Journal
PATIENT EDUCATION AND COUNSELING
Volume 48, Issue 2, Pages 115-122Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/S0738-3991(02)00025-3
Keywords
self-management; type 2 diabetes; dietary intervention; computer-assisted; telephone follow-up; maintenance
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Prerequisites for translating intervention research findings into practice are maintenance of results, generalization of effects and consistency of implementation. This report presents 12 months follow-up information on a randomized 2 x 2 factorial trial evaluating the incremental effects of adding (1) telephone follow-up or (2) a community resources utilization component to a basic touchscreen computer-assisted dietary goal-setting intervention for 320 type 2 diabetes patients. All conditions evidenced significant improvement from baseline to the 12 months follow-up across behavioral, biological and psychosocial measures. There were few consistent differences between conditions, but results were robust across interventionists and clinics. The telephone follow-up component appeared to enhance long-term results on some measures. When considered along with earlier results from a randomized trial that included a control condition without goal setting, it is concluded that this basic goal-setting intervention can be consistently implemented by a variety of interventionists and produce lasting improvements. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
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