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Posthospital Heart-Healthy Behaviors in Adults With Comorbid Diabetes

Author

Listed:
  • Melodee L. Vanden Bosch
  • William D. Corser
  • Yan Xie
  • Margaret Holmes-Rovner

Abstract

The purpose of these secondary analyses was to examine relationships between patient factors and patient-provider decision-making style (PDM) on heart-healthy behavior changes in 142 adults with diabetes after hospitalization for an acute coronary syndrome (ACS). A clinical trial randomized adults to either control or a telephone coaching intervention. Generalized estimating equations were used to analyze the relationship between patient factors and PDM style on longitudinal postdischarge changes in three heart-healthy behaviors, avoiding high fat foods, weight loss, and increased physical activity. Neither PDM style nor telephone coaching intervention affected heart-healthy behaviors in this population. Although adults with diabetes preferred collaborative patient-provider decision-making, present levels of provider engagement were not sufficient to support behavior change. Results suggest the need for sustained and tailored nursing interventions to facilitate heart-healthy behavior changes in adults with diabetes after ACS hospitalization.

Suggested Citation

  • Melodee L. Vanden Bosch & William D. Corser & Yan Xie & Margaret Holmes-Rovner, 2012. "Posthospital Heart-Healthy Behaviors in Adults With Comorbid Diabetes," Clinical Nursing Research, , vol. 21(3), pages 327-349, August.
    • Handle: RePEc:sae:clnure:v:21:y:2012:i:3:p:327-349
    DOI: 10.1177/1054773811422123
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    References listed on IDEAS

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    1. Garber, C.E. & Allsworth, J.E. & Marcus, B.H. & Hesser, J. & Lapane, K.L., 2008. "Correlates of the stages of change for physical activity in a population survey," American Journal of Public Health, American Public Health Association, vol. 98(5), pages 897-904.
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