2013
DOI: 10.1186/1479-5868-10-47
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Motivational interviewing and problem solving treatment to reduce type 2 diabetes and cardiovascular disease risk in real life: a randomized controlled trial

Abstract: BackgroundIntensive lifestyle interventions in well-controlled settings are effective in lowering the risk of chronic diseases such as type 2 diabetes (T2DM) and cardiovascular diseases (CVD), but there are still no effective lifestyle interventions for everyday practice. In the Hoorn Prevention Study we aimed to assess the effectiveness of a primary care based lifestyle intervention to reduce the estimated risk of developing T2DM and for CVD mortality, and to motivate changes in lifestyle behaviors.MethodsThe… Show more

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Cited by 72 publications
(109 citation statements)
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“…Over half of both groups reported they already met the standards for dietary fiber, total fat, and physical activity [21]. We could not ascertain whether those following a diet made changes because of intense counselling or because they received printed guidelines; however, Lakerveld and colleagues [22] concluded that there were no differences in dietary behavior in a randomized control trial comparing an intense lifestyle intervention with a control group who received health brochures for a population at risk for diabetes. Cardona-Morrell et al [23] found self-reported dietary and physical activity measures as clinical indicators of effectiveness of lifestyle interventions in preventing or delaying diabetes were scarce, based on a systematic review.…”
Section: Discussionmentioning
confidence: 88%
“…Over half of both groups reported they already met the standards for dietary fiber, total fat, and physical activity [21]. We could not ascertain whether those following a diet made changes because of intense counselling or because they received printed guidelines; however, Lakerveld and colleagues [22] concluded that there were no differences in dietary behavior in a randomized control trial comparing an intense lifestyle intervention with a control group who received health brochures for a population at risk for diabetes. Cardona-Morrell et al [23] found self-reported dietary and physical activity measures as clinical indicators of effectiveness of lifestyle interventions in preventing or delaying diabetes were scarce, based on a systematic review.…”
Section: Discussionmentioning
confidence: 88%
“…Weight regain is very common in weight loss studies that use a behaviour intervention [93][94][95][96]. Thus, it is extremely difficult to maintain weight loss, even in studies where the intervention is still in full force and the enrolees are extremely well motivated.…”
Section: Discussionmentioning
confidence: 99%
“…Thus, it is extremely difficult to maintain weight loss, even in studies where the intervention is still in full force and the enrolees are extremely well motivated. In addition, more evidence is needs to establish whether such intensive face-to-face individual implementation strategies are feasible in the long-term, whether group-based or remote contacts provides comparable efficacy in a more cost effective manner, and whether lessskilled personnel can deliver these same interventions [83,84,[92][93][94][95][96][97][98][99]. Actually, the most successful interventions were obtained using many personnel and intensive supervision while the current practice requests less expensive, simple interventions which can be easily carried out in daily practice.…”
Section: Discussionmentioning
confidence: 99%
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“…With collective actions among health care professionals, individuals and families, it is possible to develop strategies to identify early risk factors, avoid them and/or control them. (7) Accordingly, identifying the prevalence of microvascular complications caused by diabetes mellitus and associated risk factors as well as the groups most at risk for developing them, can subsidy the planning and implementation of health interventions targeting this population.…”
Section: Introductionmentioning
confidence: 99%