Adherence
A stage-matched behavioral intervention (Pathways To Change) significantly increases the likelihood of patients moving to action/maintenance stages for self-monitoring of blood glucose (SMBG), healthy eating, and smoking cessation compared to Treatment As Usual (TAU).
If you or your patients are not ready to make big changes, standard advice often fails. Use a staged approach that meets them at their current level of readiness (precontemplation, contemplation, or preparation) with tailored feedback and support, rather than generic education. This increases the likelihood of actually adopting self-monitoring, healthy eating, or smoking cessation.
This study demonstrates that this intervention has the potential of positively impacting the health of broad populations of individuals with diabetes, not just the minority who are ready for change.
Why this rating
Randomized controlled trial with a large sample size (n=1,029) and intention-to-treat analysis, though funded by a device manufacturer.
Source
Changes in Diabetes Self-Care Behaviors Make a Difference in Glycemic Control
Helen Jones et al. · Diabetes Care · 2003
DOI 10.2337/diacare.26.3.732
More from this paper
- Moving to an action stage for Self-Monitoring of Blood Glucose (SMBG) and healthy eating leads to a significant reduction in HbA1c, whereas intention-to-treat analysis of the intervention alone did not reach statistical significance.Good
- Providing free blood glucose testing strips significantly increases the frequency of SMBG and the likelihood of moving to the action stage, particularly when combined with a behavioral intervention.Good
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →