Evaluation of a Multicomponent Tele-care Model for Supporting People with Prediabetes and Obesity in Chile

Authors

  • J. Carola Pérez Ewert Instituto Milenio para la Investigación en Depresión y Personalidad, Pontifi cia Universidad Católica de Chile, Chile Author
  • Claudia Bustamante Pontificia Universidad Católica de Chile, Escuela de Enfermería Author
  • Claudia Alcayaga Pontificia Universidad Católica de Chile, Escuela de Enfermería Author
  • Margarita Medina Corporación Municipal de Educación, Salud y Recreación de La Florida, Centro de Salud Familiar José Alvo Author
  • Hugo Sánchez Universidad de Chile, Instituto de Nutrición y Tecnología de Alimentos-INTA Author
  • Solange Campos Pontificia Universidad Católica de Chile, Escuela de Enfermería Author
  • Angela Beltrán Academia de Humanismo Cristiano Author
  • Mila Urrutia Pontificia Universidad Católica de Chile, Escuela de Enfermería Author
  • Ilta Lange Pontificia Universidad Católica de Chile, Escuela de Enfermería Author

DOI:

https://doi.org/10.15517/ap.v30i121.24370

Keywords:

Pre-diabetic state, primary health care, health behavior

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.

Downloads

Download data is not yet available.

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.

Downloads

Published

2016-12-05

How to Cite

Pérez Ewert, J. C., Bustamante, C., Alcayaga, C., Medina, M., Sánchez, H., Campos, S., Beltrán, A., Urrutia, M., & Lange, I. (2016). Evaluation of a Multicomponent Tele-care Model for Supporting People with Prediabetes and Obesity in Chile. Actualidades En Psicología, 30(121), 103-117. https://doi.org/10.15517/ap.v30i121.24370

Similar Articles

1-10 of 92

You may also start an advanced similarity search for this article.