Stages of Change for Healthy Eating in Diabetes

• DOI: 10.2337/diacare.26.5.1468
• Publication Date: 2007-03-05T22:51:27Z
• Authors: Michael Vallis; Laurie Ruggiero; Geoffrey Greene; Helen Jones; Bernard Zinman; Susan Rossi; Lynn Edwards; Joseph S. Rossi; James O. Prochaska
• Keywords: Male; 2. Zero hunger; Analysis of Variance; 150; 610; Feeding Behavior; Health Services; 16. Peace & justice; Dietary Fats; 3. Good health; 03 medical and health sciences; Diabetes Mellitus, Type 1; 0302 clinical medicine; Diabetes Mellitus, Type 2; Socioeconomic Factors; Diet, Diabetic; Multivariate Analysis; Vegetables; Diabetes Mellitus; Humans; Female; Energy Intake; Demography

OBJECTIVES—To identify diabetes-related characteristics of individuals at different stages readiness to change healthy, low-fat eating. RESEARCH DESIGN AND METHODS—Stage-based differences in demographic, eating-related, health care utilization, and psychosocial factors were examined a sample 768 overweight (BMI >27 kg/m2) with diabetes enrolled randomized behavioral intervention trial. RESULTS—Stage-based occurred for type 1 diabetic participants on percent calories from fat number daily vegetable servings. For 2 participants, sex, disease-specific quality life, fat, vegetables servings differed across stages. Those action more likely be female have better life healthier eating habits. Type insulin-requiring married. Social support was highest those the contemplation stage lowest stage. pills older, had lower BMI, ate fruit, nonsmokers, recently attended education, social support, less stress. One anomalous finding that precontemplators scored similarly CONCLUSIONS—These data validate Transtheoretical Model, where displayed They also indicate demographic may mediate diet. Precontemplators heterogeneous group need individually tailored interventions.