篇名 | A Preliminary Study of the Effects of a Multitheory-Driven Intervention in Adults With Prediabetes Mellitus |
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卷期 | 26:3 |
作者 | Fu-Mian TSAI 、 Chiu-Chu LIN 、 Huey-Shyan LIN 、 Yi LIU |
頁次 | 216-225 |
關鍵字 | lifestyle change 、 theory driven 、 prediabetes 、 MEDLINE 、 Scopus 、 SSCI 、 TSCI 、 TSSCI 、 SCIE |
出刊日期 | 201806 |
Background: Prediabetes mellitus (pre-DM) is an important predictive indicator of Type 2 diabetes. A person with pre-DM is eight times more likely to develop diabetes than a person without pre-DM. Prior research suggests that proactive interventions may delay the progression of this disease and reduce the rate of disease development. Purpose: The purposes of this preliminary study were to develop a multitheory-driven lifestyle intervention protocol for adults with pre-DM and to evaluate its feasibility and impacts on knowledge regarding pre-DM, dietary behaviors, and physical activity (primary outcomes) as well as to describe the disease progression indicators (secondary outcomes). Methods: A single-group, longitudinal study design was used. Thirty-nine participants were included in the analysis. A generalized estimating equation model was used to determine the trends in changes in the outcomes. All of the participants underwent testing at baseline (T0) and at 3 (T1), 6 (T2), and 12 (T3) months after the 4-week lifestyle intervention. Results: There were significantly increasing trends for each study parameter (Pre-DM Knowledge Assessment Form-12, p G .01; Dietary Behavior Scale, p G .01) and significantly positive changes in body weight (p G .01), body mass index (p G .01), fasting glucose level (p G .01), and glycated hemoglobin level (p G .01) over the 12-month study period. Conclusions/Implications for Practice: This study supports the feasibility of the developed multitheory-driven lifestyle intervention protocol and suggests that its application may improve the effectiveness of diabetes prevention programs in clinical settings. Further randomized controlled trials are needed.