2017
DOI: 10.1186/s12889-016-3937-5
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Abstract: BackgroundThe prevalence of type 2 diabetes mellitus is increasing substantially worldwide, leading to serious economic effects, complications and deaths. This study evaluated the effectiveness of an empowerment program providing support for psychosocial, behavioral, and clinical aspects of diabetes to help Brazilian users of public health services obtain metabolic control of this condition.MethodsIn this cluster randomized trial, participants aged 30–80 diagnosed with type 2 diabetes were recruited from ten B… Show more

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Cited by 52 publications
(94 citation statements)
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References 26 publications
(46 reference statements)
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“…(19) Therefore, the results demonstrate the empowerment approach has the potential to help users with solving daily problems related to social, psychological and clinical aspects, because it influences on adherence to healthy behaviors by increasing their autonomy and capacity to care for their own health. (4,19) In the intervention group, there were also changes in positive behaviors related to dietary reeducation and physical activity. Gradually, users with home visits realized they were able to care for themselves, as they felt able to change habits.…”
Section: Discussionmentioning
confidence: 99%
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“…(19) Therefore, the results demonstrate the empowerment approach has the potential to help users with solving daily problems related to social, psychological and clinical aspects, because it influences on adherence to healthy behaviors by increasing their autonomy and capacity to care for their own health. (4,19) In the intervention group, there were also changes in positive behaviors related to dietary reeducation and physical activity. Gradually, users with home visits realized they were able to care for themselves, as they felt able to change habits.…”
Section: Discussionmentioning
confidence: 99%
“…(7) These results are important for glycemic control and consequently, for the prevention of complications of type 2 diabetes, because self-care practices such as healthy eating and regular practice of physical exercise help in the metabolic control of this chronic health condition. (4) Complementarily, the home environment enabled the assistance to users regarding appropriate decision making for meeting goals in face of their specific needs and social context, which positively influenced self-care practices. (7,24) Corroborating evidence from the literature, home visits facilitate users' understanding on self-care with diet, physical exercise and weight control by improving their diabetes management continuously.…”
Section: Discussionmentioning
confidence: 99%
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