Keywords
nivel primario de atención
conductas saludables
Pre-diabetic state
primary health care
health behavior
How to Cite
Abstract
Background: Prediabetes is a reversible condition and its treatment a chance to change unhealthy practices. Objective: to evaluate the effectiveness of a multi-component tele-care model to support people with pre-diabetes and obesity in Chile. Method: a randomized clinical trial in primary care setting, Santiago, Chile. Participants: 70 adults with pre-diabetes: BMI between 25 and 34 and access to mobile phone. GI (n = 33) received telephone counseling, SMS, educational materials and self-monitoring equipment and GC (n = 32) usual care and self-monitoring equipment. Measures of knowledge of prediabetes, unhealthy diet, physical activity, weight, waist circumference, glucose, triglycerides and total cholesterol were made pre and post intervention. Results: in GI the intervention to maintain stable knowledge level about pre-diabetes, and decrease triglycerides level was effective. The model did not exceed usual care for decrease in weight, waist circumference, glucose and cholesterol.
References
Bandura, A. (1995). Self-Efficacy in changing societies. New York. Cambridge University Press.
Cabrera, G. (2000). El modelo transteórico del comportamiento en salud. Revista Facultad Nacional
de Salud Pública, 18(2), 129-138.
Centers for Disease Control and Prevention. (2014). National diabetes statistics report: Estimates of diabetes and its burden in the United States. Atlanta, GA: U.S. Department of Health and Human Services.
Cole-Lewis, H., & Kershaw, T. (2010). Text messaging as a tool for behavior change in disease prevention and management. Epidemiologic Review, 32(1), 56-69.
Eakin, E., Reeves, M., Lawler, S., Graves, N., Oldenburg, B., Del Mar, C., Wilke, K., Winkler, E., & Barnett, A. (2009) Telephone counseling for physical activity and diet in primary care patients. American Journal of Preventive Medicine, 36(2), 142-149.
Fjeldsoe, B. S., Marshall, A. L., & Miller, Y. D. (2009). Behavior change interventions delivered by mobile telephone short-message service. American Journal of Preventive Medicine, 36(2), 165-173.
Geiss, L. S., James, Ch., Gregg, E. W., Albright, A., Williamson, D. F., & Cowie, C.C. (2010). Diabetes
risk reduction behaviors among U.S. adults with prediabetes. American Journal of Preventive Medicine, 38(4), 403-409.
Herman, W. H., Hoerger, T. J., Brandle, M., Hicks, K., Sorensen, S., Zhang, P., Hamman, R. F., Ackermann, R. T., Engelgau, M. M., & Ratner, R. E. for the Diabetes Prevention Program Research
Group. (2005). The cost-effectiveness of lifestyle modification or metformin in preventing type 2
diabetes in adults with impaired glucose tolerance. Annals of Internal Medicine, 142(5), 323-332.
Instituto Nacional de Estadísticas (INE), Chile. (2009). Transporte y Telecomunicaciones. Informe Anual 2008. Santiago: INE.
Izquierdo, R., Lagua, C. T., Meyer, S., Ploutz-Snyder, R. J., Palmas, W., Eimicke, J. P., Kong, J., Teresi, J. A., Shea, S., & Weinstock, R. S. (2010). Telemedicine intervention effects on waist circumference and
body mass index in the IDEATel project. Diabetes Technology and Therapeutics, 12(3), 213-220.
Johnson, M., Jones, R., Freeman, C., Woods, H. B., Gillett, M., Goyder, E., & Payne, N. (2012).
Can diabetes prevention programs be translated effectively into real-world settings and still deliver
improved outcomes? A synthesis of evidence. Diabetes Medicine, 30(5), 3-15. doi: 10.1111/
dme.12018
Jones, J. M. (2002). The methodology of nutritional screening and assessment tools. Journal of Human
Nutrition and Dietetics, 15(1), 59-71.
Kelley, G. A., Kelley, K. S., & Tran, Z. V. (2004). Walking, lipids, and lipoproteins: A meta-analysis
of randomized controlled trials. Preventive Medicine, 38(5), 651–661.
Lange, .I., Campos, S., Urrutia, M., Bustamante, C. ,Alcayaga, C., Tellez, A., Perez, J.C., Villarroel, L.,
O`Connor, A., & Piette, J. (2010). Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, Chile. Revista
Médica de Chile, 138(6), 729-737.
Lawlor, D. A., & Hanratty, B. (2001). The effect of physical activity advice given in routine primary
intervention studies: Effectiveness and implications for practice and future research. Journal of Family
Practice, 49(5), 158-168.
LeBlanc, E., O’Connor, E., Whitlock, E. P., Patnode, C. D., & Kapka, T. (2011). Effectiveness of primary care–relevant treatments for obesity in adults: a systematic evidence review for the US. Preventive services task force. Annals of Internal Medicine, 155(7), 434-447.
McGuire, K. A., & Ross, R. (2010). Revised protocol for measurement of waist circumference. The Canadian Physical Activity, Fitness & Lifestyle Approach. Third Ed. Supplement. Disponible en: http://www.provincialfitnessunit.ca/media/uploads/CPAFLA_Insert_Package_August_2010.pdf
Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford Press.
Miller, W. R. & Rollnick, S. (2013). Motivational Interviewing. Helping people Change (Third Edition). USA: Guilford Press.
Ministerio de Salud de Chile (MINSAL), Chile. (2010). Guía Clínica Diabetes Mellitus tipo 2. Santiago: MINSAL.
Moreno, L. (2001). Epidemiología y diabetes. Revista Facultad de Medicina UNAM, 44(1), 35-37.
Mosqueda-Díaz, A., Mendoza-Parra, S., & Jofré-Aravena, V. (2014). Aporte de enfermería a la
toma de decisiones en salud. Revista Brasileira de Enfermagem, 67(3), 462-467.
Nathan, D. M., Davidson, M. B., Defronzo, R. A., Heine, R. J., Henry, R. R., Pratley, R., & Zinman,
B. (2007). Impaired fasting glucose and impaired glucose tolerance. Diabetes Care, 30(3), 753–759.
Nordmann, A. J., Nordmann, A., Briel, M., Keller, U., Yancy, W. S., Brehm, B. J., & Bucher, H. C. (2006). Effects of low-carbohydrate vs. low-fat diets on weight loss and cardiovascular risk factors: A meta-analysis of randomized controlled trials. Archives of Internal Medicine, 166(3), 285-293.
Norris, S. L., Zhang, X., Avenell, A., Gregg, E., Schmid, C. H., & Lau, J. (2005). Long-term non pharmacological weight loss interventions for adults with prediabetes Cochrane Database Systematic Reviews, 2. doi: CD005270.
O’Connor, A., Tugwell, P., Wells., G, Elmslie, T., Jolly, E., Hollingworth, G., McPherson, R., Bunn, H., Graham, .I, & Drake, E. (1998). A decision aid for women considering hormone therapy after menopause: Decision support framework and evaluation. Patient Education and Counselling, 33(3), 267-279.
Pérez, J. C., Bustamante, C., Campos, S., Sánchez, H., Beltrán, A., & Medina, M. (2015). Validación de la escala Rapid Assessment of Physical Activity (RAPA) en población chilena adulta consultante en Atención Primaria. AQUICHAN, 15(4), 486-498.
Piette, J. D., Lange, I., Issel, M., Campos, S., Bustamante, C., Sapag, J., Poblete, F., Tugwell, P., & O’Connor, A. M. (2006). Use of telephone care in a cardiovascular disease management program for type 2 diabetes patients in Santiago, Chile. Chronic Illness, 2(2), 87-96.
Prochaska, J., & DiClemente, C. (1983). Stages and processes of self-change of smoking: Toward an
integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390-395.
Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 2(4), 328-335.
Ruiz, R., Peralta, L., Pérula, L.A., Olloqui, J., Carrión, T., Sobrino, A., Losilla, M., & Martínez, M. (2012). Opiniones y percepciones de los pacientes sobre su participación en la toma de decisiones en las consultas de medicina familiar. Atencion Primaria, 44(1), 5-10.
Simmons, L., Baker, N. J., Schaefer, J., Miller, D., & Anders, S. (2009). Activation of patients for
successful self-management. Journal of Ambulatory Care Management, 32(1), 16-23.
Smith, R., & Gould, D. (2010). Fundamentos de psicología del deporte y del ejercicio físico (4 Ed.). Madrid, España: Editorial Médica Panamericana.
Suggs, L. S. (2006). A 10-year retrospective of research in new technologies health communication. Journal of Health Communication, 11(1), 61-74.
Topolski, T. D., LoGerfo, D. J., Patrick, D. L., Williams, B., Walwick, J., & Patrick, M. B. (2006). The Rapid Assessment of Physical Activity (RAPA) among older adults. Preventing Chronic Disease, Public Health Research, Practice & Policy, 3(4), 1-8.
Troughton, J., Jarvis, J., Skinner, T.C., Robertson, N., Khunti, K., & Davies, M. (2008). Waiting for
diabetes: perceptions of people with prediabetes: A qualitative study. Patient Education and Counseling, 72(1), 88-93.
Westerterp, K. (2009). Assessment of physical activity: a critical appraisal. European Journal of Applied Physiology, 105(6), 823–828. doi: 10.1007/s00421-009-1000-2
World Health Organization (WHO). (2010). Atlas e-health country profiles: Based on the findings of the second global survey on e-Health. Geneva: World Health Organization.
Yates, T., Davies, M., Gorely, T., Bull, F., & Khunti, K. (2008). Rationale, design and baseline data from the Prediabetes Risk Education and Physical Activity Recommendation and Encouragement (PREPARE) programme study: A randomized controlled trial. Patient Education and Counseling, 73(2), 264-271.