Implementation of a Tool to Modify Behavior in a Chronic Disease Management Program

Abstract

Chronic diseases like diabetes, hypertension, and dyslipidemia continue to be a significant burden on the US health care system. As a result, many healthcare providers are implementing strategies to prevent the incidence of heart disease and other chronic conditions. Among these strategies are proper drug therapy and lifestyle modifications. Behavior change is often the rate-limiting step in the prevention and maintenance of lifestyle modifications. The purpose of this paper is to describe a tool used to guide the progression and assess the effectiveness of a cardiovascular risk reduction program. The tool uses the Transtheoretical Model of Behavior Change to determine the readiness and confidence to change specific lifestyle behaviors pertinent to cardiovascular health. The tool aids the practitioner in developing a patient-centered plan to implement and maintain lifestyle changes and can be tailored to use in any situation requiring a behavior change on the part of the patient.

The effect of a transtheoretical model–based motivational interview on self‐efficacy, metabolic control, and health behaviour in adults with type 2 diabetes mellitus: A randomized controlled trial

“…This was assessed using the Diagnosis Form for Behavioral Change Stage in Patients with Type 2 Diabetes Mellitus, which was prepared by the researcher based on information in the literature (Burbank, Reibe, Padula, & Nigg, ; Gillespie & Lenz, ; Prochaska, DiClemente, & Norcross, ; Salehi, Mohammad, & Montazeri, ; Shinitzky & Kub, ; Velicer et al, ) and on the TTM. The researcher consulted six experts (four public health nursing experts, one internal diseases nursing expert, and one statistics expert).…”

“…The physical exercise, adequate and proper nutrition, and medication use targeted for behavioural change were considered according to the change stages of the model. The literature was used while setting targets and approaches with regard to each change stage (Burbank et al, 2002;Gillespie & Lenz, 2011;Koyun & Eroglu, 2013;Miller & Rollnick, 2009;Prochaska et al, 1992;Prochaska & Velicer, 1997;Salehi et al, 2011;Shinitzky & Kub, 2001;Velicer et al, 2000;Yildiz, 2008). An interview protocol was prepared to ensure consistency among the participants in the intervention group during interviews.…”

Social Processes That Can Facilitate and Sustain Individual Self-Management for People with Chronic Conditions

“…During the last decade, the strategy of choice has been to focus on promoting healthy lifestyles and choices [2, 3], the most common method of which has been to promote self-management through the delivery of psychoeducational group programs. This approach has now become an integral component of the Australian and UK healthcare systems.…”

Motivación para cambiar estilos de vida no saludables y riesgo cardiovascular

“…Se declara como limitación del estudio que el modelo transteorético fue utilizado solo como instrumento de valoración y no de intervención, con lo cual hubiera sido esperable una disminución de dichas fases precontemplativas y de su riesgo cardiovascular asociado tal y como concluyen estudios realizados para tabaquismo 8 , alimentación 9 y ejercicio físico 10 . Estos estudios ponen de manifiesto que a pesar de la inexistencia de evidencia sólida en las intervenciones para cada fase, se consigue una reducción de conductas no saludables en un plazo de 6 a 12 meses.…”