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Transtheoretical Model And Diabetes

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An Error Occurred Setting Your User Cookie This site uses cookies to improve performance. If your browser does not accept cookies, you cannot view this site. There are many reasons why a cookie could not be set correctly. Below are the most common reasons: You have cookies disabled in your browser. You need to reset your browser to accept cookies or to ask you if you want to accept cookies. Your browser asks you whether you want to accept cookies and you declined. To accept cookies from this site, use the Back button and accept the cookie. Your browser does not support cookies. Try a different browser if you suspect this. The date on your computer is in the past. If your computer's clock shows a date before 1 Jan 1970, the browser will automatically forget the cookie. To fix this, set the correct time and date on your computer. You have installed an application that monitors or blocks cookies from being set. You must disable the application while logging in or check with your system administrator. This site uses cookies to improve performance by remembering that you are logged in when you go from page to page. To provide access without cookies would require the site to create a new session for every page you visit, which slows the system down to an unacceptable level. This site stores nothing other than an automatically generated session ID in the cookie; no other information is captured. In general, only the information that you provide, or the choices you make while visiting a web site, can be stored in a cookie. For example, the site cannot determine your email name unless you choose to type it. Allowing a website to create a cookie does not give that or any other site access to the rest of your computer, and only the site that created the cookie can read it. Continue reading >>

Challenges And Applications Of The Transtheoretical Model In Patients With Diabetes Mellitus

Challenges And Applications Of The Transtheoretical Model In Patients With Diabetes Mellitus

, Volume 16, Issue1 , pp 3146 | Cite as Challenges and Applications of the Transtheoretical Model in Patients with Diabetes Mellitus The transtheoretical model of behavior change has become one of the most influential theoretical models within health psychology. Characterized by treating behavior change as a dynamic process, it has recently been applied to diabetes mellitus. Both interventional and observational studies have applied the transtheoretical model to the care of patients with diabetes in multiple settings; the studies that have been performed have been very heterogeneous in nature. Pooled data from these studies yielded a distribution that describes patients across the stages of change, the main construct of the transtheoretical model. Regarding treatment effectiveness, the empirical data reported in the studies showed that participants did progress through the stages of change when a transtheoretical model-based intervention was applied, and that a higher percentage of participants progressed in the intervention groups than in the control groups. Further research is needed in this field to obtain more information about the constructs of the transtheoretical model and the stages of change. The use of validated questionnaires in the assessment process is also recommended. The studies included in this review show how the transtheoretical model has made a positive contribution to interventions in the field of diabetes. Healthy EatingWithdrawal RateExercise BehaviorTranstheoretical ModelDecisional Balance These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves. This is a preview of subscription content, log in to check access. This study was partially supported Continue reading >>

Lifestyle Behavior Modification Of Mothers Of Diabetic Children's Through Application Of Trans-theoretical Model Of Change

Lifestyle Behavior Modification Of Mothers Of Diabetic Children's Through Application Of Trans-theoretical Model Of Change

Community Health Nursing Department- Faculty of Nursing-Menoufiya University, Egypt Received February 05, 2013; Accepted April 10, 2014; Published April 20, 2014 Citation: Mohsen MM, Saafan NA, Attia A, El-Abassy A (2014) Lifestyle Behavior Modification of Mothers of Diabetic Childrens through Application of Transtheoretical Model of Change. J Nurs Care 3:153. doi:10.4172/2167-1168.1000153 Copyright: 2014 Mohsen MM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Lifestyle behavior; Behavior modification; Transtheoretical;Model of change Today, more than 240 million people worldwide are living withdiabetes mellitus. Within the next 20 years, this number is expected togrow to 380 million. Children are not spared from this global epidemic,with its debilitating and life-threatening complications. Type 1 diabetesis growing by 3% per year in children and adolescents, and at analarming 5% per year among pre-school children. It is estimated that70,000 children under 15 years old develop type 1 diabetes each year(almost 200 children a day). Of the estimated 440,000 cases of type 1diabetes in children worldwide, more than a quarter live in South-EastAsia and more than a fifth in Europe [ 1 ] Over half of the children with diabetes develop complicationswithin 15 years old. Type 2 diabetes in children is becoming a globalpublic health issue with potentially serious outcomes. Type 2 diabetesaffects children in both developed and developing countries [ 2 ]. Also,the International Diabetes Federation (2010) added that, in 2010,number of children with type 1 diabetes (thousands) is 54.4 aged Continue reading >>

Motivational Interview Method Based On Transtheoretical Model Of Health Behaviour Change In Type 2 Diabetes Mellitus - Scopemed.org - Deposit For Medical Articles

Motivational Interview Method Based On Transtheoretical Model Of Health Behaviour Change In Type 2 Diabetes Mellitus - Scopemed.org - Deposit For Medical Articles

Motivational Interview Method Based on Transtheoretical Model of Health Behaviour Change in Type 2 Diabetes Mellitus Precautions taken in early stages of diabetes mellitus are more beneficial in terms of quality of life. The risk of Type 2 diabetes mellitus has been shown to be reduced at rates up to 58% or its emergence may be delayed with healthy lifestyle changes in different studies. Transtheoretical model and motivational interview method are especially used to increase the adaptation of individuals to disease management and to change behaviours about diabetes mellitus for decreasing or preventing the harmful effects of diabetes mellitus in studies conducted with individuals with Type 2 diabetes mellitus. Interventions using motivational interview method based on transtheoretical model demonstrated that a general improvement in glycaemic control and in physical activity level can be achieved and significant progress has been made during the stage of change. Motivational interview method based on transtheoretical model is an easy and efficient counselling method to reach behavioural change. Key words: Type 2 diabetes mellitus, transtheoretical model, motivational interview, nursing. Continue reading >>

Applying The Stages Of Change Model To Type 2 Diabetes Care In Trinidad: A Randomised Trial

Applying The Stages Of Change Model To Type 2 Diabetes Care In Trinidad: A Randomised Trial

Applying the Stages of Change model to Type 2 diabetes care in Trinidad: A randomised trial 2Unit of Public Health and Primary Care, Faculty of Medical Sciences, St. Augustine, The University of the West Indies, Trinidad and Tobago 2Unit of Public Health and Primary Care, Faculty of Medical Sciences, St. Augustine, The University of the West Indies, Trinidad and Tobago 1Ste. Madeleine Health Centre, South-West Regional Health Authority, Trinidad and Tobago 2Unit of Public Health and Primary Care, Faculty of Medical Sciences, St. Augustine, The University of the West Indies, Trinidad and Tobago Received 2011 Jan 13; Accepted 2011 Oct 11. Copyright 2011 Partapsingh et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. To improve glycaemic control among Type 2 diabetics using patient-physician consultations guided by the Stages of Change (SOC) model. A randomised trial was conducted. After ensuring concealment of allocation, Type 2 diabetics were randomly assigned to receive the intervention or the control. The intervention consisted of identifying each patient's Stage of Change for managing their diabetes by diet, exercise and medications, and applying personalised, stage-specific care during the patient-physician consultations based on the SOC model. Patients in the control group received routine care. The variables of interest were effect on glycaemic control (measured by the difference in HbA1c levels) and patients' readiness to change (measured by identifying patients' SOC for managing their diabetes by Continue reading >>

Eric - Applying The Transtheoretical Model To Investigate Behavioural Change In Type 2 Diabetic Patients, Health Education Journal, 2013-mar

Eric - Applying The Transtheoretical Model To Investigate Behavioural Change In Type 2 Diabetic Patients, Health Education Journal, 2013-mar

Applying the Transtheoretical Model to Investigate Behavioural Change in Type 2 Diabetic Patients Background: Long-term behaviour change in type 2 diabetic patients may provide effective glycemic control. Purpose: To investigate the key factors that promote behaviour change in diabetic subjects using the transtheoretical model. Methods: Subjects were selected by purposive sampling from type 2 diabetes outpatients. Self-administered questionnaires were used to collect the data related to the stages of behavioural change. HbA1C values were measured to evaluate glycemic control. Data were analyzed with analysis of variance (ANOVA), multiple regression and multinomial logistic regression. Results: Routine management of diabetes was a key factor in behaviour change, which correlated indirectly with HbA1C values through compliance and was positively affected by social support. Undermining from family or friends was directly associated with HbA1C.Conclusions: Based on factors influencing stages of behaviour change in diabetic subjects, tailoring a programme to help patients balancing life-style with diabetes, strengthening the patients' perceived confidence in routine management, and establishing a patient-friendly environment as well as support systems may show promise for changing the behaviours in all diabetic patients. (Contains 5 tables, 1 figure, and 1 note.) Continue reading >>

"quality Of Life And Application Of The Transtheoretical Model To Diabe" By Christel Henseler

Christel Henseler, Florida International University One in five adults 65 years and older has diabetes. Coping with diabetes is a lifelong task, and much of the responsibility for managing the disease falls upon the individual. Reports of non-adherence to recommended treatments are high. Understanding the additive impact of diabetes on quality of life issues is important. The purpose of this study was to investigate the quality of life and diabetes self-management behaviors in ethnically diverse older adults with type 2 diabetes. The SF-12v2 was used to measure physical and mental health quality of life. Scores were compared to general, age sub-groups, and diabetes-specific norms. The Transtheoretical Model (TTM) was applied to assess perceived versus actual behavior for three diabetes self-management tasks: dietary management, medication management, and blood glucose self-monitoring. Dietary intake and hemoglobin A1c values were measured as outcome variables. Utilizing a cross-sectional research design, participants were recruited from Elderly Nutrition Program congregate meal sites (n = 148, mean age 75). ^ Results showed that mean scores of the SF-12v2 were significantly lower in the study sample than the general norms for physical health (p < .001), mental health (p < .01), age sub-group norms (p < .05), and diabetes-specific norms for physical health (p < .001). A multiple regression analysis found that adherence to an exercise plan was significantly associated with better physical health (p < .001). Transtheoretical Model multiple regression analyses explained 68% of the variance for % Kcal from fat, 41% for fiber, 70% for % Kcal from carbohydrate, and 7% for hemoglobin A 1c values. Significant associations were found between TTM stage of change and dietary fiber Continue reading >>

Application Of The Transtheoretical Model To Physical Activity In Older Adults With Type 2 Diabetes And/or Cardiovascular Disease

Application Of The Transtheoretical Model To Physical Activity In Older Adults With Type 2 Diabetes And/or Cardiovascular Disease

Volume 11, Issue 4 , July 2010, Pages 320-324 Application of the Transtheoretical model to physical activity in older adults with Type 2 diabetes and/or cardiovascular disease Author links open overlay panel AlisonKirk Investigate the relationship between physical activity and components of the Transtheoretical model (TTM), in an older clinical population. 85 people with Type 2 diabetes and/or cardiovascular disease (age 64.88.2yrs) completed TTM questionnaires. Physical activity was assessed using the 7-day recall questionnaire. Differences across stage of change were found for physical activity, self-efficacy, the pros of more physical active and 5 processes of change. Physical activity, self-efficacy and the pros of more activity were greater in the maintenance than contemplation stage. Stage differences in processes were: consciousness raising (increased contemplation to action), self-liberation (increased contemplation to maintenance), helping relationships (increased preparation to maintenance), counter conditioning (increased contemplation to preparation, action and maintenance) and reinforcement management (increased contemplation and preparation to maintenance). Experiential processes were used more than behavioural processes in the preparation stage. Findings support the theoretical predictions of the TTM and the use of this model in older clinical populations. Continue reading >>

Application Of The Transtheoretical Model To Physical Activity In Older Adults With Type 2 Diabetes And/or Cardiovascular Disease

Application Of The Transtheoretical Model To Physical Activity In Older Adults With Type 2 Diabetes And/or Cardiovascular Disease

Application of the transtheoretical model to physical activity in older adults with Type 2 diabetes and/or cardiovascular disease Kirk, A. F., MacMillan, F., & Webster, N. (2010). Application of the transtheoretical model to physical activity in older adults with Type 2 diabetes and/or cardiovascular disease. Psychology of Sport & Exercise, 11(4), 320-324. doi:10.1016/j.psychsport.2010.03.001 Objective: Investigate the relationship between physical activity and components of the Transtheoretical model (TTM), in an older clinical population. Method: 85 people with Type 2 diabetes and/or cardiovascular disease (age 64.8 8.2 yrs) completed TTM questionnaires. Physical activity was assessed using the 7-day recall questionnaire. Results: Differences across stage of change were found for physical activity, self-efficacy, the pros of more physical active and 5 processes of change. Physical activity, self-efficacy and the pros of more activity were greater in the maintenance than contemplation stage. Stage differences in processes were: consciousness raising (increased contemplation to action), self-liberation (increased contemplation to maintenance), helping relationships (increased preparation to maintenance), counter conditioning (increased contemplation to preparation, action and maintenance) and reinforcement management (increased contemplation and preparation to maintenance). Experiential processes were used more than behavioural processes in the preparation stage. Conclusions: Findings support the theoretical predictions of the TTM and the use of this model in older clinical populations. Continue reading >>

Assessment Of The Transtheoretical Model As Used By Dietitians In Promoting Physical Activity In People With Type 2 Diabetes

Assessment Of The Transtheoretical Model As Used By Dietitians In Promoting Physical Activity In People With Type 2 Diabetes

Assessment of the transtheoretical model as used by dietitians in promoting physical activity in people with type 2 diabetes Research output: Contribution to journal Article K Asimakopoulou ( Population & Patient Health ) Background: The transtheoretical model of change (TTM) is an approach to behaviour change, which has been successful in increasing physical activity levels. This study examined the application of a TTM approach to increase physical activity in people with type 2 diabetes by a specialist dietitian. Methods Forty participants were recruited to either an exercise consultation interview (ECI) or a control group. All participants received a physical activity leaflet and those in the ECI group also received a one-to-one interview with a dietitian a week after their routine appointment. Both self-reported physical activity levels and stage of change were measured at baseline and after 6 weeks. Results Thirty-four participants (17 in each group) completed the study. Both groups showed an increase in physical activity levels. However, there was a significant difference in change of physical activity levels in the ECI group alone [F(1,32) = 15.99;P 0.01]. In the ECI group, eight participants increased their stage of change compared with just one in the control group. There was a highly significant difference between the ECI and control group for success rates of stage progression (P = 0.007). Conclusions A specialist dietitian with motivational interviewing and behavioural change training can successfully deliver a TTM intervention to people with diabetes that results in an increase in physical activity and stage of change. Dietitians with behavioural change skills may wish to include this approach within their practice. Continue reading >>

Challenges And Applications Of Thetranstheoretical Model In Patientswithdiabetes Mellitus | Juana Gomez And Carmina Saldaa - Academia.edu

Challenges And Applications Of Thetranstheoretical Model In Patientswithdiabetes Mellitus | Juana Gomez And Carmina Saldaa - Academia.edu

Challenges and Applications of theTranstheoretical Model in PatientswithDiabetes Mellitus This material is the copyright of the original publisher. Unauthorised copying and distribution is prohibited. 2008, Vol. 16, No. 1 (pp. 31-46) ISSN: 1173-8790 Review Article The Transtheoretical Model in Patients with Diabetes Terms and Conditions for Use of PDFThe provision of PDFs for authors' personal use is subject to the following Terms & Conditions:The PDF provided is protected by copyright. All rights not specifically granted in these Terms & Conditions are expresslyreserved. Printing and storage is for scholarly research and educational and personal use. Any copyright or other noticesor disclaimers must not be removed, obscured or modified. The PDF may not be posted on an open-access website(including personal and university sites).The PDF may be used as follows: to make copies of the article for your own personal use, including for your own classroom teaching use (this includesposting on a closed website for exclusive use by course students); to make copies and distribute copies (including through e-mail) of the article to research colleagues, for the personal useby such colleagues (but not commercially or systematically, e.g. via an e-mail list or list serve); to present the article at a meeting or conference and to distribute copies of such paper or article to the delegatesattending the meeting; to include the article in full or in part in a thesis or dissertation (provided that this is not to be published commercially). Dis Manage Health Outcomes 2008; 16 (1): 31-46REVIEW ARTICLE 1173-8790/08/0001-0031/$48.00/0 2008 Adis Data Information BV. All rights reserved.Challenges and Applications ofthe Transtheoretical Model inPatients with Diabetes MellitusAna Andres,1 Juana Continue reading >>

Challenges And Applications Of Thetranstheoretical Model In Patientswithdiabetes Mellitus

Challenges And Applications Of Thetranstheoretical Model In Patientswithdiabetes Mellitus

Challenges and Applications of theTranstheoretical Model in PatientswithDiabetes Mellitus Author Information: Department of Methodology for the Behavioural Sciences, University of Barcelona, Barcelona, Spain The transtheoretical model of behavior change has become one of the most influential theoretical models within health psychology. Characterized by treating behavior change as a dynamic process, it has recently been applied to diabetes mellitus. Both interventional and observational studies have applied the transtheoretical model to the care of patients with diabetes in multiple settings; the studies that have been performed have been very heterogeneous in nature. Pooled data from these studies yielded a distribution that describes patients across the stages of change, the main construct of the transtheoretical model. Regarding treatment effectiveness, the empirical data reported in the studies showed that participants did progress through the stages of change when a transtheoretical model-based intervention was applied, and that a higher percentage of participants progressed in the intervention groups than in the control groups. Further research is needed in this field to obtain more information about the constructs of the transtheoretical model and the stages of change. The use of validated questionnaires in the assessment process is also recommended. The studies included in this review show how the transtheoretical model has made a positive contribution to interventions in the field of diabetes. Continue reading >>

Transtheoretical Model-based Dietary Interventions In Primary Care: A Review Of The Evidence In Diabetes

Transtheoretical Model-based Dietary Interventions In Primary Care: A Review Of The Evidence In Diabetes

Transtheoretical model-based dietary interventions in primary care: a review of the evidence in diabetes Sanna Salmela ,1,* Marita Poskiparta ,1 Kirsti Kasila ,2 Kati Vhsarja ,1 and Mauno Vanhala 3 1Research Centre for Health Promotion, Faculty of Sport Sciences, Department of Health Sciences, University of Jyvskyl, PO Box 35 (L), FIN-40014, Finland 1Research Centre for Health Promotion, Faculty of Sport Sciences, Department of Health Sciences, University of Jyvskyl, PO Box 35 (L), FIN-40014, Finland 1Research Centre for Health Promotion, Faculty of Sport Sciences, Department of Health Sciences, University of Jyvskyl, PO Box 35 (L), FIN-40014, Finland 1Research Centre for Health Promotion, Faculty of Sport Sciences, Department of Health Sciences, University of Jyvskyl, PO Box 35 (L), FIN-40014, Finland 2Health Care and Social Services, University of Applied Sciences, Raastuvankatu 3133, FIN-65100 Vaasa, Finland 3Central Finland Central Hospital, Keskussairaalantie 19, FIN-40620 Jyvskyl, Finland *Correspondence to: S. Salmela. E-mail: [email protected] Author information Copyright and License information Disclaimer This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. The objective of this study was to review the evidence concerning stage-based dietary interventions in primary care among persons with diabetes or an elevated diabetes risk. Search strategies were electronic databases and manual search. Selection criteria were randomized controlled studies with stage-based dietary intervention, conducted in Continue reading >>

Helping People With Diabetes Change Behavior: From Theory To Practice

Helping People With Diabetes Change Behavior: From Theory To Practice

Reducing fat intake: precontemplation stage Reducing caloric intake: preparation stage Increasing physical activity (i.e., walking three times/week): contemplation stage Putting It All Together: Individualized Stage-Matched Interventions The diabetes care field has recognized the value of using best practice guidelines to maintain standards of care (e.g., American Diabetes Association, 200024) while still emphasizing the importance of individualization of the care plan to reach optimal management for a particular person with diabetes. The importance of providing both best practice (stage-matched) guidelines and individualization is also central to the behavior change process based on the TTM. Research has indicated that interventions tailored for the individual's stage of change work better than generic approaches.6 Interventions based on the TTM are tailored for individuals based on their stage at the highest level and then on the other variables of the model to maximize effectiveness. General guidelines for which processes and principles of change to emphasize at a particular stage are shown in Figure 2. These are designed to be general stage-matched guidelines, and readers should refer to the most recent literature regarding a particular behavior to obtain specific guidelines. Figure 2. General guidelines for principles and processes of change most emphasized at each stage. Adapted from Prochaska & Velicer, 1997 A number of interventions have been developed based on this model. Stage-matched interventions based on the TTM have included written stage-based self-help materials, such as handbooks, manuals, and newsletters. Interventions that are further individualized include stage-matched counseling approaches and expert system-generated individualized feedback (e.g., Continue reading >>

Stages Of Change Concept Of The Transtheoretical Model For Healthy Eating Links Health Literacy And Diabetes Knowledge To Glycemic Control In People With Type 2 Diabetes - Sciencedirect

Stages Of Change Concept Of The Transtheoretical Model For Healthy Eating Links Health Literacy And Diabetes Knowledge To Glycemic Control In People With Type 2 Diabetes - Sciencedirect

Volume 11, Issue 1 , February 2017, Pages 29-36 Stages of change concept of the transtheoretical model for healthy eating links health literacy and diabetes knowledge to glycemic control in people with type 2 diabetes Author links open overlay panel Hsu-MinTsengab To advance the theoretical framework how health literacy affects health outcomes. One of the few to examine the ordering of mediating variables in the HL framework. The HLoutcome relationship is mediated by knowledge and stages of change. This study contributes to a deeper understanding of the health literacy framework. Health literacy has been recognized as a key construct associated with clinical outcomes; however, few studies have explored the mechanism underlying the association. The transtheoretical model (TTM) has long been considered a useful conceptualization in the process of intentional behavior change. Stages of change lies at the heart of the TTM as studies of change have found that people move through a series of stages when modifying behavior. This study focuses on the role of knowledge and stages of change (SOC) as serial mediators linking health literacy to glycemic control. In this cross-sectional survey, a total of 232 patients with type 2 diabetes participated in this study. Participants completed questionnaires for assessing health literacy, readiness to consume healthy foods, and a dietary knowledge test specific to diabetes. Low health literacy was significantly associated with worse glycemic control. Statistical evaluation supported the serial mediation model, in which knowledge and SOC formed a serial mediation chain that accounted for the indirect effect of health literacy on glycemic control. In other words, dietary knowledge significantly motivated participants to move into the late Continue reading >>

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