Implementation, generalization and long-term results of the "choosing well" diabetes self-management intervention.
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.
Glasgow
Russell E
RE
AMC Cancer Research Center, 1600 Pierce Street 80214, Denver, CO, USA. russg@ris.net
Toobert
Deborah J
DJ
Hampson
Sarah E
SE
Strycker
Lisa A
LA
D000704:Analysis of Variance; D003194:Computer-Assisted Instruction; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D003927:Diet, Diabetic; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D012648:Self Care / Q000379:methods*; D013689:Telephone; D016896:Treatment Outcome