Healthy eating and active living for diabetes in primary care networks HEALD-PCN: rationale, design, and evaluation of a pragmatic controlled trial for adults with type 2 diabetesReportar como inadecuado




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BMC Public Health

, 12:455

First Online: 19 June 2012Received: 28 April 2012Accepted: 01 June 2012DOI: 10.1186-1471-2458-12-455

Cite this article as: Johnson, S.T., Mundt, C., Soprovich, A. et al. BMC Public Health 2012 12: 455. doi:10.1186-1471-2458-12-455

Abstract

BackgroundWhile strong and consistent evidence supports the role of lifestyle modification in the prevention and management of type 2 diabetes T2DM, the best strategies for program implementation to support lifestyle modification within primary care remain to be determined. The objective of the study is to evaluate the implementation of an evidence-based self- management program for patients with T2DM within a newly established primary care network PCN environment.

MethodUsing a non-randomized design, participants total N = 110 per group will be consecutively allocated in bi-monthly blocks to either a 6-month self-management program lead by an Exercise Specialist or to usual care. Our primary outcome is self-reported physical activity and pedometer steps.

DiscussionThe present study will assess whether a diabetes self-management program lead by an Exercise Specialist provided within a newly emerging model of primary care and linked to available community-based resources, can lead to positive changes in self-management behaviours for adults with T2DM. Ultimately, our work will serve as a platform upon which an emerging model of primary care can incorporate effective and efficient chronic disease management practices that are sustainable through partnerships with local community partners.

Clinical Trials RegistrationClinicalTrials.gov identifier: NCT00991380

KeywordsType 2 diabetes Primary care Physical activity Diet Exercise specialist Health service research AbbreviationsANOVAAnalysis of variance

HbA1cGlycosylated haemoglobin

BMIBody mass index

CDACanadian diabetes association

GIGlycemic Index

GLMMGeneralized mixed-model analysis

GLTEQGodin leisure time exercise questionnaire

HEALD-PCNHealthy eating and active living for diabetes in primary care networks

IPAQInternational physical activity questionnaire

MVPAModerate and vigorous

METMetabolic equivalents

PAPhysical activity

PCNPrimary care network

T2DMType 2 diabetes mellitus

RE-AIMReach, effectiveness, adoption, implementation and maintenance.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-12-455 contains supplementary material, which is available to authorized users.

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Autor: Steven T Johnson - Clark Mundt - Allison Soprovich - Lisa Wozniak - Ronald C Plotnikoff - Jeffrey A Johnson

Fuente: https://link.springer.com/







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