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Seven-Year Follow-up of a Multiple-Health-Behavior Diabetes Intervention

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Objective : To examine the long-term effects of multiple health-behavior changes from the Mediterranean Lifestyle Program.

Methods : The randomized trial targeted postmenopausal women with type 2 diabetes (N 279) at high risk for heart disease. The intervention featured a weekend retreat followed by regular meetings over 24 months to enhance healthful eating, physical activity (PA), stress management, and support behaviors.

Results : Long-term analyses indicated that significant improvements made in the targeted behaviors during the active treatment phase of the study (at 6, 12, and 24 months) were partially maintained during the nontreatment phase of the study, through 5 years postintervention contact for dietary behavior and stress management, and 1-year posttreatment for PA.

Conclusions : This moderate-intensity group-based intervention produced health behavior changes that tended to plateau or return to baseline levels 1 to 5 years after treatment.
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Keywords: diabetes; long-term; multiple health behaviors; randomized controlled trial; women

Document Type: Research Article

Affiliations: 1 Senior Research Scientist, Oregon Research Institute, Eugene, OR.

Publication date: 2010-11-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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