Dia-D Program: propositional essay of an educational intervention for self-management in type 2 diabetes

Escola Anna Nery Pub Date : 2023-01-01 DOI:10.1590/2177-9465-ean-2022-0291en

M. M. Brevidelli, C. Bergerot, Edvane Birelo Lopes De Domenico

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Abstract

Abstract Objective to present the Diabetes em Dia (Dia-D) Program: an educational intervention for self-management in type 2 diabetes, focused on promoting healthy eating, being active, and taking medication, among adults with type 2 diabetes. Method a propositional essay of complex intervention based on two behavioral models: The ADCES7 Self-Care Behaviors™ (Association of Diabetes Care and Education Specialists); and the Behavior Change Wheel (BCW). Results BCW’s conceptual framework “Capability, Opportunity, Motivation-Behaviour (COM-B)” made it possible to define the determinants of target behaviors. Based on these, interventions were proposed, such as training, enablement, education, environmental restructuring, persuasion, service provision, guidelines, and communication. Behavior change techniques (demonstration and self-monitoring of behavior, information on health consequences, among others) underpinned the intervention content. Final considerations and implications for practice the theoretical models enabled the structuring of an educational intervention with an emphasis on proposing strategies for behavior modification, a central component in caring for people with diabetes. The relevance of adopting behavioral models in health education planning and the complex nature of the intervention design stand out.

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Dia-D计划:2型糖尿病自我管理教育干预的命题论文

【摘要】目的介绍Diabetes em Dia (Dia- d)项目:一项2型糖尿病患者自我管理的教育干预，重点是促进2型糖尿病成人患者健康饮食、积极运动和服药。方法一篇基于两种行为模型的复杂干预的命题文章:ADCES7自我护理行为™(糖尿病护理和教育专家协会);行为改变轮(BCW)。结果BCW的概念框架“能力、机会、动机-行为(COM-B)”可以定义目标行为的决定因素。在此基础上，提出了干预措施，如培训、使能、教育、环境重组、说服、服务提供、指导和沟通。行为改变技术(行为的示范和自我监测、关于健康后果的信息等)是干预内容的基础。最后的考虑和对实践的影响，理论模型使教育干预的结构成为可能，重点是提出行为改变的策略，这是照顾糖尿病患者的核心组成部分。在健康教育规划中采用行为模型的相关性和干预设计的复杂性突出。

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来源期刊

Escola Anna Nery

自引率

0.00%

发文量

131

审稿时长

49 weeks

期刊介绍： Anna Nery School Journal of Nursing is a vehicle for scientific communication sponsored by Anna Nery School of Nursing, Federal University of Rio de Janeiro, since 1997. The Journal''s mission is publishing an original manuscript related to Nursing, Healthcare and other areas of knowledge whenever there are interfaces in Health and Nursing Science.The journal will accept original manuscripts, developed by quantitative, qualitative, and mixed methods. It is also accepted studies such as reflections, essays, and systematized reviews. All those manuscripts should bring direct or indirect contributions to the historicity and practice of nursing care, to nursing education, to the development of new methodologies and technologies for caring, teaching, and research. It has a special interest in the studies developed with vulnerable populations whose findings directly contribute to broadening the nursing science that underlies ethical and human care.