Friday, May 30, 2008

Diabetes: Patient Perceptions and the Stages of Change

In diabetes care, a patient is often faced with several essential lifestyle changes. This study evaluated the usefulness, according to patient subjective responses, of a tele-health support intervention based on the Stages of Change (from TTM). Patients found the tele-health support using the SoC approach to be useful for their required lifestyle changes. Most important early applications were consciousness raising and self-evaluation. Later, contingency management was more useful. Throughout the intervention self-efficacy and organization improved and the supportive relationship was highly valued.