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.
Clark
Marie
M
Department of Psychology, University of Surrey, Guildford GU2 7XH, UK. Marie.Clark@surrey.ac.uk
Hampson
Sarah E
SE
Avery
Lorraine
L
Simpson
Robert
R
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