Behavioral strategies in diabetes prevention programs: a systematic review of randomized controlled trials.

Abstract:

UNLABELLED:The worldwide epidemic of type 2 diabetes (T2D) emphasizes the need for guidelines regarding community implementation of lifestyle modification prevention programs. An understanding of effective behavioral strategies is needed if evidence translation is to be realized. The aim of this paper is to systematically review the behavioral change strategies for lifestyle T2D prevention programs. METHODS:randomized controlled trials (RCTs) of lifestyle interventions for the prevention of T2D were reviewed with a systematic literature search. Data relating to the behavioral strategies and trial outcomes were extracted. RESULTS:overall, lifestyle interventions were successful in reducing the incidence of T2D. The behavioral strategies utilized in these interventions were drawn from a variety of theoretical backgrounds. All RCTs utilized intensive modes of delivery and were associated with low dropout rates of 5.5-13.4%. CONCLUSIONS:the available evidence shows that a robust behavioral change strategy is an essential part of an effective lifestyle modification program, as the absence of intensive individualized advice or "information only" more closely resembles the control group interventions used in these RCTs.

authors

Baker MK,Simpson K,Lloyd B,Bauman AE,Singh MA

doi

10.1016/j.diabres.2010.06.030

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

1-12

issue

1

eissn

0168-8227

issn

1872-8227

pii

S0168-8227(10)00332-3

journal_volume

91

pub_type

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