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International Journal of Behavioral Medicine

Open Access 30-09-2024 | Type 2 Diabetes | Full length manuscript

Long-Term Effects of Transtheoretical Model-Based Lifestyle Intervention on Self-efficacy and Self-management in Patients with Type 2 Diabetes — Randomised Controlled Trial

Authors: Annalena Dunkel, Katja von Storch, Martin Hochheim, Susanne Zank, Maria Cristina Polidori, Christiane Woopen

Published in: International Journal of Behavioral Medicine

Abstract

Background

Self-efficacy and self-management are fundamental factors for successful treatment of type 2 diabetes, but long-term studies are rare. The aim of the present study is to investigate whether the effects achieved in the context of a lifestyle intervention based on the transtheoretical model can be maintained by the patients in the long term.

Method

A two-arm randomised controlled trial examined whether long-term effects of self-efficacy, self-management, and Hb_A1c can be achieved by a lifestyle intervention of 12 months and persisted beyond the intervention. During the intervention, the intervention group (n = 86, mean age 59.7 years) was supported by a telephone coach and telemedical devices, while the control group (n = 65, mean age 58.8 years) received regular care. In the year after intervention, both groups received standard care.

Results

The intervention group achieved significantly better self-management after 12 and 24 months (12M, 1.11 (0.81; 1.41) p < .000; 24M, 0.52 (0.19; 0.85) p = .002) as well as self-efficacy (12M, 1.18 (0.83; 1.52) p < .000; 24M, 0.76 (0.39; 1.13) p < .000) and Hb_A1c than the control group.

Conclusion

TTM-based lifestyle interventions show a long-term effect beyond the duration of the intervention in most areas, and behavioural changes can be sustained by patients.

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Title: Long-Term Effects of Transtheoretical Model-Based Lifestyle Intervention on Self-efficacy and Self-management in Patients with Type 2 Diabetes — Randomised Controlled Trial
Authors: Annalena Dunkel
Katja von Storch
Martin Hochheim
Susanne Zank
Maria Cristina Polidori
Christiane Woopen
Publication date: 30-09-2024
Publisher: Springer US
Keyword: Type 2 Diabetes
Published in: International Journal of Behavioral Medicine
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-024-10323-0

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Long-Term Effects of Transtheoretical Model-Based Lifestyle Intervention on Self-efficacy and Self-management in Patients with Type 2 Diabetes — Randomised Controlled Trial

Abstract

Background

Method

Results

Conclusion

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Abstract

Background

Method

Results

Conclusion

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