Toobert Deborah J, Strycker Lisa A, Barrera Manuel, Glasgow Russell E
Oregon Research Institute, 1715 Franklin Blvd, Eugene, OR 97403-1983, USA.
Am J Health Behav. 2010 Nov-Dec;34(6):680-94. doi: 10.5993/ajhb.34.6.5.
To examine the long-term effects of multiple health-behavior changes from the Mediterranean Lifestyle Program.
The randomized trial targeted postmenopausal women with type 2 diabetes (N = 279) at high risk for heart disease. The intervention featured a weekend retreat followed by regular meetings over 24 months to enhance healthful eating, physical activity (PA), stress management, and support behaviors.
Long-term analyses indicated that significant improvements made in the targeted behaviors during the active treatment phase of the study (at 6, 12, and 24 months) were partially maintained during the nontreatment phase of the study, through 5 years postintervention contact for dietary behavior and stress management, and 1-year posttreatment for PA.
This moderate-intensity group-based intervention produced health behavior changes that tended to plateau or return to baseline levels 1 to 5 years after treatment.
研究地中海生活方式计划中多种健康行为改变的长期影响。
该随机试验针对患有2型糖尿病且心脏病风险高的绝经后女性(N = 279)。干预措施包括一次周末静修,随后在24个月内定期开会,以促进健康饮食、体育活动(PA)、压力管理和支持行为。
长期分析表明,在研究的积极治疗阶段(6、12和24个月时)目标行为取得的显著改善在研究的非治疗阶段部分得以维持,饮食行为和压力管理在干预后5年保持联系,体育活动在治疗后1年保持联系。
这种基于群体的中等强度干预产生了健康行为改变,这些改变在治疗后1至5年往往趋于平稳或恢复到基线水平。