Malpass Alice, Andrews Rob, Turner Katrina M
Academic Unit of Primary Health Care, University of Bristol, United Kingdom.
Patient Educ Couns. 2009 Feb;74(2):258-63. doi: 10.1016/j.pec.2008.08.018. Epub 2008 Oct 9.
To explore patients newly diagnosed with Type 2 Diabetes Mellitus (T2DM) experiences of making single (diet) or multiple (diet and physical activity) changes in order to (1) assess whether patients experienced increases in physical activity as supporting or hindering dietary changes and vice versa, and (2) whether patients found making multiple lifestyle changes counterproductive or beneficial.
In-depth interviews with 30 individuals taking part in a randomised controlled trial that aimed to determine the effect of diet and physical activity on T2DM. Interviewees had been randomised to receive usual care, intensive dietary advice, or intensive dietary advice plus information on physical activity. Respondents were interviewed 6 and 9 months post-randomisation. They were asked about their experiences of making lifestyle changes. Data were analysed thematically.
Findings suggest providing diet and physical activity information together encourages patients to use physical activity in strategic ways to aid disease management and that most patients find undertaking multiple lifestyle changes helpful.
Increasing physical activity can act as a gateway behaviour, i.e. behaviour that produces positive effects in other behaviours.
Practitioners should provide diet and physical activity information together to encourage patients to use physical activity strategically to maintain dietary changes.
探究新诊断出的2型糖尿病（T2DM）患者进行单一（饮食）或多种（饮食和体育活动）改变的经历，以便（1）评估患者进行体育活动时，是促进还是阻碍了饮食改变，反之亦然；（2）患者是否发现进行多种生活方式改变会适得其反或有益。
对30名参与一项旨在确定饮食和体育活动对T2DM影响的随机对照试验的个体进行深入访谈。受访者被随机分配接受常规护理、强化饮食建议或强化饮食建议加体育活动信息。在随机分组后6个月和9个月对受访者进行访谈。询问他们进行生活方式改变的经历。对数据进行主题分析。
研究结果表明，同时提供饮食和体育活动信息会鼓励患者以策略性方式利用体育活动来辅助疾病管理，并且大多数患者发现进行多种生活方式改变是有帮助的。
增加体育活动可以作为一种入门行为，即对其他行为产生积极影响的行为。
从业者应同时提供饮食和体育活动信息，以鼓励患者策略性地利用体育活动来维持饮食改变。
