Abstract
PURPOSE: this study was conducted to evaluate whether patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-management behaviors and to determine if movement was related to glucose control. METHODS: A cohort of 428 patients with type 2 diabetes participated in a traditional diabetes education program in a large urban center in the Southwest. The sample was predominantly female with less than a high school education, a mean age of 52 years, and a mean duration of diabetes of 7 years. Two interviews were conducted approximately 9 months apart, at 1 to 4 weeks before the educational program and at 6 months after completing it. Blood specimens were collected at each interview to measure hemoglobin A1C (A1C) levels. RESULTS: Most of the patients advanced 1 or more stages of change for at least 1 self-management behavior. Those with diabetes for less than 2 years were significantly more likely to advance at least 1 stage of change for diet and exercise than those with diabetes for more than 2 years. Such advancement was significantly associated with a decline in A1C. CONCLUSIONS: Patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-care behaviors. The intervention was more effective for those with a shorter duration of diabetes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 128-134 |
| Number of pages | 7 |
| Journal | Diabetes Educator |
| Volume | 29 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2003 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Internal Medicine
- Public Health, Environmental and Occupational Health
- Endocrinology, Diabetes and Metabolism
Cite this
Stage of change advancement for diabetes self-management behaviors and glucose control. / Parchman, Michael L.; Solomon, Teshia G; Noël, Polly Hitchcock; Larme, Anne C.; Pugh, Jacqueline A.
In: Diabetes Educator, Vol. 29, No. 1, 01.2003, p. 128-134.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Stage of change advancement for diabetes self-management behaviors and glucose control
AU - Parchman, Michael L.
AU - Solomon, Teshia G
AU - Noël, Polly Hitchcock
AU - Larme, Anne C.
AU - Pugh, Jacqueline A.
PY - 2003/1
Y1 - 2003/1
N2 - PURPOSE: this study was conducted to evaluate whether patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-management behaviors and to determine if movement was related to glucose control. METHODS: A cohort of 428 patients with type 2 diabetes participated in a traditional diabetes education program in a large urban center in the Southwest. The sample was predominantly female with less than a high school education, a mean age of 52 years, and a mean duration of diabetes of 7 years. Two interviews were conducted approximately 9 months apart, at 1 to 4 weeks before the educational program and at 6 months after completing it. Blood specimens were collected at each interview to measure hemoglobin A1C (A1C) levels. RESULTS: Most of the patients advanced 1 or more stages of change for at least 1 self-management behavior. Those with diabetes for less than 2 years were significantly more likely to advance at least 1 stage of change for diet and exercise than those with diabetes for more than 2 years. Such advancement was significantly associated with a decline in A1C. CONCLUSIONS: Patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-care behaviors. The intervention was more effective for those with a shorter duration of diabetes.
AB - PURPOSE: this study was conducted to evaluate whether patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-management behaviors and to determine if movement was related to glucose control. METHODS: A cohort of 428 patients with type 2 diabetes participated in a traditional diabetes education program in a large urban center in the Southwest. The sample was predominantly female with less than a high school education, a mean age of 52 years, and a mean duration of diabetes of 7 years. Two interviews were conducted approximately 9 months apart, at 1 to 4 weeks before the educational program and at 6 months after completing it. Blood specimens were collected at each interview to measure hemoglobin A1C (A1C) levels. RESULTS: Most of the patients advanced 1 or more stages of change for at least 1 self-management behavior. Those with diabetes for less than 2 years were significantly more likely to advance at least 1 stage of change for diet and exercise than those with diabetes for more than 2 years. Such advancement was significantly associated with a decline in A1C. CONCLUSIONS: Patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-care behaviors. The intervention was more effective for those with a shorter duration of diabetes.
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U2 - 10.1177/014572170302900117
DO - 10.1177/014572170302900117
M3 - Article
C2 - 12632691
AN - SCOPUS:0037256219
VL - 29
SP - 128
EP - 134
JO - Diabetes Educator
JF - Diabetes Educator
SN - 0145-7217
IS - 1
ER -