Stage of change advancement for diabetes self-management behaviors and glucose control

Michael L. Parchman, Teshia G Solomon, Polly Hitchcock Noël, Anne C. Larme, Jacqueline A. Pugh

Research output: Contribution to journalArticle

28 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)128-134
Number of pages7
JournalDiabetes Educator
Volume29
Issue number1
DOIs
StatePublished - Jan 2003
Externally publishedYes

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Behavior Control
Self Care
Type 2 Diabetes Mellitus
Education
Glucose
Interviews
Hemoglobins
Exercise
Diet

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 journalArticle

Parchman, Michael L. ; Solomon, Teshia G ; Noël, Polly Hitchcock ; Larme, Anne C. ; Pugh, Jacqueline A. / Stage of change advancement for diabetes self-management behaviors and glucose control. In: Diabetes Educator. 2003 ; Vol. 29, No. 1. pp. 128-134.
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