Long-Term Effects of Transtheoretical Model-Based Lifestyle Intervention on Self-efficacy and Self-management in Patients with Type 2 Diabetes — Randomised Controlled Trial.
Saved in:
| Title: | Long-Term Effects of Transtheoretical Model-Based Lifestyle Intervention on Self-efficacy and Self-management in Patients with Type 2 Diabetes — Randomised Controlled Trial. |
|---|---|
| Authors: | Dunkel, Annalena, von Storch, Katja, Hochheim, Martin, Zank, Susanne, Polidori, Maria Cristina, Woopen, Christiane |
| Source: | International Journal of Behavioral Medicine. Feb2025, Vol. 32 Issue 1, p45-57. 13p. |
| Subjects: | Health self-care, Self-efficacy, Behavior modification, Glycosylated hemoglobin, Research funding, Statistical sampling, Transtheoretical model of change, Treatment effectiveness, Randomized controlled trials, Descriptive statistics, Behavior, Type 2 diabetes, Health behavior, Comparative studies |
| Geographic Terms: | Germany |
| Abstract: | Background: Self-efficacy and self-management are fundamental factors for successful treatment of type 2 diabetes, but long-term studies are rare. The aim of the present study is to investigate whether the effects achieved in the context of a lifestyle intervention based on the transtheoretical model can be maintained by the patients in the long term. Method: A two-arm randomised controlled trial examined whether long-term effects of self-efficacy, self-management, and HbA1c can be achieved by a lifestyle intervention of 12 months and persisted beyond the intervention. During the intervention, the intervention group (n = 86, mean age 59.7 years) was supported by a telephone coach and telemedical devices, while the control group (n = 65, mean age 58.8 years) received regular care. In the year after intervention, both groups received standard care. Results: The intervention group achieved significantly better self-management after 12 and 24 months (12M, 1.11 (0.81; 1.41) p <.000; 24M, 0.52 (0.19; 0.85) p =.002) as well as self-efficacy (12M, 1.18 (0.83; 1.52) p <.000; 24M, 0.76 (0.39; 1.13) p <.000) and HbA1c than the control group. Conclusion: TTM-based lifestyle interventions show a long-term effect beyond the duration of the intervention in most areas, and behavioural changes can be sustained by patients. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
Be the first to leave a comment!
