title: Effects of the mediterranean lifestyle program on multiple risk behaviors and psychosocial outcomes among women at risk for heart disease.
abstract: The Mediterranean Lifestyle Program was evaluated for its effects on multiple behavioral risk factors for coronary heart disease (CHD) among postmenopausal women with diabetes.
  
  
  
  Our purpose is to test a comprehensive lifestyle management intervention to reduce CHD risk in postmenopausal women with type 2 diabetes.
  
  
  
  Participants (N = 279) were randomized to usual care (UC) or Mediterranean Lifestyle Program, a lifestyle change intervention aimed at the behavioral risk factors (eating patterns, physical activity, stress management, and social support) affecting risk for CHD in postmenopausal women with type 2 diabetes.
  
  
  
  In original and intent-to-treat analyses, Mediterranean Lifestyle Program participants showed significantly greater improvement in dietary behaviors, physical activity, stress management, perceived support, and weight loss at 6 months compared to UC.
  
  
  
  This study demonstrated the effectiveness of the Mediterranean Lifestyle Program in improving self-care among women with type 2 diabetes, showed that postmenopausal women could make comprehensive lifestyle changes, and provided evidence that a program using social-cognitive strategies and peer support can be used to modify multiple lifestyle behaviors.
authors.affiliation: Oregon Research Institute, Eugene 97403-1983, USA. deborah@ori.org
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Toobert
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Strycker
authors.forename: Russell E
authors.initials: RE
authors.lastname: Glasgow
authors.forename: Manuel
authors.initials: M
authors.lastname: Barrera
authors.forename: Karyn
authors.initials: K
authors.lastname: Angell
mesh_terms: D000368:Aged; D003327:Coronary Disease / Q000208:ethnology* / Q000517:prevention & control*; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008019:Life Style; D019083:Mediterranean Region; D008875:Middle Aged; D009043:Motor Activity; D017698:Postmenopause / Q000502:physiology; D016730:Program Development; D011584:Psychology; D012309:Risk-Taking; D012944:Social Support; D013315:Stress, Psychological / Q000517:prevention & control