A Preliminary Study of the Effects of a Multitheory-Driven Intervention in Adults With Prediabetes Mellitus

10.1097/jnr.0000000000000225

Fu-Mian TSAI；Chiu-Chu LIN；Huey-Shyan LIN；Yi LIU

lifestyle change ； theory driven ； prediabetes

The Journal of Nursing Research

26卷3期（2018 / 06 / 01）

216 - 225

英文

Background: Prediabetes mellitus (pre-DM) is an important predictive indicator of Type 2 diabetes. A person with pre-DM is eight times more likely to develop diabetes than a person without pre-DM. Prior research suggests that proactive interventions may delay the progression of this disease and reduce the rate of disease development. Purpose: The purposes of this preliminary study were to develop a multitheory-driven lifestyle intervention protocol for adults with pre-DM and to evaluate its feasibility and impacts on knowledge regarding pre-DM, dietary behaviors, and physical activity (primary outcomes) as well as to describe the disease progression indicators (secondary outcomes). Methods: A single-group, longitudinal study design was used. Thirty-nine participants were included in the analysis. A generalized estimating equation model was used to determine the trends in changes in the outcomes. All of the participants underwent testing at baseline (T_0) and at 3 (T_1), 6 (T_2), and 12 (T_3) months after the 4-week lifestyle intervention. Results: There were significantly increasing trends for each study parameter (Pre-DM Knowledge Assessment Form-12, p ＜ .01; Dietary Behavior Scale, p ＜ .01) and significantly positive changes in body weight (p ＜ .01), body mass index (p ＜ .01), fasting glucose level (p ＜ .01), and glycated hemoglobin level (p ＜ .01) over the 12-month study period. Conclusions/Implications for Practice: This study supports the feasibility of the developed multitheory-driven lifestyle intervention protocol and suggests that its application may improve the effectiveness of diabetes prevention programs in clinical settings. Further randomized controlled trials are needed.

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