Are Self-Management Interventions Suitable for All? Comparing Obese Versus Nonobese Type 2 Diabetes Patients

Autor/inn/en	Kroese, Floor M.; Adriaanse, Marieke A.; De Ridder, Denise T. D.
Titel	Are Self-Management Interventions Suitable for All? Comparing Obese Versus Nonobese Type 2 Diabetes Patients
Quelle	In: Health Education & Behavior, 40 (2013) 5, S.552-558 (7 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198112454285
Schlagwörter	Comparative Analysis; Self Management; Self Control; Intervention; Program Effectiveness; Obesity; Diabetes; Health Behavior; Life Style; Group Activities; Coping; Goal Orientation; Barriers; Eating Habits; Exercise; Body Composition; Self Efficacy; Questionnaires; Drug Therapy; Compliance (Psychology); Older Adults; Foreign Countries; Multivariate Analysis; Netherlands + Suchen Sie Ihr Suchwort? Selbstmanagement; Selbstbeherrschung; Adipositas; Health behaviour; Gesundheitsverhalten; Lebensstil; Gruppenaktivität; Bewältigung; Zielorientierung; Zielvorstellung; Ernährungsgewohnheit; Essgewohnheit; Übung; Self-efficacy; Selbstwirksamkeit; Fragebogen; Älterer Erwachsener; Ausland; Multivariate Analyse; Niederlande
Abstract	Objective: The aim of the current study was to compare obese and nonobese type 2 diabetes patients at baseline and after participating in an existing self-management intervention (i.e., "Beyond Good Intentions") on cognitive, self-care, and behavioral measures to examine whether both groups are equally prepared and able to adopt self-management approaches. Methods: A total of 94 type 2 diabetes patients were included, of whom 64 (59% male) completed the study. The final sample consisted of 27 obese (33% male) and 37 nonobese (78% male) patients. The intervention comprised one individual and four group sessions and aimed to improve self-management behavior by enhancing proactive coping skills (i.e., setting concrete goals, identifying barriers, coping with difficult situations, action planning, and progress evaluation). Cognitive (i.e., proactive coping, self-control, self-efficacy), self-care (i.e., adherence to lifestyle recommendations), and behavioral (i.e., diet, exercise) measures were assessed at baseline and after completing the intervention. Results: At baseline, obese patients reported to possess lower cognitive skills and lower adherence to lifestyle recommendations compared with nonobese patients. The intervention was effective in improving cognitive skills, self-care activities, as well as dietary and exercise behaviors. Improvements were equal for obese and nonobese patients. However, obese patients were more likely to drop out. Conclusions: Although obese type 2 diabetes patients were found to possess limited skills at baseline compared with nonobese patients, the self-management course proved to be equally effective for both groups. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10