估方案实施情况和参与者对干预的满意度； 3) 比较接受护士辅导的参与者的生理适应（糖化血红蛋白 (HgbAlc)、体重指数 (BMI)、血压 (BP)、饮食和运动行为）和心理社会调整（整合、糖尿病相关的困扰、功能健康状况）对接受标准 2 型糖尿病随访护理的患者进行干预； 4) 检查 2 型糖尿病患者的生理和社会心理结果之间的关系。修改后的慢性病适应模型将指导这项使用前瞻性随机临床试验设计的试点研究。将从地区糖尿病中心招募 50 名 2 型糖尿病患者作为方便样本，并随机分为实验组 (n=25) 或对照组 (n=25)。研究结果将用于设计进一步的干预研究，重点关注生活方式改变和 2 型糖尿病。