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Erschienen in: Journal of Behavioral Medicine 4/2009

01.08.2009

Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes

verfasst von: William P. Sacco, John I. Malone, Anthony D. Morrison, Andrea Friedman, Kristen Wells

Erschienen in: Journal of Behavioral Medicine | Ausgabe 4/2009

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Abstract

Brief, cost-effective interventions to promote diabetes self-management are needed. This study evaluated the effects of a brief, regular, proactive, telephone “coaching” intervention delivered by paraprofessionals on diabetes adherence, glycemic control, diabetes-related medical symptoms, and depressive symptoms. Therapeutic mechanisms underlying the intervention’s effect on the primary outcomes were also examined. Adults diagnosed with type 2 diabetes (N = 62) were randomly assigned to receive the “coaching” intervention and treatment as usual, or only treatment as usual. The intervention increased frequency of exercise and feet inspection, improved diet, reduced diabetes medical symptoms, and lowered depressive symptoms. Self-efficacy, reinforcement, and awareness of self-care goals mediated the treatment effect on depression, exercise, and feet inspection, respectively. A brief telephone intervention delivered by paraprofessionals had positive effects on type 2 diabetes patients.
Fußnoten
1
The lipid requirements for the present study represent relatively low thresholds. For example, approximately half of all adults have cholesterol levels above 200.
 
2
The number of participants completing the social support (n = 31) and reinforcement received (n = 28) was lower than the study N because initial versions of these measures did not adequately direct participants to reflect on support and reinforcement received from their healthcare team. Only responses to the corrected versions were included in analyses of these variables.
 
Literatur
Zurück zum Zitat Brown, S. A. (1990). Studies of educational interventions and outcomes in diabetic adults: A meta-analysis revisited. Patient Education & Counseling, 16(3), 189–215.CrossRef Brown, S. A. (1990). Studies of educational interventions and outcomes in diabetic adults: A meta-analysis revisited. Patient Education & Counseling, 16(3), 189–215.CrossRef
Zurück zum Zitat Brown, D. W., Balluz, L. S., Giles, W. H., Beckles, G. L., Moriarty, D. G., Ford, E. S., et al. (2004). Diabetes mellitus and health-related quality of life among older adults: Findings from the behavioral risk factor surveillance system (BRFSS). Diabetes Research and Clinical Practice, 65, 105–115. doi:10.1016/j.diabres.2003.11.014.PubMedCrossRef Brown, D. W., Balluz, L. S., Giles, W. H., Beckles, G. L., Moriarty, D. G., Ford, E. S., et al. (2004). Diabetes mellitus and health-related quality of life among older adults: Findings from the behavioral risk factor surveillance system (BRFSS). Diabetes Research and Clinical Practice, 65, 105–115. doi:10.​1016/​j.​diabres.​2003.​11.​014.PubMedCrossRef
Zurück zum Zitat Carver, C. S., & Scheier, M. F. (1999). Control theory: A useful conceptual framework for personality-social, clinical, and health psychology. In R. F. Baumeister, et al. (Eds.), The self in social psychology (pp. 299–316). Philadelphia: Psychology Press/Taylor & Francis. Carver, C. S., & Scheier, M. F. (1999). Control theory: A useful conceptual framework for personality-social, clinical, and health psychology. In R. F. Baumeister, et al. (Eds.), The self in social psychology (pp. 299–316). Philadelphia: Psychology Press/Taylor & Francis.
Zurück zum Zitat Cowie, C. C., Rust, K. F., Byrd-Holt, D. D., Eberhardt, M. S., Flegal, K. M., Engelgau, M. M., et al. (2006). Prevalence of diabetes and impaired fasting glucose in adults in the US population: National Health and Nutrition Examination Survey 1999–2002. Diabetes Care, 29, 1263–1268. doi:10.2337/dc06-0062.PubMedCrossRef Cowie, C. C., Rust, K. F., Byrd-Holt, D. D., Eberhardt, M. S., Flegal, K. M., Engelgau, M. M., et al. (2006). Prevalence of diabetes and impaired fasting glucose in adults in the US population: National Health and Nutrition Examination Survey 1999–2002. Diabetes Care, 29, 1263–1268. doi:10.​2337/​dc06-0062.PubMedCrossRef
Zurück zum Zitat de Groot, M., Anderson, R., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). Association of depression and diabetes complications: A meta-analysis. Psychosomatic Medicine, 63, 619–630.PubMed de Groot, M., Anderson, R., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). Association of depression and diabetes complications: A meta-analysis. Psychosomatic Medicine, 63, 619–630.PubMed
Zurück zum Zitat Eddy, D. M., Schlessinger, L., & Kahn, R. (2005). Clinical outcomes and cost-effectiveness of strategies for managing people at high risk for diabetes. Annals of Internal Medicine, 143(4), 251–264.PubMed Eddy, D. M., Schlessinger, L., & Kahn, R. (2005). Clinical outcomes and cost-effectiveness of strategies for managing people at high risk for diabetes. Annals of Internal Medicine, 143(4), 251–264.PubMed
Zurück zum Zitat Engum, A., Mykletun, A., Midthjell, K., Holen, A., & Dahl, A. A. (2005). Depression and diabetes: A large population-based study of sociodemographic, lifestyle, and clinical factors associated with depression in type 1 and type 2 diabetes. Diabetes Care, 28, 1904–1909. doi:10.2337/diacare.28.8.1904.PubMedCrossRef Engum, A., Mykletun, A., Midthjell, K., Holen, A., & Dahl, A. A. (2005). Depression and diabetes: A large population-based study of sociodemographic, lifestyle, and clinical factors associated with depression in type 1 and type 2 diabetes. Diabetes Care, 28, 1904–1909. doi:10.​2337/​diacare.​28.​8.​1904.PubMedCrossRef
Zurück zum Zitat Fertig, B. J., Simmons, D. A., & Martin, D. B. (1995). Therapy for diabetes. In National Diabetes Data Group (Ed.), Diabetes in America (2nd ed.). Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Fertig, B. J., Simmons, D. A., & Martin, D. B. (1995). Therapy for diabetes. In National Diabetes Data Group (Ed.), Diabetes in America (2nd ed.). Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases.
Zurück zum Zitat Fisher, E., Arfken, C., Heins, J., Houston, C., Jeffe, D., & Sykes, R. (1997). Acceptance of diabetes regimens in adults. In Handbook of health behavior research II: Provider determinants (pp. 189–212). New York: Plenum Press. Fisher, E., Arfken, C., Heins, J., Houston, C., Jeffe, D., & Sykes, R. (1997). Acceptance of diabetes regimens in adults. In Handbook of health behavior research II: Provider determinants (pp. 189–212). New York: Plenum Press.
Zurück zum Zitat Foreyt, J. P., & Poston, W. S. C., I. I. (1999). The challenge of diet, exercise and lifestyle modification in the management of the obese diabetic patient. International Journal of Obesity and Related Metabolic Disorders, 23, S5–S11. doi:10.1038/sj.ijo.0800955.PubMedCrossRef Foreyt, J. P., & Poston, W. S. C., I. I. (1999). The challenge of diet, exercise and lifestyle modification in the management of the obese diabetic patient. International Journal of Obesity and Related Metabolic Disorders, 23, S5–S11. doi:10.​1038/​sj.​ijo.​0800955.PubMedCrossRef
Zurück zum Zitat Friedman, A., Wells, K., Steiner, P., Malone, J., Morrison, A., & Sacco, W. P. (2003). Can a paraprofessional telephone coaching intervention improve exercise and foot care adherence in type 2 diabetes patients? Annals of Behavioral Medicine, 25, S 28. Friedman, A., Wells, K., Steiner, P., Malone, J., Morrison, A., & Sacco, W. P. (2003). Can a paraprofessional telephone coaching intervention improve exercise and foot care adherence in type 2 diabetes patients? Annals of Behavioral Medicine, 25, S 28.
Zurück zum Zitat Glasgow, R. E., & Eakin, E. G. (1998). Issues in diabetes self-management. In S. A. Shumaker, E. B. Schron, et al. (Eds.), The handbook of health behavior change (2nd ed., pp. 435–461). New York: Springer Publishing Co. Glasgow, R. E., & Eakin, E. G. (1998). Issues in diabetes self-management. In S. A. Shumaker, E. B. Schron, et al. (Eds.), The handbook of health behavior change (2nd ed., pp. 435–461). New York: Springer Publishing Co.
Zurück zum Zitat Grootenhuis, P. A., Snoek, F. J., Heine, R. J., & Bouter, L. M. (1994). Development of a Type 2 diabetes symptom checklist: A measure of symptom severity. Diabetic Medicine, 11, 253–261.PubMedCrossRef Grootenhuis, P. A., Snoek, F. J., Heine, R. J., & Bouter, L. M. (1994). Development of a Type 2 diabetes symptom checklist: A measure of symptom severity. Diabetic Medicine, 11, 253–261.PubMedCrossRef
Zurück zum Zitat Gucciardi, E., De Melo, M., Offenheim, A., Grace, S., & Stewart, D. (2007). Patient factors associated with attrition from a self-management education programme? Journal of Evaluation in Clinical Practice, 13(6), 913–919.PubMed Gucciardi, E., De Melo, M., Offenheim, A., Grace, S., & Stewart, D. (2007). Patient factors associated with attrition from a self-management education programme? Journal of Evaluation in Clinical Practice, 13(6), 913–919.PubMed
Zurück zum Zitat King, A., Friedman, R., Marcus, B., Castro, C., Napolitano, M., Ahn, D., et al. (2007). Ongoing physical activity advice by humans versus computers: The Community Health Advice by Telephone (CHAT) Trial. Health Psychology, 26(6), 718–727. doi:10.1037/0278-6133.26.6.718.PubMedCrossRef King, A., Friedman, R., Marcus, B., Castro, C., Napolitano, M., Ahn, D., et al. (2007). Ongoing physical activity advice by humans versus computers: The Community Health Advice by Telephone (CHAT) Trial. Health Psychology, 26(6), 718–727. doi:10.​1037/​0278-6133.​26.​6.​718.PubMedCrossRef
Zurück zum Zitat Kirkman, M. S., Weinberger, M., Landsman, P. B., Samsa, G. P., Shortliffe, E. A., Simel, D. L., et al. (1994). A telephone-delivered intervention for patients with NIDDM: Effect on coronary risk factors. Diabetes Care, 17(8), 840–846. doi:10.2337/diacare.17.8.840.PubMedCrossRef Kirkman, M. S., Weinberger, M., Landsman, P. B., Samsa, G. P., Shortliffe, E. A., Simel, D. L., et al. (1994). A telephone-delivered intervention for patients with NIDDM: Effect on coronary risk factors. Diabetes Care, 17(8), 840–846. doi:10.​2337/​diacare.​17.​8.​840.PubMedCrossRef
Zurück zum Zitat Landell-Graham, J., Yount, S. E., & Rudnicki, S. R. (2003). Diabetes mellitus. In A. M. Nezu, C. M. Nezu, & P. A. Geller (Eds.), Health psychology. I. B. Weiner (Series Ed.), Handbook of psychology, (Vol. 9). New York: John Wiley & Sons. Landell-Graham, J., Yount, S. E., & Rudnicki, S. R. (2003). Diabetes mellitus. In A. M. Nezu, C. M. Nezu, & P. A. Geller (Eds.), Health psychology. I. B. Weiner (Series Ed.), Handbook of psychology, (Vol. 9). New York: John Wiley & Sons.
Zurück zum Zitat Penninx, B., van Tilburg, T., Boeke, A., Deeg, D., Kriegsman, D., & van Eijk, J. (1998). Effects of social support and personal coping resources on depressive symptoms: Different for various chronic diseases? Health Psychology, 17, 551–558. doi:10.1037/0278-6133.17.6.551.PubMedCrossRef Penninx, B., van Tilburg, T., Boeke, A., Deeg, D., Kriegsman, D., & van Eijk, J. (1998). Effects of social support and personal coping resources on depressive symptoms: Different for various chronic diseases? Health Psychology, 17, 551–558. doi:10.​1037/​0278-6133.​17.​6.​551.PubMedCrossRef
Zurück zum Zitat Piette, J. D., Weinberger, M., McPhee, S. J., Mah, C. A., Kraemer, F. B., & Crapo, L. M. (2000). Do automated calls with nurse follow-up improve self-care and glycemic control among vulnerable patients with diabetes? The American Journal of Medicine, 108(1), 20–27. doi:10.1016/S0002-9343(99)00298-3.PubMedCrossRef Piette, J. D., Weinberger, M., McPhee, S. J., Mah, C. A., Kraemer, F. B., & Crapo, L. M. (2000). Do automated calls with nurse follow-up improve self-care and glycemic control among vulnerable patients with diabetes? The American Journal of Medicine, 108(1), 20–27. doi:10.​1016/​S0002-9343(99)00298-3.PubMedCrossRef
Zurück zum Zitat Pinto, B., Friedman, R., Marcus, B., Kelley, H., Tennstedt, S., & Gillman, M. (2002). Effects of a computer-based, telephone-counseling system on physical activity. American Journal of Preventive Medicine, 23(2), 113–120. doi:10.1016/S0749-3797(02)00441-5.PubMedCrossRef Pinto, B., Friedman, R., Marcus, B., Kelley, H., Tennstedt, S., & Gillman, M. (2002). Effects of a computer-based, telephone-counseling system on physical activity. American Journal of Preventive Medicine, 23(2), 113–120. doi:10.​1016/​S0749-3797(02)00441-5.PubMedCrossRef
Zurück zum Zitat Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731. Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.
Zurück zum Zitat Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in simple and multiple mediator models. Behavior Research Methods, 40, 879–891. doi:10.3758/BRM.40.3.879.PubMedCrossRef Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in simple and multiple mediator models. Behavior Research Methods, 40, 879–891. doi:10.​3758/​BRM.​40.​3.​879.PubMedCrossRef
Zurück zum Zitat Sacco, W. P., & Beck, A. T. (1995). Cognitive theory and therapy. In E. Edward Beckham & W. R. Leber (Eds.), Handbook of depression: Treatment, assessment and research (2nd ed., pp. 329–351). New York: Guilford Press. Sacco, W. P., & Beck, A. T. (1995). Cognitive theory and therapy. In E. Edward Beckham & W. R. Leber (Eds.), Handbook of depression: Treatment, assessment and research (2nd ed., pp. 329–351). New York: Guilford Press.
Zurück zum Zitat Sacco, W. P., Morrison, A. D., & Malone, J. I. (2004). A brief, regular, proactive telephone coaching intervention for diabetes: Rationale, description, and preliminary results. Journal of Diabetes and Its Complications, 18, 113–118. doi:10.1016/S1056-8727(02)00254-4.PubMedCrossRef Sacco, W. P., Morrison, A. D., & Malone, J. I. (2004). A brief, regular, proactive telephone coaching intervention for diabetes: Rationale, description, and preliminary results. Journal of Diabetes and Its Complications, 18, 113–118. doi:10.​1016/​S1056-8727(02)00254-4.PubMedCrossRef
Zurück zum Zitat Sacco, W. P., Wells, K. J., Friedman, A., Matthew, R., Perez, S., & Vaughan, C. A. (2007). Adherence, BMI, and depression in adults with type 2 diabetes: The mediational role of diabetes symptoms and self-efficacy. Health Psychology, 26, 693–700.PubMedCrossRef Sacco, W. P., Wells, K. J., Friedman, A., Matthew, R., Perez, S., & Vaughan, C. A. (2007). Adherence, BMI, and depression in adults with type 2 diabetes: The mediational role of diabetes symptoms and self-efficacy. Health Psychology, 26, 693–700.PubMedCrossRef
Zurück zum Zitat Sigal, R. J., Kenny, G. P., Wasserman, D. H., Castaneda-Sceppa, C., & White, R. D. (2006). Physical activity/exercise and Type 2 diabetes: A consensus statement from the American Diabetes Association. Diabetes Care, 29, 1433–1438. doi:10.2337/dc06-9910.PubMedCrossRef Sigal, R. J., Kenny, G. P., Wasserman, D. H., Castaneda-Sceppa, C., & White, R. D. (2006). Physical activity/exercise and Type 2 diabetes: A consensus statement from the American Diabetes Association. Diabetes Care, 29, 1433–1438. doi:10.​2337/​dc06-9910.PubMedCrossRef
Zurück zum Zitat Simon, G. E., Katon, W. J., Lin, E. H. B., Rutter, C., Manning, W. G., Von Korff, M., et al. (2007). Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Archives of General Psychiatry, 64, 65–72. doi:10.1001/archpsyc.64.1.65.PubMedCrossRef Simon, G. E., Katon, W. J., Lin, E. H. B., Rutter, C., Manning, W. G., Von Korff, M., et al. (2007). Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Archives of General Psychiatry, 64, 65–72. doi:10.​1001/​archpsyc.​64.​1.​65.PubMedCrossRef
Zurück zum Zitat Snowling, N. J., & Hopkins, W. G. (2006). Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: A meta-analysis. Diabetes Care, 29(11), 2518–2527. doi:10.2337/dc06-1317.PubMedCrossRef Snowling, N. J., & Hopkins, W. G. (2006). Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: A meta-analysis. Diabetes Care, 29(11), 2518–2527. doi:10.​2337/​dc06-1317.PubMedCrossRef
Zurück zum Zitat Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equations models. In S. Leinghart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Jossey-Bass. Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equations models. In S. Leinghart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Jossey-Bass.
Zurück zum Zitat Spitzer, R. L., Kroenke, K., Williams, J. B., & The Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Journal of the American Medical Association, 282, 1737–1744. doi:10.1001/jama.282.18.1737.PubMedCrossRef Spitzer, R. L., Kroenke, K., Williams, J. B., & The Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Journal of the American Medical Association, 282, 1737–1744. doi:10.​1001/​jama.​282.​18.​1737.PubMedCrossRef
Zurück zum Zitat Talbot, R., Nouwen, A., Gingras, J., Gosselin, M., & Audet, J. (1997). The assessment of diabetes-related cognitive and social factors: The multidimensional diabetes questionnaire. Journal of Behavioral Medicine, 20, 291–312. doi:10.1023/A:1025508928696.PubMedCrossRef Talbot, R., Nouwen, A., Gingras, J., Gosselin, M., & Audet, J. (1997). The assessment of diabetes-related cognitive and social factors: The multidimensional diabetes questionnaire. Journal of Behavioral Medicine, 20, 291–312. doi:10.​1023/​A:​1025508928696.PubMedCrossRef
Zurück zum Zitat Thomas, D. E., Elliott, E. J., & Naughton, G. A. (2006). Exercise for type 2 diabetes mellitus. The Cochrane Database of Systematic Reviews, 3, CD002968. Thomas, D. E., Elliott, E. J., & Naughton, G. A. (2006). Exercise for type 2 diabetes mellitus. The Cochrane Database of Systematic Reviews, 3, CD002968.
Zurück zum Zitat Toobert, D. J., & Glasgow, R. E. (1994). Assessing diabetes self management: The summary of diabetes self-care activities questionnaire. In C. Bradley (Ed.), Handbook of psychology and diabetes (pp. 351–375). Chur, Switzerland: Harwood Academic. Toobert, D. J., & Glasgow, R. E. (1994). Assessing diabetes self management: The summary of diabetes self-care activities questionnaire. In C. Bradley (Ed.), Handbook of psychology and diabetes (pp. 351–375). Chur, Switzerland: Harwood Academic.
Zurück zum Zitat van Dam, H. A., van der Horst, F. G., Knoops, L., Ryckman, R. M., Crebolder, H. F., & van den Borne, B. H. (2005). Social support in diabetes: A systematic review of controlled intervention studies. Patient Education and Counseling, 59, 1–12. doi:10.1016/j.pec.2004.11.001.PubMedCrossRef van Dam, H. A., van der Horst, F. G., Knoops, L., Ryckman, R. M., Crebolder, H. F., & van den Borne, B. H. (2005). Social support in diabetes: A systematic review of controlled intervention studies. Patient Education and Counseling, 59, 1–12. doi:10.​1016/​j.​pec.​2004.​11.​001.PubMedCrossRef
Zurück zum Zitat Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Bulletin, 96, 234–254. Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Bulletin, 96, 234–254.
Zurück zum Zitat Weinberger, M., Kirkman, M. S., Samsa, G. P., Shortliffe, E. A., Landsman, P. B., Cowper, P. A., et al. (1995). A nurse-coordinated intervention for primary care patients with non-insulin-dependent diabetes mellitus: Impact on glycemic control and health-related quality of life. Journal of General Internal Medicine, 10(2), 59–66. doi:10.1007/BF02600227.PubMedCrossRef Weinberger, M., Kirkman, M. S., Samsa, G. P., Shortliffe, E. A., Landsman, P. B., Cowper, P. A., et al. (1995). A nurse-coordinated intervention for primary care patients with non-insulin-dependent diabetes mellitus: Impact on glycemic control and health-related quality of life. Journal of General Internal Medicine, 10(2), 59–66. doi:10.​1007/​BF02600227.PubMedCrossRef
Zurück zum Zitat Whitlock, W. L., Brown, A., Moore, K., Pavliscsak, H., Dingbaum, A., Lacefield, D., et al. (2000). Telemedicine improved diabetic management. Military Medicine, 165(8), 579–584.PubMed Whitlock, W. L., Brown, A., Moore, K., Pavliscsak, H., Dingbaum, A., Lacefield, D., et al. (2000). Telemedicine improved diabetic management. Military Medicine, 165(8), 579–584.PubMed
Metadaten
Titel
Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes
verfasst von
William P. Sacco
John I. Malone
Anthony D. Morrison
Andrea Friedman
Kristen Wells
Publikationsdatum
01.08.2009
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 4/2009
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-009-9209-4

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