Effects of a tailored lifestyle self-management intervention in patients with type 2 diabetes.
OBJECTIVE
The aim of the present study was to develop, implement and evaluate a brief intervention to improve adherence to the recommended lifestyle changes for patients with Type 2 diabetes, in particular to help patients to reduce the total amount of fat consumed and to increase lifestyle physical activity levels.


METHODS
A brief, tailored lifestyle self-management intervention for patients with Type 2 diabetes was evaluated in a randomized controlled trial. One hundred participants (aged 40 - 70 yrs) completed assessments at three time points- baseline, three months and one year. Participants were allocated to either an intervention group who received the brief tailored intervention including follow-up telephone calls, or a usual care control group.


RESULTS
Results indicate that the intervention was successful in helping patients to reduce fat intake and, to a lesser extent, increase lifestyle physical activity levels. These self-reported changes in behaviour were reflected in the objective data with weight maintenance in the intervention group compared to the control group, together with a significant reduction (2 cm) in waist circumference.


CONCLUSIONS
These results provide further evidence of the effectiveness of tailored interventions for lifestyle change.
Department of Psychology, University of Surrey, Guildford GU2 7XH, UK. Marie.Clark@surrey.ac.uk
Marie
M
Clark
Sarah E
SE
Hampson
Lorraine
L
Avery
Robert
R
Simpson
D000328:Adult; D000368:Aged; D001835:Body Weight; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004041:Dietary Fats / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D012648:Self Care / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D049629:Waist-Hip Ratio
D004041:Dietary Fats