title: Effects of a dietary modification on 2 h postprandial blood glucose in Thai population at risk of type 2 diabetes: An application of the Stages of Change Model.
abstract: The purpose of this study was to investigate the effect of a dietary modification intervention programme by applying the Stages of Change Model in 2 h postprandial capillary glucose reduction among Thai population. A randomized control trial was conducted for people at risk of type 2 diabetes for a period of 8 weeks. The intervention programme consisted of evaluating an individual's stage of change after being provided dietary information regarding kind of food and portions, discussion with a role model, and keeping a food diary record. By the end of the intervention programme, most participants in the experimental group were in the action stage (n = 36), whereas those in the control group were in the preparation stage (n = 32). Body mass index, blood pressure, food consumption behaviour and the 2 h postprandial blood glucose (PPG) in the experimental group had improved (P < 0.05). When performing regression analysis, intervention participation and the 2 h PPG at the baseline accounted for approximately 54% of total variance in predicting the 2 h PPG. This study yielded evidence for the benefits of using the Stages of Change Model as a framework in a dietary modification programme among people at risk of type 2 diabetes.
authors.affiliation: Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Rajathewi, Bangkok, Thailand.
authors.forename: Panan
authors.initials: P
authors.lastname: Pichayapinyo
authors.affiliation: Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Rajathewi, Bangkok, Thailand.
authors.forename: Sunee
authors.initials: S
authors.lastname: Lagampan
authors.affiliation: Samutsakorn Hospital, Muang, Samutsakorn Province, Thailand.
authors.forename: Nichaphat
authors.initials: N
authors.lastname: Rueangsiriwat
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000378:metabolism*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000178:diet therapy* / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019518:Postprandial Period; D012307:Risk Factors; D013785:Thailand; D013997:Time Factors
chemical_list: D001786:Blood Glucose
keywords: Stages of Change Model; Thailand; diabetes; dietary consumption; postprandial glucose