Motiva.DM2 项目。针对 2 型糖尿病患者的饮食和运动行为干预的初步研究。
Motiva.DM2 project. A pilot behavioral intervention on diet and exercise for individuals with type 2 diabetes mellitus.
机构信息
Faculty of Medicine and Health Sciences, University of Oviedo, Spain; PRECAM Research Team, Health Research Institute of the Principality of Asturias, Spain.
PRECAM Research Team, Health Research Institute of the Principality of Asturias, Spain; Health Service of the Principality of Asturias (Area 3), Spain.
出版信息
Diabetes Res Clin Pract. 2021 Jan;171:108579. doi: 10.1016/j.diabres.2020.108579. Epub 2020 Dec 9.
AIM
The purpose of this study was to assess the efficacy of an educational intervention based on the Behavior Change Wheel (BCW) framework for individuals with type 2 diabetes mellitus (DM2) on dietary and exercise behavior in a Spanish region.
METHODS
A two-arm pilot research was developed. The intervention consisted of a 6-month period with guidelines and 4 in-person interventions. The outcome was changes in behaviors, motivation, competence, autonomy, social support to implement the recommendations, HbA1c, and body composition.
RESULTS
n = 111 patients were recruited. Individuals in the intervention experienced a significative improvement on adherence to dietary recommendations (+1.23; p = 0.026), exercise (+0.86; p = 0.001), and a decrease in HbA1c levels (-0.6%; p = 0.002) and BMI (-0.73; p < 0.001).
CONCLUSION
The intervention for DM2 individuals, based on the BCW framework, developed, and implemented by primary care nurses has been effective in improving the adherence to healthy eating, exercise, HbA1c levels, and body composition.
目的
本研究旨在评估基于行为改变轮（BCW）框架的教育干预措施对西班牙某地区 2 型糖尿病（DM2）患者饮食和运动行为的效果。
方法
开展了一项双臂试点研究。干预措施包括为期 6 个月的指南和 4 次面对面干预。结果为行为、动机、能力、自主性、实施建议的社会支持、HbA1c 和身体成分的变化。
结果
共招募了 111 名患者。干预组患者在遵守饮食建议方面（+1.23；p=0.026）、运动方面（+0.86；p=0.001）以及糖化血红蛋白（HbA1c）水平（-0.6%；p=0.002）和体重指数（BMI）（-0.73；p<0.001）方面均有显著改善。
结论
由初级保健护士开发和实施的基于 BCW 框架的 DM2 患者干预措施在提高健康饮食、运动、HbA1c 水平和身体成分方面是有效的。
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