dc.date.accessioned | 2017-04-06T12:49:31Z | |
dc.date.available | 2017-04-06T12:49:31Z | |
dc.date.created | 2016-06-15T11:58:08Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Holmen, Heidi Wahl, Astrid Klopstad Torbjørnsen, Astrid Cathrine Vik Jenum, Anne Karen Småstuen, Milada C Ribu, Lis . Stages of change for physical activity and dietary habits in persons with type 2 diabetes included in a mobile health intervention: the Norwegian study in RENEWING HEALTH. BMJ Open Diabetes Research & Care. 2016, 4(1) | |
dc.identifier.uri | http://hdl.handle.net/10852/55171 | |
dc.description.abstract | Abstract Objective The aim of this study was to investigate stages of change for physical activity and dietary habits using baseline data from persons with type 2 diabetes included in a mobile health intervention. We examined the associations between stages of change for physical activity change and dietary change, and between stages of change for each behavior and individual characteristics, health-related quality of life, self-management, depressive symptoms, and lifestyle. Research design and methods We examined 151 persons with type 2 diabetes with an glycated hemoglobin (HbA1c) level ≥7.1%, aged ≥18 years at baseline of a randomized controlled trial, before testing a mobile app with or without health counseling. Stages of change were dichotomized into ‘pre-action’ and ‘action’. Self-management was measured using the Health Education Impact Questionnaire (heiQ) where a higher score reflects increased self-management, and health-related quality of life was measured with the Short-Form-36 (SF-36). Logistic regression modeling was performed. Results The median HbA1c level was 7.9% (7.1–12.4), 90% were overweight or obese, and 20% had ≥3 comorbidities. 58% were in the preaction stage for physical activity change and 79% in the preaction stage for dietary change. Higher scores of self-management were associated with an increased chance of being in the action stage for both dietary change and physical activity change. Higher body mass index was associated with an 8% reduced chance of being in the action stage for physical activity change (OR 0.92, 95% CI 0.86 to 0.99). Conclusions Being in the action stage was associated with higher scores of self-management, crucial for type 2 diabetes. Over half of the participants were in the preaction stage for physical activity and dietary change, and many had a high disease burden with comorbidities and overweight. | en_US |
dc.language | EN | |
dc.publisher | BMJ Publishing Group Ltd | |
dc.relation.ispartof | Holmen, Heidi (2017) Mobile health for diabetes self-management. Doctoral thesis. http://hdl.handle.net/10852/59412 | |
dc.relation.uri | http://hdl.handle.net/10852/59412 | |
dc.rights | Attribution-NonCommercial 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | |
dc.title | Stages of change for physical activity and dietary habits in persons with type 2 diabetes included in a mobile health intervention: the Norwegian study in RENEWING HEALTH | en_US |
dc.type | Journal article | en_US |
dc.creator.author | Holmen, Heidi | |
dc.creator.author | Wahl, Astrid Klopstad | |
dc.creator.author | Torbjørnsen, Astrid Cathrine Vik | |
dc.creator.author | Jenum, Anne Karen | |
dc.creator.author | Småstuen, Milada C | |
dc.creator.author | Ribu, Lis | |
cristin.unitcode | 185,52,10,0 | |
cristin.unitname | Avdeling for helsefag | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1361639 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMJ Open Diabetes Research & Care&rft.volume=4&rft.spage=&rft.date=2016 | |
dc.identifier.jtitle | BMJ Open Diabetes Research & Care | |
dc.identifier.volume | 4 | |
dc.identifier.issue | 1 | |
dc.identifier.doi | http://dx.doi.org/10.1136/bmjdrc-2016-000193 | |
dc.identifier.urn | URN:NBN:no-57971 | |
dc.type.document | Tidsskriftartikkel | en_US |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 2052-4897 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/55171/2/Holmen%2Bbaseline.pdf | |
dc.type.version | PublishedVersion | |