Behavioral and Psychosocial Interventions in Diabetes

Peyrot, Mark; Rubin, Richard R.

doi:10.2337/dc07-1222

Cited by 203 publications

(162 citation statements)

References 77 publications

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“…30,31,38,39 We trained our class leaders to support patient autonomy by acknowledging patients' choices, to enhance self-efficacy through modeling and rehearsal of target behaviors, and to establish supportive and collaborative relationships. 19,29,40,41 The training was led by the PI (AAB), project directors (CAL, AB), CAB members, a behavioral health specialist (MTQ), and a certified diabetes educator. 42 In the training, lay leaders taught mock lessons, facilitated group discussions, and demonstrated their skill in coaching and patientcentered communication.…”

Section: Intervention: Picture Good Healthmentioning

confidence: 99%

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

et al. 2015

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BACKGROUND: Churches may provide a familiar and accessible setting for chronic disease self-management education and social support for Latinos with diabetes. OBJECTIVE: We assessed the impact of a multi-faceted church-based diabetes self-management intervention on diabetes outcomes among Latino adults. DESIGN: This was a community-based, randomized controlled, pilot study. SUBJECTS: One-hundred adults with self-reported diabetes from a Midwestern, urban, low-income MexicanAmerican neighborhood were included in the study. INTERVENTIONS: Intervention participants were enrolled in a church-based diabetes self-management program that included eight weekly group classes led by trained lay leaders. Enhanced usual care participants attended one 90-minute lecture on diabetes selfmanagement at a local church. OUTCOME MEASURES: The primary outcome was change in glycosylated hemoglobin (A1C). Secondary outcomes included changes in low-density lipoproteins (LDL), blood pressure, weight, and diabetes self-care practices. KEY RESULTS: Participants' mean age was 54±12 years, 81 % were female, 98 % were Latino, and 51 % were uninsured. At 3 months, study participants in both arms decreased their A1C from baseline (−0.32 %, 95 % confidence interval [CI]: -0.62, -0.02 %). The difference in change in A1C, LDL, blood pressure and weight from baseline to 3-month and 6-month follow-up was not statistically significant between the intervention and enhanced usual care groups. Intervention participants

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Section: Intervention: Picture Good Healthmentioning

confidence: 99%

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

et al. 2015

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“…Apesar da existência de diferentes teorias de aprendizagens com enfoque em comportamentos de saúde, sabe-se que a teoria cognitivo-comportamental é uma estratégia bem empregada com resultados favoráveis para mudança de conduta nessa área 26 , em especial, de hábito alimentar, em que o reforço do comportamento saudável, incluindo até mesmo no preparo da sua própria refeição, aumenta a confiança da pessoa no processo de suas escolhas, com ênfase na preexistência de determinada enfermidade e reforça a credibilidade de quem transmite a mensagem educativa 27 . Na avaliação do hábito alimentar notou-se que a técnica proposta para a aplicação do QUADA permitiu e facilitou a recuperação da memória dos acontecimentos junto às crianças, no que se diz respeito às refeições realizadas.…”

Section: Discussionunclassified

Educação Alimentar e Nutricional: influência no comportamento alimentar e no estado nutricional de estudantes

et al. 2016

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ResumoA transição nutricional indica um consumo alimentar inadequado na população brasileira sendo necessária a adoção de estratégias educativas com a finalidade de favorecer comportamentos saudáveis. O objetivo deste trabalho foi avaliar a influência de um programa de intervenção nutricional educativa no hábito alimentar e indicadores antropométricos de alunos da primeira fase do ensino fundamental. Estudo quantitativo prospectivo, realizado em uma escola federal de Goiânia/Goiás, com 92 alunos. Realizou-se caracterização sociodemográfica, avaliação do peso, altura e Índice de Massa Corporal (IMC) e, para a identificação do hábito alimentar, aplicou-se o Questionário Alimentar do Dia Anterior (QUADA), previamente validado. Um programa de intervenção nutricional educativa foi implantado, sendo desenvolvidas três atividades em cada turma de alunos. A média de idade dos alunos foi de 9,61±1,17 anos, sendo que a maioria eram meninas (55,44%), da classe social "B" (54,38%); pardos (57,90%); católicos (54,39%), moravam com pais (68,42%) e tinha um a dois irmãos (71,94%). A maioria dos participantes apresentou eutrofia, antes e após a intervenção, e 20,00% apresentou excesso de peso. Após cinco meses da intervenção educativa, observou-se aumento de peso e IMC, sem significância estatística, ganho estatural significativo (p<0,0001). Houve aumento no consumo do grupo de frutas/verduras/hortaliças no almoço e lanche da tarde e diminuição no desjejum e jantar, redução do consumo do grupo do feijão no almoço e aumento no jantar. Houve aumento do consumo de alimentos não saudáveis no desjejum e almoço. Ações de educação alimentar e nutricional devem ser contínuas e inseridas no planejamento pedagógico das escolas para melhores resultados no comportamento alimentar dos escolares. Palavras-chave:Educação Alimentar e Nutricional. Comportamento alimentar. Antropometria. AbstractThe nutritional transition indicates inadequate food intake in our population and it requires the adoption of educational strategies in order to promote healthy behaviors. This study evaluated the influence of an educational intervention program in dietary habits and anthropometric indicators in elementary school students. This was a prospective quantitative study developed in a public school in Goiânia, Goiás, with 92 students. Sociodemographic characteristics were analyzed as well as weight, height and body mass index (BMI) measurements. In order to identify the feeding habits, the already validated Previous Day Food Quiz (PDFQ) was used. An educational intervention program was implemented and three activities were developed in each classroom. The students' average age was 9.61 ± 1.17 years old, and the majority were girls (55.44%), social class "B" (54.38%); brown skin (57.90%); catholics (54.39%), living with their parents (68.42%) and they had one to two brothers (71.94%). Most participants had normal weight before and after the intervention, and 20.00% were overweight. After five months of the educational intervention, there was an increase in weig...

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“…In chronic diseases both the disease itself and therapeutic strategies can lead to negative symptoms and a variety of difficulties in the way of life of patients and their families [10,11].In particular, patients with diabetes face the disease every day, all day, since it is necessary to take countless decisions in their attempt to reach the non-diabetic metabolic levels. Treatment, like insulin, may interfere with either positive (lowering high blood sugar levels), or negative (raise low blood sugar levels) the quality of life of diabetic patients [10,12].The psychosocial cost of diabetes for patients is very high and often affects the self-care behaviors, controlling disease and other complications, and quality of life. The depressive symptoms, for example, are powerful predictors, compared with changes in metabolic measurements [12,13].Additionally, it has been shown that psychosocial factors may act protective and assist in good care and management of diabetes.The objectives regarding the assessment of psychosocial health and quality of life of people suffering from diabetes include:the recognition of patients who develop symptoms of depression or anxiety, the evaluation of new therapeutic techniques, considering the psychosocial advantages and disadvantages and the recognition of possible dissatisfaction treatment or other aspects of care benefits [14].The effort in each case refers to the provision of health services aimed in maintaining or improving the quality of life of diabetic patients [15].Diabetes mellitus is one test for the patient but also for his family, because of the chronicity and uncertainty regarding the course and outcome of the disease.…”

Section: Quality Of Life and Diabetes Mellitusmentioning

confidence: 99%

Depression and Quality of Life in Patients with Diabetes

L.¹

2015

AJNS

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Diabetes mellitus is a syndrome of disorders where the patient follows a personalized insulin therapy and adjusts his diet and way of life. The purpose of this study is to describe the correlation of depression and anxiety experienced by patients with diabetes compared with their quality of life. Diabetic patient must make significant changes in daily life and lifestyle and has a greater need for social and psychological support, due to permanent complications and negative emotions experienced.

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Behavioral and Psychosocial Interventions in Diabetes

Cited by 203 publications

References 77 publications

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

Educação Alimentar e Nutricional: influência no comportamento alimentar e no estado nutricional de estudantes

Depression and Quality of Life in Patients with Diabetes

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