A counseling strategy was better than usual care for adopting and maintaining physical activity in type 2 diabetes: COMMENTARY

Smith, Steven A.; Vickers, Kristin S.
November 2003
ACP Journal Club;Nov/Dec2003, Vol. 139 Issue 3, p69
Academic Journal
Empirical evidence of the effectiveness of physical activity counseling in primary care settings has been mixed and the perception that it is ineffective may contribute to the low rates of physical activity counseling by physicians. Because physical activity is a vital component in the prevention and management of type 2 diabetes, clinicians need interventions that can be delivered within the constraints of primary care settings. Researcher C. Di Loreto and colleagues have used a physician-delivered counseling intervention that was associated with increased self-reported activity and improvements in body mass index and hemoglobin A. A strength of this study was the patient-centered intervention that incorporated such behavioral counseling strategies as enhancing self-efficacy, motivation, social support, problem-solving, patient self-monitoring, and clinician follow-up.


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