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
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