Stages of Change for Healthy Eating in Diabetes
Stages of Change for Healthy Eating in Diabetes Relation to demographic, eating-related, health care utilization, and psychosocial factors Michael Vallis , PHD 1 , Laurie Ruggiero , PHD 2 , Geoffrey Greene , PHD 3 , Helen Jones , RN, MSN 4 , Bernard Zinman , MD 4 , Susan Rossi , RN, PHD 3 , Lynn Edw...
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Veröffentlicht in: | Diabetes care 2003-05, Vol.26 (5), p.1468-1474 |
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Hauptverfasser: | , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Stages of Change for Healthy Eating in Diabetes
Relation to demographic, eating-related, health care utilization, and psychosocial factors
Michael Vallis , PHD 1 ,
Laurie Ruggiero , PHD 2 ,
Geoffrey Greene , PHD 3 ,
Helen Jones , RN, MSN 4 ,
Bernard Zinman , MD 4 ,
Susan Rossi , RN, PHD 3 ,
Lynn Edwards , PDT, MHSA 1 ,
Joseph S. Rossi , PHD 3 and
James O. Prochaska , PHD 3
1 Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, Nova Scotia, Canada
2 University of Illinois at Chicago, Chicago, Illinois
3 University of Rhode Island, Kingston, Rhode Island
4 Mount Sinai Hospital and University of Toronto, Toronto, Ontario, Canada
Abstract
OBJECTIVES —To identify diabetes-related characteristics of individuals at different stages of readiness to change to healthy, low-fat
eating.
RESEARCH DESIGN AND METHODS —Stage-based differences in demographic, eating-related, health care utilization, and psychosocial factors were examined in
a sample of 768 overweight (BMI >27 kg/m 2 ) individuals with diabetes enrolled in a randomized behavioral intervention trial.
RESULTS —Stage-based differences occurred for type 1 diabetic participants on percent of calories from fat and number of daily vegetable
servings. For type 2 diabetic participants, sex, disease-specific quality of life, percent calories from fat, and number of
daily vegetables servings differed across stages. Those in action stages were more likely to be female and have a better quality
of life and healthier eating habits. Type 2 diabetic insulin-requiring participants in action stages were more likely to be
married. Social support was highest for those in the contemplation stage and lowest for those in the action stage. Type 2
diabetic participants on pills in the action stages were older, had a lower BMI, ate more fruit, were nonsmokers, recently
attended diabetes education, had a better quality of life and social support, and had less stress. One anomalous finding for
type 2 diabetic participants was that precontemplators scored similarly to those in action stages.
CONCLUSIONS —These data validate the Transtheoretical Model, where those in the action stages displayed healthier eating. They also indicate
that demographic and psychosocial factors may mediate readiness to change diet. Precontemplators were a heterogeneous group
and may need individually tailored interventions.
DISC, Diabetes Stages of Change
PTC, Pathways to Change Diabetes
TAU, treatment as usual
TTM, Transtheoretical Mo |
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ISSN: | 0149-5992 1935-5548 |
DOI: | 10.2337/diacare.26.5.1468 |