title: Posthospital heart-healthy behaviors in adults with comorbid diabetes.
abstract: The purpose of these secondary analyses was to examine relationships between patient factors and patient-provider decision-making style (PDM) on heart-healthy behavior changes in 142 adults with diabetes after hospitalization for an acute coronary syndrome (ACS). A clinical trial randomized adults to either control or a telephone coaching intervention. Generalized estimating equations were used to analyze the relationship between patient factors and PDM style on longitudinal postdischarge changes in three heart-healthy behaviors, avoiding high fat foods, weight loss, and increased physical activity. Neither PDM style nor telephone coaching intervention affected heart-healthy behaviors in this population. Although adults with diabetes preferred collaborative patient-provider decision-making, present levels of provider engagement were not sufficient to support behavior change. Results suggest the need for sustained and tailored nursing interventions to facilitate heart-healthy behavior changes in adults with diabetes after ACS hospitalization.
authors.affiliation: College of Nursing, Michigan State University, East Lansing, MI 48824, USA. vande484@msu.edu
authors.forename: Melodee L
authors.initials: ML
authors.lastname: Vanden Bosch
authors.forename: William D
authors.initials: WD
authors.lastname: Corser
authors.forename: Yan
authors.initials: Y
authors.lastname: Xie
authors.forename: Margaret
authors.initials: M
authors.lastname: Holmes-Rovner
mesh_terms: D054058:Acute Coronary Syndrome / Q000453:epidemiology / Q000628:therapy*; D000368:Aged; D015400:Clinical Nursing Research; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology*; D059305:Diet, High-Fat / Q000523:psychology*; D015444:Exercise / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D010817:Physician-Patient Relations; D015431:Weight Loss