Td2Ast项目：对2型糖尿病患者饮食和身体活动的实用干预。

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2025-02-21 DOI:10.1016/j.pcd.2025.02.003

Maria del Mar Fernandez-Alvarez , Cristina Papín-Cano , Shelini Surendran , Ruben Martin-Payo

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引用次数: 0

摘要

目的：本研究的目的是评估基于行为改变轮（BCW）框架的教育干预对西班牙地区2型糖尿病（T2DM）患者饮食和身体活动建议的效果。方法：采用两组实用随机先导试验。干预包括六个月的三个组成部分：面对面咨询，电话和特别设计的书面指南，重点是饮食和体育活动建议。主要结果是饮食和体育活动建议的变化。次要结果是干预对HbA1c水平、体重指数和初级保健咨询频率的影响。结果：共纳入患者208例。干预组患者对饮食建议的依从性显著提高(+0.52；结论：基于BCW模型，针对T2DM患者设计的为期6个月的干预，已证明在提高对健康饮食和身体活动建议的依从性以及降低HbA1c水平方面有效。

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Td2Ast project: A pragmatic intervention on diet and physical activity for patients with type 2 diabetes mellitus

Aim

The purpose of this study was to assess the efficacy of an educational intervention based on the Behavior Change Wheel (BCW) framework for individuals with type 2 diabetes mellitus (T2DM) on dietary and physical activity recommendations in a Spanish region.

Methods

A two-arm pragmatic randomized pilot trial was developed. The intervention consisted of a 6-month period with three components: face-to-face counseling, a phone call, and specially designed written guidelines focusing on dietary and physical activity recommendations The primary outcome was changes in dietary and physical activity recommendations. The secondary outcome, the impact of the intervention on HbA1c levels, body mass index, and the frequency of consultations to primary care.

Results

n = 208 patients were recruited. Individuals in the intervention experienced a significative improvement in adherence to dietary recommendations (+0.52; p-value<0.001), physical activity (+0.79; p-value<0.001), and a decrease in HbA1c levels (0.11 %; p-value=0.04).

Conclusion

The 6-month intervention, designed for T2DM patients and based on the BCW model, has demonstrated effectiveness in improving adherence to healthy dietary and physical activity recommendations, as well as reducing HbA1c levels.

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.