Document Detail


Goal difficulty and goal commitment affect adoption of a lower glycemic index diet in adults with type 2 diabetes.
MedLine Citation:
PMID:  21497479     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Few studies have examined the effect of goal difficulty on behavioral change even though goal setting is widely used in diabetes education. The effect of a goal to consume either 6 or 8 servings/day of low glycemic index (LGI) foods was evaluated in this study.
METHODS: Adults 40-65 years old with type 2 diabetes were randomly assigned to the 6 or 8 serving/day treatment group following a 5-week GI intervention. Perceived goal difficulty, commitment, satisfaction, and self-efficacy were evaluated, and four day food records assessed dietary intake.
RESULTS: Both groups increased consumption of LGI foods (P<0.001); there were no significant differences in the change in consumption between groups. Participants who were more committed to the goal perceived the goal to be less difficult (P<0.01). Those with greater efficacy beliefs were more committed to their goal, perceived the goal to be less difficult, and were more satisfied with their performance (all P<0.05).
CONCLUSION: A specific goal regarding LGI foods can facilitate the adoption of a lower GI diet. Future research is needed to determine if goal commitment or goal difficulty mediate the process.
PRACTICE IMPLICATIONS: Clinicians should help clients set specific goals regarding dietary change.
Authors:
Carla K Miller; Amy Headings; Mark Peyrot; Haikady Nagaraja
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2011-04-15
Journal Detail:
Title:  Patient education and counseling     Volume:  86     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-19     Completed Date:  2012-04-25     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  84-90     Citation Subset:  N    
Copyright Information:
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Ohio State University, Department of Human Nutrition, Columbus, OH 43210, USA. CMiller@ehe.osu.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Diabetes Mellitus, Type 2 / prevention & control*
Female
Humans
Male
Middle Aged
Motivation*
Nutrition Surveys
Nutritional Status
Outcome Assessment (Health Care)
Patient Care Planning / statistics & numerical data*
Patient Satisfaction*
Psychometrics
Self Care
Self Efficacy
Statistics as Topic
Time Factors
Grant Support
ID/Acronym/Agency:
UL1 RR025755/RR/NCRR NIH HHS; UL1RR025755/RR/NCRR NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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