Kolb Jennifer M, Kitos Nicole R, Ramachandran Ambili, Lin Jenny J, Mann Devin M
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Section of Preventive Medicine and Epidemiology, Boston University/Boston Medical Center, Boston, MA, USA.
J Bioinform Diabetes. 2014 Feb 2;1(1):4.
This study assessed the baseline knowledge, perceptions, attitudes and behaviors of prediabetes patients in order to tailor a new technology-enhanced primary care-based lifestyle modification intervention.
Patients with a diagnosis of prediabetes were enrolled in a randomized, controlled pilot study, Avoiding Diabetes Thru Action Plan Targeting (ADAPT), a technology-based intervention to promote action plan discussions around patient-selected behavior change goals.
A total of 54 adults (82% female) were enrolled in the pilot study. Most (89%) had comorbid conditions and mean BMI was 36. Participants exhibited high risk of diabetes knowledge (knowledge score 20 on a 32 point scale) and high levels of willingness to make changes to decrease diabetes risk. Number of daily steps was inversely correlated with perceived physical activity (r=-0.35082, p<0.001). Poorer scores on diet quality were inversely correlated with BMI.
Participants in this sample demonstrated requisite levels of knowledge, self-efficacy, motivation and risk perception for effective behavior change. These data suggest that primary care-based prediabetes interventions can move beyond educational goals and focus on enhancing patients' ability to select, plan and enact action plans.
本研究评估了糖尿病前期患者的基线知识、认知、态度和行为，以便定制一种基于新技术增强的初级保健的生活方式改变干预措施。
诊断为糖尿病前期的患者参加了一项随机对照试验性研究，即通过行动计划靶向预防糖尿病（ADAPT），这是一种基于技术的干预措施，旨在围绕患者选择的行为改变目标促进行动计划讨论。
共有54名成年人（82%为女性）参加了该试验性研究。大多数人（89%）患有合并症，平均体重指数为36。参与者的糖尿病知识风险较高（在32分制中知识得分为20分），且有很高的意愿做出改变以降低糖尿病风险。每日步数与自我感知的身体活动呈负相关（r=-0.35082，p<0.001）。饮食质量得分较低与体重指数呈负相关。
该样本中的参与者表现出有效行为改变所需的知识、自我效能感、动机和风险认知水平。这些数据表明，基于初级保健的糖尿病前期干预措施可以超越教育目标，专注于提高患者选择、规划和实施行动计划的能力。
