Glasgow Russell E, Toobert Deborah J, Hampson Sarah E, Strycker Lisa A
AMC Cancer Research Center, 1600 Pierce Street 80214, Denver, CO, USA.
Patient Educ Couns. 2002 Oct-Nov;48(2):115-22. doi: 10.1016/s0738-3991(02)00025-3.
Prerequisites for translating intervention research findings into practice are maintenance of results, generalization of effects and consistency of implementation. This report presents 12 months follow-up information on a randomized 2x2 factorial trial evaluating the incremental effects of adding (1) telephone follow-up or (2) a community resources utilization component to a basic touchscreen computer-assisted dietary goal-setting intervention for 320 type 2 diabetes patients. All conditions evidenced significant improvement from baseline to the 12 months follow-up across behavioral, biological and psychosocial measures. There were few consistent differences between conditions, but results were robust across interventionists and clinics. The telephone follow-up component appeared to enhance long-term results on some measures. When considered along with earlier results from a randomized trial that included a control condition without goal setting, it is concluded that this basic goal-setting intervention can be consistently implemented by a variety of interventionists and produce lasting improvements.
将干预研究结果转化为实际应用的前提条件是结果的持续性、效果的普遍性以及实施的一致性。本报告呈现了一项随机2x2析因试验的12个月随访信息，该试验评估了在一项针对320名2型糖尿病患者的基本触摸屏计算机辅助饮食目标设定干预中增加（1）电话随访或（2）社区资源利用组件的增量效果。所有条件在行为、生物学和心理社会指标方面均显示从基线到12个月随访有显著改善。各条件之间几乎没有一致的差异，但结果在干预人员和诊所中都很稳健。电话随访组件似乎在某些指标上增强了长期效果。结合一项包含无目标设定对照条件的随机试验的早期结果来看，可以得出结论，这种基本的目标设定干预可以由各种干预人员持续实施并产生持久的改善。
