Posthospital Heart-Healthy Behaviors in Adults With Comorbid Diabetes

Author:

Vanden Bosch Melodee L.1,Corser William D.2,Xie Yan3,Holmes-Rovner Margaret2

Affiliation:

1. College of Nursing, Michigan State University, East Lansing, MI, USA

2. College of Human Medicine, Michigan State University, East Lansing, MI, USA

3. Center for Statistical Training & Consulting, Michigan State University, East Lansing, MI, USA

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.

Publisher

SAGE Publications

Subject

General Nursing

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