Association of glucose control and stages of change for multiple self-management behaviors in patients with diabetes: A latent profile analysis

2020 ◽  
Vol 103 (1) ◽  
pp. 214-219
Author(s):  
Ying Shen ◽  
Taotao Wang ◽  
Min Gao ◽  
Fengbin Wang ◽  
Xiaorou Zhu ◽  
...  
Keyword(s):  
Stages Of Change ◽  
Glucose Control ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Self Management ◽  
Patients With Diabetes ◽  
Management Behaviors ◽  
Latent Profile

Stage of Change Advancement for Diabetes Self-Management Behaviors and Glucose Control

2003 ◽  
Vol 29 (1) ◽  
pp. 128-134 ◽  
Author(s):  
Michael L. Parchman ◽  
Teshia G. Arambula-Solomon ◽  
Polly Hitchcock Noël ◽  
Anne C. Larme ◽  
Jacqueline A. Pugh
Keyword(s):  
Type 2 Diabetes ◽  
Stages Of Change ◽  
Glucose Control ◽  
Diabetes Education ◽  
Stage Of Change ◽  
Self Management ◽  
Duration Of Diabetes ◽  
Predominantly Female ◽  
Management Behaviors

PURPOSE This study was conducted to evaluate whether patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-management behaviors and to determine if movement was related to glucose control. METHODS A cohort of 428 patients with type 2 diabetes participated in a traditional diabetes education program in a large urban center in the Southwest. The sample was predominantly female with less than a high school education, a mean age of 52 years, and a mean duration of diabetes of 7 years. Two interviews were conducted approximately 9 months apart, at 1 to 4 weeks before the educational program and at 6 months after completing it. Blood specimens were collected at each interview to measure hemoglobin A1C (A1C) levels. RESULTS Most of the patients advanced 1 or more stages of change for at least 1 self-management behavior. Those with diabetes for less than 2 years were significantly more likely to advance at least 1 stage of change for diet and exercise than those with diabetes for more than 2 years. Such advancement was significantly associated with a decline in A1C. CONCLUSIONS Patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-care behaviors. The intervention was more effective for those with a shorter duration of diabetes.

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