title: Impact of a goal setting and decision support telephone coaching intervention on diet, psychosocial, and decision outcomes among people with type 2 diabetes.
abstract: OBJECTIVE
  Evaluate a 16-week decision support and goal-setting intervention to compare diet quality, decision, and diabetes-related outcomes to a control group.
  
  
  METHODS
  Adults with type 2 diabetes (n=54) were randomly assigned to an intervention or control group. Intervention group participants completed one in-person motivational interviewing and decision support session followed by seven biweekly telephone coaching calls. Participants reported previous goal attempts and set diet- and/or physical activity-related goals during coaching calls. Control group participants received information about local health care resources on the same contact schedule.
  
  
  RESULTS
  There was a significant difference between groups for diabetes empowerment (p=0.045). A significant increase in diet quality, diabetes self-efficacy, and diabetes empowerment, and a significant decrease in diabetes distress and depressive symptoms (all p≤0.05) occurred in the intervention group. Decision confidence to achieve diet-related goals significantly improved from baseline to week 8 but then declined at study end (both p≤0.05).
  
  
  CONCLUSIONS
  Setting specific diet-related goals may promote dietary change, and telephone coaching can improve psychosocial outcomes related to diabetes self-management.
  
  
  CONCLUSIONS
  Informed shared decision making can facilitate progressively challenging yet attainable goals tailored to individuals' lifestyle. Decision coaching may empower patients to improve self-management practices and reduce distress.
authors.affiliation: Department of Human Sciences, Human, Nutrition, Ohio State University, Columbus, OH, USA(2).
authors.forename: Christine M
authors.initials: CM
authors.lastname: Swoboda
authors.affiliation: Department of Human Sciences, Human Nutrition, Ohio State University, 1787 Neil Ave., 325 Campbell Hall, Columbus, OH, 43210, USA. Electronic address: miller.4453@osu.edu.
authors.forename: Carla K
authors.initials: CK
authors.lastname: Miller
authors.affiliation: College of Nursing, Ohio State University, Columbus, OH, USA.
authors.forename: Celia E
authors.initials: CE
authors.lastname: Wills
mesh_terms: D000328:Adult; D003661:Decision Support Techniques; D003863:Depression / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy*; D003927:Diet, Diabetic; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006040:Goals; D006801:Humans; D008297:Male; D000071252:Mentoring / Q000379:methods*; D008875:Middle Aged; D062405:Motivational Interviewing; D010353:Patient Education as Topic; D020377:Self Efficacy; D013689:Telephone; D016896:Treatment Outcome
chemical_list: D006442:Glycated Hemoglobin
keywords: Decision support; Goal setting; Randomized controlled trial; Self-efficacy; Telephone coaching; Type 2 diabetes mellitus